Clinical Practice Guidelines

Evaluating Gait, Strength and Balance

Assessment tools are used to evaluate the components of impaired balance, decreased strength and abnormal gait , any healthcare provider trained in their use can complete

Screening tools such as the Timed Up and Go, the 4 Stage Balance test and the 30-Second Chair Stand Test can be used to predict risk to fall. However, each test needs to be chosen for how well they can detect the older patient's specific type of impairments. This is why it is important to keep in mind that no one test can assess all components.

Evaluating gait, strength and balance

  • Timed Up and Go

  • 4 Stage Balance Test

  • 30-Second Chair Stand Test

Timed Up and Go: The purpose of this test is to identify any gait and balance abnormalities. 

4 Stage Balance Test: The purpose of this test is to assess static balance

30 Second Chair Stand Test: The purpose of this test is to assess leg strength and endurance

Next Step:

If signs of unsteadiness were observed or if the result of the mobility assessment test indicates that the patient scored below the normal range for their age, proceed with Multifactorial Fall Risk Assessment.

OR

If NO signs of unsteadiness were observed or if the result of the mobility assessment test indicates that the patient scored in the normal range for their age, provide individualized interventions for an older patient at MODERATE RISK for falls.

Resources

 

  • Algorithm for Fall Risk Screening, Assessment and Intervention

  • Staying Independent - Self Screening Tool

MEDICAL DISCLAIMER

The information contained on this website is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your primary care provider or a qualified healthcare professional with any questions you may have regarding any medical condition, or before beginning any exercise program.

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