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Fall Prevention Test

Fall prevention test for the elderly

Describe the Performance Oriented Mobility Assessment: POMA 1 Tinetti Test It is a list of 7 normal aspects of gait that are observed by the examiner as the client walks at a self-selected pace and then at a rapid but safe pace. Scoring scales gained are either 0-1, or 0-1-2 and higher numbers indicate better performance.
What does the POMA/Tinetti test assess? balance and walking
What is the maximum score of the balance and gait score combined of the POMA/Tinetti test? 28
What scores are considered moderate risk for falls on the POMA/Tinetti test? 19 - 24
What scores are considered high risk for falls on the POMA/Tinetti test? < 19
What is the best possible score on the POMA/Tinetti test. 12
What is the Berg balance test? It is a list of 14 tasks that the client is asked to perform.
How is the Berg test rated? The examiner rates the client on each task using a scoring scale of 0-1-2-3-4 where 0 is unable to perform and 4 is able to perform without difficulty.
What does the Berg test assess? functional balance: including maintance of position(sitting, standing and postural adjustment to voluntary movements(e.g.sitting to standing, standing to sitting, transfers, reaching forward >floor, stepping up)
What is the maximum score on the Berg test? 56
What score is considered high risk on the Berg test? < 36
Describe the Get UP and Go Test (GUG). The client rises from a chair, walk 3 meters, turn, and return to chair
What does the GUG assess? functional balance
How is the GUG scored? 5 point scale
What score is considered a high for falls? 3 or higher
Describe the Timed GUG test. It is the same as the GUG test; however the performance is timed.
What is considered a normal score in Timed GUG test for normal intact adults? 10 secs or less
What is considered the normal score in the Timed GUG for frail elderly or disabled patients? 11-20 secs
What score in the Timed GUG test is considered a increased risk and high risk for falls? increased risk for falls: >20 secs; high risk for falls: > 30secs
What does the Functional Reach test assess? the maximal distance a person can reach forward beyond arm's length while maintaining a fixed position in standing (single item test)
What are the normal scores in the Functional reach test for adults? age 41-69 (men: 14.9 + (or) - 2.2) (women: 13.8 +(or) - 2.2) age 70-87 (men: 14.9 + (or) - 1.6)
What score is considered a high risk for falls in the Functional reach test? < 10
What does the Dynamic Gait Index test assess? dynamic gait: 8 items including changes in gait speed, head turns, pivot turns, obstacles and stairs.
What score is considered normal for intact adults in the Dynamic Gait Index test? 21 + or - 3
What score would a patient with a history of falls receive in the Dynamic Gait Index test? a mean score of 11 + (or) - 4
What does the Falls Efficacy Scale Test assess? the test assesses functional performance in 10 common activities and extensive fear of falling contributing to functional decline.
Created by: hobson