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geriatrics ortho-trauma

Tinetti POMA — Performance-Oriented Mobility Assessment

16-item gait and balance assessment (Tinetti 1986). Total /28 (balance /16 + gait /12). Predicts falls risk in community-dwelling older adults. Widely used in UK falls clinics.

Used in: Falls & Frailty

Score interpretation

Low fall risk 25–28

→ Routine annual falls screen; encourage strength/balance exercise (e.g. Otago, tai chi).

Moderate fall risk 19–24

→ Multifactorial falls assessment; vision/footwear/medication review; refer to falls service or physiotherapy.

High fall risk 0–18

→ Urgent multidisciplinary falls assessment per NICE CG161; home hazard assessment; consider hip protectors; bone health (DEXA, FRAX); review postural BP and polypharmacy.

Interpretation bands for the Tinetti POMA. Apply clinical judgement and local guidance.

References

Related

Curated clinical cross-links plus same-class fallbacks.

Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.