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
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.
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.
- Algorithm for Fall Risk Screening, Assessment and Intervention
Staying Independent - Self Screening Tool