GERIATRIC MOBILITY PROTOCOL
Tinetti Pro (POMA)
Standardized Performance Oriented Mobility Assessment Hub
Score both sections to calculate
Cumulative Fall Risk Index
High Risk: ≤ 18 | Moderate: 19-23 | Low: 24+
Clinical Application of the Tinetti POMA
The Performance Oriented Mobility Assessment (POMA), or Tinetti test, is a gold-standard tool for predicting fall risk in older adults. It captures subtle deficits in trunk stability, step symmetry, and reactive postural control that simpler tests might miss.
[Image of a clinician performing the Tinetti nudge test and gait observation with an elderly patient]Scoring Benchmarks
- High Fall Risk (≤ 18): Urgent intervention required. High probability of injurious falls.
- Moderate Fall Risk (19 - 23): Balance and gait training indicated. Monitor environmental hazards.
- Low Fall Risk (≥ 24): Functional mobility is within safe limits for community ambulation.
Expert FAQs
What is the "Nudge Test"?
Part of the balance subscale involves a light "nudge" to the patient's sternum while they stand with feet close together. This evaluates reactive balance, which is the body's ability to recover from a trip or stumble.
Clinical Bibliography
- 1. Tinetti ME. Performance-oriented assessment of mobility problems in elderly patients. 1986.
- 2. Köpke S, et al. The Tinetti test: Geriatric assessment standards. 2006.
Dr. Nikhil Mahajan, PT
CLINICAL RESOURCE