|
Balance (Chair):
Instructions: Place a hard armless chair against a wall. The
following maneuvers are tested.
|
| 1. Sitting down
|
|
| 2. Sitting balance
|
|
| 3. Arising
|
|
| 4. Immediate standing balance (first 5 seconds)
|
|
| 5. (Stand) side-by-side standing balance |
|
| 6. Pull test (person at maximum position attained in
#5, examiner stands behind and exerts mild pull back at waist)
|
|
| 7. Able to stand on right leg unsupported
|
|
| 8. Able to stand on left leg unsupported
|
|
| 9. Semitandem stand |
|
| 10. Tandem stand
|
|
| 11. Bending over (to pick up a pen off floor) |
|
| 12. Toe stand
|
|
| 13. Heel stand
|
|
| Gait:
Instructions: Person stands with examiner, walks down 30-ft walkway (measured).
Ask the person to walk down walkway, turn, and walk back. The person should use
customary walking aid.
|
| 14. Initiation of gait (immediately after told to
“go”)
|
|
| 15. Path (estimated in relation to tape measure).
Observe excursion of foot closest to tape measure over middle 8 feet of course.
|
|
| 16. Missed step (trip or loss of balance)
|
|
| 17. Turning (while walking)
|
|
| 18. Step over obstacles (to be assessed in a separate
walk with two shoes placed on course 4 feet apart)
|
|
|
|
|
|
