Administration of the Tinetti Gait & Balance Instrument The Tinetti Gait and Balance Instrument is designed to determine an elders risk for falls with...
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Administration of the Tinetti Gait
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Administration of the Tinetti Gait & Balance Instrument The Tinetti Gait and Balance Instrument is designed to determine an elders risk for falls within the next year. It
takes about 8-10 minutes to complete. The evaluator should review the questions prior to evaluation of the patient and ask any questions regarding the Instrument prior to beginning. The patient is asked to complete the gait portion first with the evaluator walking close behind the elder and evaluating gait steppage and drift. The patient is then asked to complete the balance portion with the evaluator again standing close by the patient (towards the right and in front). The patient is then asked to sit and the score is then totaled.
Scoring— The higher the score, the better the performance. Scoring is done on a three point scale with a
range on each item of 0-2 with 0 representing the most impairment. Individual scores are then combined to form three scales: a Gait Scale, a Balance Scale and then and overall Gait and Balance score. The maximum score for gait is 12 points while the maximum for Balance is 16 points with a total maximum for the overall Tinetti Instrument of 28 points.
Score Interpretation
<19 High Risk for Falls 19-24 Risk for Falls
Not Clear on What Steppage Is?—Evaluators usually have the most questions about steppage. For a complete tutorial on gait analysis click below.
