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Fall prevention

Fall prevention asssessments

QuestionAnswer
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)
Created by: abascas