Download Tinetti Mobility Assessment: Comprehensive Test for Older Adults' Gait and Balance and more Study Guides, Projects, Research Medical statistics in PDF only on Docsity!
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.
- Sitting Balance Leans or slides in chair = Steady, safe =1 _____
- Arises Unable without help = Able, uses arms to help = Able without using arms =2 _____
- Attempts to Arise Unable without help = Able, requires > 1 attempt = Able to rise, 1 attempt =2 _____
- 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 _____
- Standing Balance Unsteady = Steady but wide stance( medial heals > 4 inches apart) and uses cane or other support = Narrow stance without support =2 _____
- 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 _____
- Eyes Closed (at maximum position of item 6) Unsteady = Steady =1 _____
- Turing 360 Degrees Discontinuous steps = Continuous steps =1 _____ Unsteady (grabs, staggers) = Steady =1 _____
- 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 /
Therapist initials
