Timed Up and Down Stairs

Instrument Name: Timed Up and Down Stairs

Abbreviation: TUDS

Description of Tool:

The Timed Up and Down Stairs (TUDS) is a PerfO composed of 1 item measuring functional mobility in children aged 8-14 years.

Minimum Qualification Required by COA Administrator: MA or BA

Year: 2004

Objective of Development:

To measure functional mobility

Population of Development: Age range (therapeutic indication):

8-14 years (All)

Pediatric Population(s) in which COA has been used:

Respiratory Tract Diseases ; Immune System Diseases ; Neoplasms ; Musculoskeletal Diseases ; Hemic and Lymphatic Diseases ; Nervous System Diseases ; OtorhiNolaryngologic Diseases ; Pathological Conditions, Signs and Symptoms ; Congenital, Hereditary, and Neonatal Diseases and Abnormalities ; Nutritional and Metabolic Diseases ; Mental Disorders ; Digestive System Diseases ; Respiratory Tract Diseases

COA type:

Number of Items 1 task

Mode of Administration:

Data Collection Mode:

Time for Completion: Not reported

Response Scales: Time to accomplish the task (in seconds)

Summary of Scoring:

Available scores:
Global score is the total time (seconds)

Weighting:
No

Score Interpretation:
Shorter times = Better functional ability

Evidence of Literature Review: None identified

Evidence of Instrument Review: None identified

Evidence of Clinical or Expert Input: None identified

Evidence of concept elicitation in target patient population: None identified

Evidence of a Saturation Grid: None identified

Evidence for Selection of Data Collection Method: None identified

Recall/Observation Period:

Evidence for Selection of Reponse Options: None identified

Evidence of cognitive interviewing of draft instrument in target patient population: None identified

Evidence of Preliminary Scoring of Items and Domains: None identified

Evidence related to respondent and administrator burden: None identified

Evidence of a Conceptual Framework: None identified

Evidence of an item-tracking matrix: None identified

Evidence related to item selection: None identified

Evidence of re-testing the final version: None identified

Internal consistency (Cronbach's alpha): Not applicable

Test-retest Reliability (ICC):

Zaino CA (2004)
Intra-rater reliability: One rater scored the same participants in real time and a second time later, with a video
- Intraclass Correlation Coefficient (ICC): 0.97
- Population/Disease: Children and adolescents from a convenience sample; n=24, Age range of the sample: 8-14 years

Test-retest reliability
- Intraclass Correlation Coefficient (ICC): 0.94
- Was a definition of stability applied to identify stable patients: No
- Time frame or interval between the two administrations: 2 hours
- Population/Disease: Children and adolescents from a convenience sample; n=25, Age range of the sample: 8-14 years

Inter-rater/ inter-interviewer reliability (kappa):

ZaiNo CA (2004)
Inter-observer reliability
- Intraclass Correlation Coefficient (ICC): 0.98
- Population/Disease: Children and adolescents from a convenience sample; n=9, Age range of the sample: 8-14 years

Evidence of test-retest or inter-rater reliability: Yes

Concurrent validity (convergent, divergent):

ZaiNo CA (2004)

1- Correlation coefficient used: Spearman's correlation coefficient
- Measures: Timed Up and Go (TUG), Functional Reach Test (FRT), Timed One Legged Stance (TOLS)
- Results: Significant correlations were found between TUDS score and TUG (r=0.78; p=0.001), FRT (r=-0.57; p<0.001) and TOLS (r=-0.77; p<0.001) scores - Population/Disease: Children and adolescents from a convenience sample; n=47, Age range of the sample: 8-14 years 2- Correlation coefficient used: Spearman's correlation coefficient - Measures: Timed Up and Go (TUG) - Results: A significant correlation was found between TUDS and TUG score (r=0.33; p=0.046) - Population/Disease: Children and adolescents with typical development; n=27, Age range of the sample: 8-14 years 3- Correlation coefficient used: Spearman's correlation coefficient - Measures: Timed Up and Go (TUG), Functional Reach Test (FRT), Timed One Legged Stance (TOLS) - Results: Significant correlations were found between TUDS score and TUG (r=0.68; p=0.001), FRT (r=-0.27; p Not stated) and TOLS (r=-0.41; p Not stated) scores - Population/Disease: Children and adolescents with cerebral palsy; n=20, Age range of the sample: 8-14 years

Known-group validity:

ZaiNo CA (2004)

1- Measure/Groups of patients: Correlation with age (Spearman's correlation coefficient)
- A priori hypotheses: Not stated
- Were hypotheses confirmed: Not applicable
- Results: A significant correlation was found between TUDS score and age (r=-0.61; p<0.001) - Population/Disease: Children and adolescents with typical development (TD); n=27, Age range of the sample: 8-14 years 2- Measure/Groups of patients: Correlation with age (Spearman's correlation coefficient) - A priori hypotheses: Not stated - Were hypotheses confirmed: Not applicable - Results: A significant correlation was found between TUDS score and age (r=-0.41; p=0.018) - Population/Disease: Children and adolescents with cerebral palsy (CP); n=20, Age range of the sample: 8-14 years 3- Measure/Groups of patients: Correlation with age (Spearman's correlation coefficient) - A priori hypotheses: Not stated - Were hypotheses confirmed: Not applicable - Results: A significant correlation was found between TUDS score and age (r=-0.75; p=0.010) - Population/Disease: Higher functioning children and adolescents with CP (level 1 on the Gross Motor Function Classification Scale: GMFCS); n=9, Age range of the sample: 8-14 years KNown-groups validity 1- Measure/Groups of patients: Three groups (children aged 8-10 years: n=14; 11-12 years: n=6; 13-14 years: n=7) - A priori hypotheses: Not stated - Were hypotheses confirmed: Not applicable - Results: Significant differences in TUDS score were found between the three age groups (Kruskal-Wallis ANOVA: χ2(2)=9.80; p=0.007) A significant difference in TUDS score was found between the 8-10 years and the 11-12 years age groups (Mann-Whitney U test: data Not shown; p=0.020) A significant difference in TUDS score was found between the 8-10 years and the 13-14 years age groups (Mann-Whitney U test: data Not shown; p=0.001) - Population/Disease: Children and adolescents with TD; n=27, Age range of the sample: 8-14 years 2- Measure/Groups of patients: Three groups (children with TD: n=27; children with CP (GMFCS level 1): n=9; children with CP (GMFCS level 2/3): n=11) - A priori hypotheses: Not stated - Were hypotheses confirmed: Not applicable - Results: Significant differences in TUDS score were found between the three groups (Kruskal-Wallis ANOVA: χ2(2)=28.5; p<0.001) Significant pair-wise differences in TUDS score were found between all groups (Mann-Whitney U tests: data Not shown; p<0.02) - Population/Disease: Children and adolescents from a convenience sample; n=47, Age range of the sample: 8-14 years

Evidence of Translatability Assessment: None identified

Evidence related to missing data: None identified

Evidence for Selection of Recall Period: None identified

Evidence of Administration Instructions and Training Provided: None identified

Evidence of concurrent validity: Yes

Evidence of known-groups validity: Yes

Evidence of ability to detect change over time: None identified

Evidence of responder thresholds: None identified

Zaino CA, Marchese VG, Westcott SL. Timed up and down stairs test: preliminary reliability and validity of a new measure of functional mobility. Pediatr Phys Ther. 2004 Summer;16(2):90-8 (PubMed abstract: https://pubmed.ncbi.nlm.nih.gov/17057533/)

See (PubMed results)
https://pubmed.ncbi.nlm.nih.gov/?term=%22TUDS%22&sort=date&sort_order=asc

None identified

Original: English

Translations:
None identified

N/A

Author and Contact:
Victoria G. Marchese, PhD, PT
USA
E-mail: vmarchese@som.umaryland.edu

Copyright:
Not reported

CoU:
Not reported, please contact directly the author, Dr. Victoria G. Marchese (vmarchese@som.umaryland.edu)

Not reported

None identified