Tinetti Scale (POMA)
Gait and Balance Assessment
The Tinetti Scale (Performance-Oriented Mobility Assessment - POMA) assesses the risk of falls in the elderly by observing balance and gait. Select the option that best describes the patient for each of the 16 items. The maximum score is 28.
1. Sitting Balance
Ability to maintain stability when seated in a chair.
2. Rising from Chair
Ability to stand up from a chair.
3. Attempts to Rise
Observe the number of attempts to stand up.
4. Immediate Standing Balance (first 5 seconds)
Stability in the initial 5 seconds after standing up.
5. Standing Balance
Stability in an upright posture.
6. Three-time Test (sternum)
Reaction to a slight push on the sternum. The patient should be standing, with feet a comfortable distance apart.
7. Balance with Eyes Closed
Patient's stability with eyes closed.
8. Turning 360º
Observe the ability to turn a full circle and stability.
9. Sitting Down
Ability to sit down in a chair.
10. Initiation of Gait
Observes the start of walking.
11. Step Length and Height
Observe the length and height of the step.
12. Step Symmetry
Observe if the steps are symmetrical.
13. Step Continuity
Observe if the walk is fluid or if there are interruptions.
14. Gait Direction
Observe the deviation from the walking line.
15. Trunk
Observe the trunk's sway and use of arms during gait.
16. Base of Support during Walking
Distance between the heels during gait.
- BRASIL. Ministério da Saúde. **Envelhecimento e saúde da pessoa idosa**. Brasília: Ministério da Saúde, 2007 (Série A. Normas e Manuais Técnicos. Cadernos de Atenção Básica, n. 19).
- TINETTI, M. E. Performance-oriented assessment of mobility problems in elderly patients. **Journal of the American Geriatrics Society**, v. 34, p. 119-126, 1986.