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Tinetti Mobility Assessment: Comprehensive Test for Older Adults' Gait and Balance, Study Guides, Projects, Research of Medical statistics

The tinetti performance-oriented mobility assessment (poma) is a valuable tool for evaluating an older adult's gait and balance abilities. The instructions and scoring for the poma test, which includes both balance and gait assessments. The test is easily administered and takes approximately 10-15 minutes to complete. The assessment uses a three-point ordinal scale to measure an individual's performance, with higher scores indicating better mobility and lower fall risk.

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2021/2022

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Tinetti Performance Oriented Mobility Assessment
(POMA)*
Description:
The Tinetti assessment tool is an easily administered task-oriented test that measures an older adult’s
gait and balance abilities.
Equipment needed: Hard armless chair
Stopwatch or wristwatch
15 ft walkway
Completion:
Time: 10-15 minutes
Scoring: A three-point ordinal scale, ranging from 0-2. “0” indicates the
highest level of impairment and “2” the individuals independence.
Total Balance Score = 16
Total Gait Score = 12
Total Test Score = 28
Interpretation: 25-28 = low fall risk
19-24 = medium fall risk
< 19 = high fall risk
* Tinetti ME. Performance-oriented assessment of mobility problems in elderly patients. JAGS 1986;
34: 119-126. (Scoring description: PT Bulletin Feb. 10, 1993)
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Tinetti Performance Oriented Mobility Assessment

(POMA)*

Description: The Tinetti assessment tool is an easily administered task-oriented test that measures an older adult’s gait and balance abilities.

Equipment needed: Hard armless chair Stopwatch or wristwatch 15 ft walkway Completion: Time: 10-15 minutes

Scoring: A three-point ordinal scale, ranging from 0-2. “0” indicates the highest level of impairment and “2” the individuals independence. Total Balance Score = 16 Total Gait Score = 12 Total Test Score = 28

Interpretation: 25-28 = low fall risk

19-24 = medium fall risk

< 19 = high fall risk

  • Tinetti ME. Performance-oriented assessment of mobility problems in elderly patients. JAGS 1986; 34: 119-126. (Scoring description: PT Bulletin Feb. 10, 1993)

Tinetti Performance Oriented Mobility Assessment (POMA)

- Balance Tests -

Initial instructions: Subject is seated in hard, armless chair. The following maneuvers are tested.

  1. Sitting Balance Leans or slides in chair = Steady, safe =1 _____
  2. Arises Unable without help = Able, uses arms to help = Able without using arms =2 _____
  3. Attempts to Arise Unable without help = Able, requires > 1 attempt = Able to rise, 1 attempt =2 _____
  4. Immediate Standing Balance (first 5 seconds) Unsteady (swaggers, moves feet, trunk sway) = Steady but uses walker or other support = Steady without walker or other support =2 _____
  5. Standing Balance Unsteady = Steady but wide stance( medial heals > 4 inches apart) and uses cane or other support = Narrow stance without support =2 _____
  6. Nudged (subject at maximum position with feet as close together as possible, examiner pushes lightly on subject’s sternum with palm of hand 3 times) Begins to fall = Staggers, grabs, catches self = Steady =2 _____
  7. Eyes Closed (at maximum position of item 6) Unsteady = Steady =1 _____
  8. Turing 360 Degrees Discontinuous steps = Continuous steps =1 _____ Unsteady (grabs, staggers) = Steady =1 _____
  9. Sitting Down Unsafe (misjudged distance, falls into chair) = Uses arms or not a smooth motion = Safe, smooth motion =2 _____

BALANCE SCORE: _____/

Geriatric Assessment Tool Kit MU PT 8390

Tinetti Performance Oriented Mobility Assessment (POMA) Date^ Date^ Date^ Date Balance Tests: Subject is seated on hard, armless chair

SITTING BALANCE Leans or slides in chair =0, Steady, safe = ARISES Unable without help =0; Able, uses arms =1, Able without using arms = 2 ATTEMPTS TO RISE: Unable w/o help=0; Able, requires > 1 attempt =1; Able in 1 attempt = IMMEDIATE STANDING BALANCE (first 5 seconds) Unsteady (sway/stagger/feet move)=0; Steady, w/ support =1;Steady w/o support = STANDING BALANCE Unsteady =0; Steady, stance > 4 inch BOS & requires support =1; Narrow stance, w/o support = STERNAL NUDGE (feet close together) Begins to fall =0; Staggers, grabs, catches self =1; Steady = EYES CLOSED (feet close together) Unsteady =0; Steady = TURNING 360 DEGREES Discontinuous steps =0; Continuous steps = TURNING 360 DEGREES Unsteady (staggers, grabs) =0;Steady = SITTING DOWN Unsafe (misjudges distance, falls) =0;Uses arms, or not a smooth motion =1; Safe, smooth motion = BALANCE SCORE TOTAL /16 /16 /16 / GAIT INITATION (immediate after told “go) Any hesitancy, multiple attempts to start =0; No hesitancy = STEP LENGTH R swing foot passes L stance leg =1; L swing foot passes R = FOOT CLEARANCE R foot completely clears floor =1; L foot completely clears floor = STEP SYMMETRY R and L step length unequal =0; R and L step length equal= STEP CONTINUITY Stop/discontinuity between steps =0; Steps appear continuous = PATH (excursion) Marked deviation =0; Mild/moderate deviation or use of aid =1; Straight without device= TRUNK Marked sway or uses device =0; No sway but knee or trunk flexion or spread arms while walking =1; None of the above deviations= BASE OF SUPPORT Heels apart =0; Heels close while walking = GAITGAITGAITGAIT SCORESCORESCORESCORE TOTALTOTALTOTALTOTAL /12 /12 /12 / ASSISTIVE DEVICE TOTALTOTALTOTALTOTAL SCORESCORESCORESCORE (BALANCE(BALANCE(BALANCE(BALANCE ++++ GAIT)GAIT)GAIT)GAIT) FALL RISK (minimal >23, Mod. 19-23, High < 19)

/28 /28 /28 /

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