Mobility assessment
Tinetti Balance & Gait Evaluation
The Tinetti Performance-Oriented Mobility Assessment (POMA) evaluates balance (maximum 16 points) and gait (maximum 12 points). Higher scores indicate better performance and lower fall risk.
Balance Section
Sitting balance
Rises from chair
Attempts to rise
Immediate standing balance (first 5 seconds)
Standing balance (after initial 5 seconds)
Balance with eyes closed and nudge
Turning 360 degrees
Sitting down
Gait Section
Gait initiation (immediately after “go”)
Step length and height
Foot clearance
Step symmetry
Step continuity
Path deviation
Trunk stability
Walking stance
Balance subscore
14 / 16
Gait subscore
10 / 12
Total Tinetti score
24 / 28
Moderate fall riskImplement balance/strength training, medication review, and environmental modifications.
How to Use This Calculator
Prepare a safe testing area
Use a hard-backed chair without arms, a stopwatch, and a 3-meter walkway. Ensure the patient wears supportive footwear.
Observe each task
Score the highest level achieved for each balance and gait item. Demonstrate tasks if needed and allow rest breaks.
Use total score to guide interventions
Initiate tailored exercise programs, equipment, and fall prevention based on risk level. Reassess after interventions.
Formula
Total score = Balance subtotal (0–16) + Gait subtotal (0–12) = 0–28 points.
Risk categories commonly used:
- ≤18: High fall risk
- 19–24: Moderate fall risk
- 25–28: Low fall risk
Full Description
The Tinetti Performance-Oriented Mobility Assessment is widely used in geriatrics and rehabilitation to evaluate balance and gait. It identifies specific deficits contributing to falls and helps track response to therapy. Combine Tinetti scoring with other assessments such as gait speed, Timed Up and Go, and frailty evaluations for a holistic view of mobility.
Document observations qualitatively (e.g., foot clearance, trunk sway) to inform individualized treatment plans. Repeat the assessment periodically to monitor improvement or decline after interventions.
Frequently Asked Questions
How long does the Tinetti assessment take?
Approximately 10–15 minutes, including instructions and rest breaks as needed.
Can assistive devices be used?
Yes. Score performance with customary aids. Note reliance on devices when planning interventions.
Is the Tinetti validated for Parkinson disease?
It is validated in multiple populations, including Parkinson disease, though disease-specific scales (e.g., Mini-BESTest) may offer added insights.
How often should I reassess?
Reevaluate every 3–6 months or after significant health events (falls, hospitalization, medication changes).