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Crosswalk #3: Tinetti Performance Assessment and Haas Balance Book

The Tinetti Performance Oriented Mobility Assessment Tool (Tinetti) is a standardized assessment tool for balance and gait that helps establish fall risk. The Haas Balance Book is a collection of over 100 balance exercises. Based on results of the Tinetti, exercises can be selected (from the book or elsewhere) that target items with low scores. Exercises that more closely simulate low-scoring items have a higher potential for a positive training effect. For example, if patient scored low on Item 8 (turning 360 degrees), exercises are selected that require turning and stepping (Exercises 60 & 78 from the book). The crosswalk below references exercises from Haas Balance Book to items on the Tinetti:

1. Sitting balance
  • Book does not include sitting balance exercises
2. Arises from chair & 3. Attempts to rise
  • Exercise 26: Sit-Stands
  • Exercise 72: Randomized Sit-Stands
4. Immediate standing balance (first 5 seconds) & 5. Standing balance
  • Exercise 1: Static Standing
  • Exercise 34: Standing + Hand Support
  • Exercise 35: Standing + Vertical Hand Support
  • Exercise 36: Standing + Unstable Hand Support
  • Exercise 37: Standing + Single Hand Support
  • Exercise 38: Standing + Placing Stacked Cones
  • Exercise 39: Standing + Passing/Placing Rings

6. Nudged

  • Exercise 64: Manual Perturbations
  • Exercise 65: Hand Pull-Release Perturbations
  • Exercise 67: Elastic Band Perturbations
  • Exercise 68: Rocker Board Perturbations

7. Eyes closed

  • Exercise 4: Standing + Eyes Closed

8. Turning 360 degrees

  • Exercise 60: Pivoting Drills
  • Exercise 78: Sit-Stands

9. Sitting down

  • Exercise 26: Sit-Stands
  • Exercise 72: Randomized Sit-Stands

10. Initiation of gait

  • Exercise 40: Standard Gait
  • Exercise 83: Gait + Start-Stops

11. Step length and height, 12. Step symmetry, 13. Step continuity, 14. Path, & 15. Trunk

  • Exercise 40: Standard Gait
  • Exercise 41: Gait – Side Steps
  • Exercise 44: Gait – High Steps
  • Exercise 45: Gait on Soft Surface
  • Exercise 46: Gait + Resistance
  • Exercise 47: Gait on Slope
  • Exercise 51: Gait Over Obstacles
  • Exercise 52: Gait on Obstacles

16. Walking stance

  • Exercise 53b: Gait Around Obstacles (borders close together for narrow walkways)
  • Exercise 62: Combo: Narrow Walkway + Stepping Over Hurdle

Other Crosswalks:

Crosswalk #1: Berg Balance Scale & Haas Balance Book

Crosswalk #2: Dynamic Gait Index and Haas Balance Book

Free fillable PDF for Tinetti Performance Oriented Mobility Assessment Tool - if your browser doesn't support interactive PDFs, download file and open with Adobe Reader.