Balance assessment tools for rinal

Question 1

Tinetti?

Answer 1

Sitting/standing section0-16 pts available
Gait section 12 pts. available
each item can get 0-2 pts. 9 items
sitting/standing
Starts with pt in an armless chair, has them stand.
Measures sitting balance, standing balance, and standing with purterbations, eyes closed, turning 360dgs, and sitting down

Gait
assesses ability to initiate, and quality of steps, path, trunk posture, heel distance

Question 2

Dynamic gait index

Answer 2

10 sections each rated 0-3 (3 is normal)
Gait while walking a straight line 20’
Variations such as walking fast, head turns, turning, stepping over/around obstacles

Question 3

Rhomburg

Answer 3

Pt stands with feet together 30s eyes open, 30 sec (measures vision, proprio,and vestibular)
eyes closed

Tests bal with and w/o vision

Question 4

TUG?

Answer 4

Pt rises from a chair walks to a mark 3 meters or 10ft away and goes back to sit.

Question 5

Balance scale
Which can uses an aid for balance?
What should pt be able to do for dynamic?
Normal?

Good?

Fair?

Poor?

Answer 5

Normal
Static: Patient able to maintain steady balance without handhold support

Dynamic: Patient accepts maximal challenge and can shift weight easily within full range in all directions

Good
Static: Patient able to maintain balance without handhold support, limited postural sway

Dynamic: Patient accepts moderate challenge; able to maintain balance while picking object off floor

Fair
Static: Patient able to maintain balance with handhold support; may require occasional minimal assistance

Dynamic: Patient accepts minimal challenge; able to maintain balance while turning head/trunk

Poor
Static: Patient requires handhold support and moderate to maximal assistance to maintain position

Dynamic: Patient unable to accept challenge or move without loss of balance