1. What is the Tinetti Balance Scale?

The Tinetti Balance Scale is a clinical assessment tool used to evaluate balance and gait in adults. It helps identify individuals at risk for falls and assesses the effectiveness of interventions to improve balance.

2. How Does the Calculator Work?

The calculator uses the Tinetti Balance Scale formula:

Where:

• Adult_balance_items — Sum of scores from balance assessment items
• 16 — Maximum possible score for balance section

Explanation: The scale assesses various components of balance including sitting balance, arising, standing balance, and responses to perturbation.

3. Importance of Balance Assessment

Details: Balance assessment is crucial for identifying fall risk in older adults and those with neurological conditions. Early identification allows for targeted interventions to prevent falls and related injuries.

4. Using the Calculator

Tips: For each item, select the option that best describes the patient's performance. The calculator will sum the scores and provide a normalized percentage of the maximum possible score.

5. Frequently Asked Questions (FAQ)

Q1: Who should be assessed with the Tinetti Balance Scale?
A: Older adults, individuals with balance disorders, or those with a history of falls should be assessed.

Q2: What do the scores mean?
A: Scores ≤18 indicate high fall risk, 19-23 moderate risk, and ≥24 low risk (for the full scale including gait).

Q3: How often should balance be assessed?
A: Annually for older adults, or more frequently if there are changes in health status or after a fall.

Q4: Are there limitations to this assessment?
A: The scale may not detect subtle balance impairments and requires some patient cooperation and understanding.

Q5: Should this be used alone for fall risk assessment?
A: No, it should be part of a comprehensive fall risk assessment including medication review, vision testing, and home safety evaluation.