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Fall prevention
Fall prevention asssessments
| Question | Answer |
|---|---|
| Neurological test to detects inability to maintain a steady posture with the eyes closed | Romberg test |
| What does a positive Romberg test indicate? | sensory ataxia (loss of motor coordination) |
| Pt. stands with feet together and hands by side then closes eye for 1 minute while examiner observes. | Romberg test |
| Assessment indicates fall risks for older adults | Tinetti Balance Assessment |
| 3 parts to Tinetti: | balance, gait, balance + gait |
| TInetti score ≤18 | Fall risk = high |
| Tinetti score 19-23 | Fall risk = moderate |
| tinetti score ≥24 | Fall risk = low |
| Advantages of Tinetti | quick, can be performed almost anywhere, consistent correlation with the berg balance test, predictive validity |
| Limitations of Tinetti | not sensitive to change |
| Instrument measures fear of falling when performing IADLs and ADLs (short questionnaire) | Falls Efficacy (FES) |
| Instrument measures balance confidence in older adults based on 16 activities | Activities-specific Balance Confidence (ABC) Scale |
| Assessment that identifies person's risk for falling based on time spent standing from chair, walking, and returning to chair | TUG (TImed Get Up and Go) |