tinettiBalance - Performance-Oriented Assessment of Balance...

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1 Performance-Oriented Assessment of Balance P a t i e n t ' s N a m e : Date: Instructions: The patient begins the assessment seated in a hard, straight-backed, armless chair. Ask the patient to perform each of the maneuvers described in the chart. Record the observations made according to the possible responses. The patient’s response to each maneuver will align most closely with one of the criteria in the tool. Accurate assessment is dependent upon close observation of the patient during each maneuver. Patient Response to Maneuver Maneuver Normal = 2 Adaptive = 1 Abnormal = 0 Score Sitting in chair Steady, stable Holds onto chair to keep upright Leans, slides down in chair Rising from chair Able to rise in a single movement without using arms Uses arms to hold onto chair or walking aid to pull or push up and/or moves forward in chair before attempting to rise Multiple attempts required or unable without personal assistance Immediate standing balance (first 3 to 5 seconds after standing) Steady without holding onto walking aid or other object for support Steady, but uses walking aid or other object for support Any sign of unsteadiness (e.g., grabbing objects for
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tinettiBalance - Performance-Oriented Assessment of Balance...

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