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Patient is seated in hard, armless chair; P.T.O. Patient stands with therapist, walks across room (+/- aids), first at usual pace, then at rapid pace. ( ...
Typology: Summaries
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Leans or slides in chair = 0 Steady, safe = 1
Unable to without help = 0 Able, uses arms to help = 1 Able without use of arms = 2
Unable to without help = 0 Able, requires > 1 attempt = 1 Able to rise, 1 attempt = 2
Unsteady (staggers, moves feet, trunk sway) = 0 Steady but uses walker or other support = 1 Steady without walker or other support = 2
Unsteady = 0 Steady but wide stance and uses support = 1 Narrow stance without support = 2
Begins to fall = 0 Staggers, grabs, catches self = 1 Steady = 2
Unsteady = 0 Steady = 1
Discontinuous steps = 0 Continuous = 1
Unsteady (grabs, staggers) = 0 Steady = 1
Unsafe (misjudged distance, falls into chair) = 0 Uses arms or not a smooth motion = 1 Safe, smooth motion = 2
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TINETTI BALANCE ASSESSMENT TOOL
GAIT SECTION
Risk Indicators:
(Immediately after told to ‘go’.)
Any hesitancy or multiple attempts = 0 No hesitancy = 1
Step to = 0 Step through R = 1 Step through L = 1
Foot drop = 0 L foot clears floor = 1 R foot clears floor = 1
Right and left step length not equal = 0 Right and left step length appear equal = 1
Stopping or discontinuity between steps = 0 Steps appear continuous = 1
Marked deviation = 0 Mild/moderate deviation or uses w. aid = 1 Straight without w. aid = 2
Marked sway or uses w. aid = 0 No sway but flex. knees or back or uses arms for stability = 1 No sway, flex., use of arms or w. aid = 2
Heels apart = 0 Heels almost touching while walking = 1
Total Score = Balance + Gait score /28^ /
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