General comment on reliability:
The Tinetti Mobility Test (TMT) and FSST were highly correlated with most spatiotemporal measures [17].
When studied in Parkinson disease, it was also correlated with UPDRS motor scores and gait speed. The sensitivity and specificity of the TMT to identify fallers were 76% and 66%, respectively [10].
The criterion-related validity of the Dynamic Parkinson Gait Scale (DYPAGS) was demonstrated by strong correlations with the gait subscales of the Tinetti Mobility Test [14]<.
The POMA scores were moderately correlated to motor FIM and gait speed scores [15].
The predictive validity was acceptable, with a sensitivity of 70–85% and a specificity of 51–61% for the POMA and its subtests [12].
PTOT instrument was correlated with the balance-related score of the Tinetti scale score [11].
Fair to good reliability of BPOMA scores occurred across many raters of varied experience with a small amount of training [3].
The TMT total showed good to excellent test-retest reliability [16] [17].
Inter-rater and intra-rater reliability was good to excellent [10].
The minimal detectable change (MDC) was 6 points [15].
The inter-rater reliability of the instrument was good when used in patients with dementia [12].
Poor responsiveness to fall status [7].
Conclusion:
The high test-retest reliability over a six week period and concurrent validity between the TMT, FSST, and spatiotemporal gait measures suggest that the TMT and FSST may be useful outcome measures for future intervention studies in ambulatory individuals with Huntington Disease [17].
The TMT had a sensitivity of 74% and a specificity of 60% to identify fallers. Lower TMT scores and younger age were significant predictors of falls. The TMT is a valid tool for assessing balance and gait status and fall risk of individuals with HD [13].
The POMA is a valid and reliable measure balance in a population of persons early after stoke [15].
According to psychometric properties, the most suitable performance measure for evaluating balance in community-dwelling older people is the Tinetti Mobility Test [7].
The Tinetti test (TT) and the Time Up and Go test (TUG) are the most suited to assess postural capacities in very elderly people, in whom the predictive validity of the postural assessment of falls is still modest [8].
The Tinetti Balance Test is reliable for examination of individuals with Amyotrophic Lateral Sclerosis in Stages I-III by physical therapists and physical therapy students [6].
Tasks that reportedly most often lead to falls and that predict balance confidence in individuals with PD (ie, turning, initiating gait, slowing to sit down) are assessed with the TMT [10].
However, application of the POMA in populations with moderate to severe dementia is hampered by feasibility problems [12].
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