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CLINICAL TESTS FOR BALANCE EVALUATION

Timed up and go (TUG) (Mathias, 1986). A stop-watch is used to measure the duaration of functional task performed at a comfortable rate: from sitting in a chair, stand up, walk 3 metres (10 feet), turn around, walk back, and sit down. Participants taking longer than 13.5 seconds  to complete the TUG are at increased risk for falls. The time taken to complete the test is strongly correlated to level of functional mobility.Podsiadlo D, Richardson S. The timed “Up and Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39:142–148.
Push and release test. For balance and proprioception. The patient leans back pressing the heands of examiner. The examiner suddenly removes their hands. Score is based on correctional response when trying to regain balance. N - Sometimes the patient afraid to lean backwards and it is impossible to perform the test.

0 – Recovers independently with normal 1 step of normal length and width.

 1 – 2-3 small steps backwards but recovers independently.

 2 – 4 or more steps but recovers independently.

3 – Steps but needs to be assisted to prevent fall.

4 – Falls without attempting a step or unable to stand without assistance.

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