Tinetti Balance Test

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Tinetti Balance Test. This test is a standardized evaluation of mobility and stability which takes 8 to 10 minutes to complete.2 Balance is assessed in sitting, arising, immediate and prolonged standing, and turning reflecting body control and strength. In gait testing, stance, trunk stability, and path deviations are observed. Step length, swing and clearance on each foot are compared for continuity and symmetry. A score of 18/28 or less indicates a patient is at high risk, score of 19-23 out of 28 indicates moderate risk for falls and 24/28 or more indicates low risk for falls. This balance tool makes the evaluation process efficient in identifying and isolating specific deficiency in any of the elements of balance or gait. Thus, giving the …show more content…
The class is taught by a Tai Chi Instructor with four certifications under the training of a worldwide known practitioner of Tai Chi. My patient is taking classes in Tai Chi for Beginners for Fall Prevention once a week for 45 minutes every Mondays of the week. Each session starts with a classic Chinese music playing for pre-relaxation of the mind while participants start with breathing exercises, 5-minute warm-ups, 35 minutes of review of the forms of Tai Chi, 5 minutes cool down, and one on one training if …show more content…
However, the instructor teaches 6 forms at a time until participants are confident in demonstrating the forms and able to incorporate the principles of Tai Chi with their practice. The principles include mind integration with the body; control of movements with breathing, mindfulness, generating internal energy, jing(Serenity) and song(loosening). During this study, the class is in the first six forms. The first is the commencing form where subject separates feet by stepping left foot to the side at shoulder width, both arms are lifted slowly to shoulder level and brought back down to waist level as you flex hip and knees slightly. The second form is Brush Knee where coordination of opposing movements on both arms are involved while shifting weight to right foot. The third form is Playing the Flute where weight is shifted to left as you step 45 degrees while hips and knees are still slightly bent. Left arm is pushed gently forward as right arm is pulled back to waist level. The fourth form is Repulse Monkey where right arm is abducted to 90 degrees ending with a pose where both arms are stretched out; palms are the same level facing each other. The right hand is moved forward like swimming forward as you step left foot back and repeated on the opposite side while stepping back. Fifth form is Stroking the Sparrow’s Tail and the sixth is closing form. All the movements are slow,

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