Mj tinetti performance oriented mobility assessment poma. Performance mobility assessment poma oriented the full version of performance oriented mobility assessment poma comes without sample watermark. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Rating scales utilize subjective categorical determinations to create ordinal measurements, may be timeconsuming, and are subject to interrater.
Concurrent and discriminant validity were assessed with the total group n245, whereas reliability and responsiveness were determined with a subsample n30. It contains a twopart scale which produces a total balance and a total gait score. The tinetti assessment tool is a taskperformance exam time to complete 10 to 15 minutes scoring scoring of the tinetti assessment tool is done on a three point ordinal scale with a range of 0 to 2. The data analysis was performed by using the spearmams rank correlation coefficient, with a significance level of 5% p. Performanceoriented assessment of mobility problems in elderly patients. Wide variations were found concerning name of the instrument, test items, scoring, and cutoff values. Tinetti performance oriented mobility assessment the.
The test is also known in clinical trials as the performance oriented mobility assessment poma and other times used as tinettis mobility test. The test is in two short sections that contain one examining static balance abilities in a chair and then standing, and the other gait. Performanceoriented mobility assessmentpoma performanceoriented mobility assessment poma. Performanceoriented assessment of mobility problems in. The tinetti performance oriented mobility assessment poma is a performance test of balance and gait maneuvers used during normal daily activities.
Diagnostic accuracy of performance oriented mobility assessment. Is the tinetti performance oriented mobility assessment poma. Hard armless chair stopwatch or wristwatch 15 ft walkway completion. Taskoriented outcome measure that assesses gait and balance ability. Patients were assessed using tinetti performance oriented mobility assessment tinetti and ampac inpatient basic mobility short form ampac. It is also called performance oriented mobility assessment poma. Performance oriented mobility assessment poma balance chair. Analysis of agreement of assessment tools of body balance. Performance oriented assessment of mobility problems in elderly patients. Patients participated in formal balance interventions. Ask the patient to perform each of the maneuvers described in the chart.
Tinetti performance oriented mobility assessment poma. The performanceoriented mobility assessment tinetti scale in the assessment of falls. Larger typeset should be used for selfadministration, while an enlarged version of the rating scale on an index card will facilitate inperson interviews. Its worth noting that factors other than gait and balance can also affect a patients chances of falling. Sitting down 0 unable without help or collapses plops into chair or lands off center of chair 1 able and does not meet criteria for 0 or 2. Validity of the performanceoriented mobility assessment in. This version is named after the person devising it, mary tinetti.
Evidence based practice tools for home health rehabilitation. Functional exam tinetti performance oriented mobility. Tests of stepping as indicators of mobility, balance, and. Interrater reliability of the tinetti balance scores in. Predictive accuracy of performance oriented mobility assessment for. The abc can be selfadministered or administered via personal or telephone interview. Tinetti performance oriented mobility assessment rehabmeasures. Performanceoriented mobility assessment poma both static and dynamic balance using tasks testing balance and gait. Performance oriented mobility assessment poma is a commonly used screening tool for identifying patients at risk of falling. Performance oriented assessment of balance patients name.
The tinetti test has been recommended and widely used in the elderly to assess mobility, balance and gait, and predict falls. Tinetti performance oriented mobility assessment poma description. The tinetti performanceoriented mobility assessment poma, also called the tinetti mobility test tmt appendix, is a reliable and valid clinical test to measure balance and gait in elderly people and some patient populations. The poma has more predictive validity than the timed up and go test tug, functional reach test frt, and one leg stand test ols for predicting falls in the elderly shumwaycook. Performance oriented mobility assessment an overview. Start studying tinetti poma performance oriented mobility assessment.
Testretest reliability and construct validity of the tinetti performance. Il performanceoriented mobility assessment scala di. Performanceoriented mobility assessment poma balance chair. It is balanced scale of the tinetti performanceoriented mobility assessment. This common scoring instrument, also called performance oriented mobility assessment abbreviated poma, is a 16items scale and takes about 810 minutes to complete. Mj tinetti performance oriented mobility assessment. Oct 01, 2007 the tinetti performanceoriented mobility assessment poma, also called the tinetti mobility test tmt appendix, is a reliable and valid clinical test to measure balance and gait in elderly people and some patient populations. Tinetti performance oriented mobility assessment balance. A systematic literature search identified 37 publications on the tinetti test and falls. The tinetti performanceoriented mobility assessment tool. Analysis of agreement of assessment tools of body balance in. Department of medicine, yale university school of medicine, new haven, connecticut. The tinetti assessment tool is an easily administered taskoriented test that measures an older adults gait and balance abilities. The tinetti performance oriented mobility assessment poma, also called the tinetti mobility test tmt appendix, is a reliable and valid clinical test to measure balance and gait in elderly people and some patient populations.
I the tinetti test is designed to determine an elders risk for falls within the next year. The tinetti assessment tool is a task performance exam. The performanceoriented mobility assessment poma scale was developed by tinetti et al and first published in 1986. Is the tinetti performance oriented mobility assessment poma a feasible and valid predictor of shortterm fall risk in nursing home residents with dementia. Il performanceoriented mobility assessment poma o scala di tinetti e uno strumento largamente utilizzato per valutare le performance di equilibrio ed andatura 1. The performance oriented gait assessment can be classified into two categories. It also is a very good indicator of the fall risk of an individual. Performance oriented mobility assessment poma youtube. The test is scored on the patients ability to perform specific tasks. The performanceoriented mobility assessment poma examines the level of balance and mobility to determine the degree of fall risk in the elderly tinetti 1986. Designed to measure balance including fall risk and gait function in elderly, but has also been used for patients with various other conditions. Is the tinetti performance oriented mobility assessment.
It is also called performanceoriented mobility assessment poma. May 20, 2014 the performance oriented mobility assessment poma examines the level of balance and mobility to determine the degree of fall risk in the elderly tinetti 1986. The most commonly used mobility assessments are selfreported capacity to climb stairs or walk onehalf mile 4 and rating scales such as the tinetti performance oriented mobility assessment 5 poma. Performanceoriented mobility assessment physical therapy. Task oriented outcome measure that assesses gait and balance ability. Bpoma balanced scale of the tinetti performanceoriented mobility assessment.
The most commonly used mobility assessments for screening risk of falls among older adults are rating scales such as the tinetti performance oriented mobility assessment poma. Pdf the performanceoriented mobility assessment tinetti. It may be time saving for the therapist if a tool is available to assess both balance and mobility together. The performance oriented mobility assessment poma scale developed by tinetti et al 37 provides a concise and consistent measure of both static and dynamic balance, with a separate subtest for balance and gait. Poma is a task oriented test that measures an older adults gait and balance abilities by an ordinal scale of 0 most impairment to 2 independence. Timed get up and go test measures dynamic balance and mobility. Ricard, in acute care handbook for physical therapists fourth edition, 2014. Sample version of the performance oriented mobility. Tinetti performance oriented mobility assessment poma duration.
Tinetti performance oriented mobility assessment poma tool is an easily administered taskoriented test that measures an older adults gait and balance abilities. Robert harrison, spt at trine university, explains and administers the classic outcome assessment tinetti poma on a mock patient with a tka. Sensitivity of the tinetti gait assessment for detecting change in individuals with parkinsons disease. Relevance of balance measurement tools and balance training. Interrater reliability of the tinetti balance scores in novice and experienced physical therapy clinicians. Bpoma is defined as balanced scale of the tinetti performance oriented mobility assessment very rarely. I work in home care and have been asked to begin using two falls risk assessment tools, the dgidynamic gait index and the tinetti performance oriented mobility assessment.
Validity of the performanceoriented mobility assessment. The activitiesspecific balance confidence abc scale. The tinetti test tt, or performance oriented mobility assessment poma is a common clinical test for assessing a persons static and dynamic balance abilities. The tinetti assessment tool is an easily administered task oriented test that measures an older adult s gait and balance abilities. Bpoma balanced scale of the tinetti performance oriented mobility assessment. Any hesitancy or multiple attempts 0 no hesitancy 1. The performance oriented balance and gait assessments make a total score of maximum 39 and 18 points, respectively being the maximum score of 57 points in the sum of the two scales. Pdf is the tinetti performance oriented mobility assessment. The tinetti assessment tool is a simple, easily administered test that measures a patients gait and balance.
This health tool assesses static and dynamic balance in a two section clinical evaluation. Department of medicine, yale university school of medicine, 333 cedar street, p. Performance oriented mobility assessment poma balance score indicates need for assistive device. Clinimetric properties of the performanceoriented mobility. The activitiesspecific balance confidence abc scale administration.
To examine interrater agreement of scores by physical therapy novices and experienced clinicians on videotaped and live performances of the balance portion of tinettis performance oriented mobility assessment bpoma. Tinetti performance oriented mobility assessment jc physiotherapy. It is named after one of the inventors, mary tinetti. Balance scale bbs, the timed up and go tug and the performanceoriented mobility assessment of balance poma were used. Testretest reliability and construct validity of the tinetti performanceoriented mobility assessment in people with stroke.
Tinetti performance oriented mobility assessment overview and statistics purpose. How is balanced scale of the tinetti performance oriented mobility assessment abbreviated. However, its correlation with falls is not always predictable and disadvantages of the scale include difficulty to assess many of the items on a 3point scale and poor specificity. Bpoma balanced scale of the tinetti performanceoriented. Name tinetti performance oriented mobility assessment other names tinetti balance assessment where can it be found. Performance oriented mobility assessment poma is an instrument that assesses aspects of balance and gait involved in normal daily activities tinetti, 1986. The tinetti assessment tool is a task performance exam time to complete 10 to 15 minutes scoring scoring of the tinetti assessment tool is done on a three point ordinal scale with a range of 0 to 2. Il performanceoriented mobility assessment scala di tinetti. Bpoma stands for balanced scale of the tinetti performance oriented mobility assessment. Performance oriented mobility assessment springerlink. Reliability and validity of the tinetti mobility test for. Jun 20, 2017 robert harrison, spt at trine university, explains and administers the classic outcome assessment tinetti poma on a mock patient with a tka. Tinetti performance oriented mobility assessment poma balance tests initial instructions. This definition appears very rarely and is found in the following acronym finder categories.
It is comprised of 15 balancerelated movements and nine components of gait that may contribute to falls in the elderly. Performanceoriented mobility assessment poma balance score. The patient begins the assessment seated in a hard, straightbacked, armless chair. Geriatric assessment tool kit mu pt 8390 table of contents. Tinetti poma performance oriented mobility assessment. A reliability design was used to assess the interrater agreement and consistency of the bpoma scores in an elderly population.
A score of 0 represents the most impairment, while a score of 2 represents independence. Balanced scale of the tinetti performanceoriented mobility. The performanceoriented mobility assessment poma is a widely used instrument that provides an evaluation of balance and gait. Jan 31, 2014 sensitivity of the tinetti gait assessment for detecting change in individuals with parkinsons disease. Poor judgment such as having an unrealistic sense of ones capabilities or. Performanceoriented assessment of balance patients name. It is balanced scale of the tinetti performance oriented mobility assessment. The tinetti assessment tool is an easily administered taskoriented test that measures an older adult s gait and balance abilities. It is a widely used simple tool for assessing balance and mobility in older people. Patient is seated in a hard, armless chair patient stands with examiner, walks at. Bpoma stands for balanced scale of the tinetti performanceoriented mobility assessment.