Tinetti Balance Test |
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Date: |
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1.
Sitting Balance |
Leans
or slides in chair - 0 Steady,
safe - 1 |
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2.
Rising |
Unable
without help - 0 Able
but uses arms to help - 1 Able
without use of arms - 2 |
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3.
Attempts to rise |
Unable
without help - 0 Able
but requires > 1 attempt -1 Able
1st attempt - 2 |
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4.
Immediate standing (1st 4 seconds) |
Unsteady
(staggers, sways, moves feet) - 0 Steady
but uses A device or other support -1 Steady
without support - 2 |
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5.
Standing Balance |
Unsteady
- 0 Steady
but wide stance (medial heels > 4" apart) or uses A device - 1 Narrow
stance no support - 2 |
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6.
Nudged (person stands with feet as close together as possible, examiner
pushes lightly on sternum with palm of hand 3 times |
Begins
to fall - 0 Staggers,
grabs, but catches self - 1 Steady
- 2 |
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7.
Eyes closed (same position as 6) |
Unsteady
- 0 Steady
- 1 |
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8a.
Turning 360o |
Discontinuous
step - 0 Continuous
steps - 1 |
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8b.
Turning 360o |
Unsteady
(grabs, staggers) - 0 Steady
- 1 |
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9.
Sitting down |
Unsafe
(misjudges distance, falls into chair - 0 Uses
arms or not smooth motion - 1 Safe,
smooth motion - 2 |
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Total |
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/16 |
/16 |
/16 |
/16 |
/16 |