Review Article

A Systematic Review of Thirty-One Assessment Tests to Evaluate Mobility in Older Adults

Table 5

Comparison of the 31 mobility assessment tests used for healthy older adults and geriatric care.

NTest PurposeFormat of AssessmentEquipmentTime of administration

4.1.1Timed Up and Go (TUG)Assessment of balance & walking ability Performance-BasedArmed chair of approx. 45 cm seat height and 65 cm arm height and Stopwatch< 15 minutes

4.1.2Short Physical Performance Battery (SPPB)Examination of gait, balance, strength & endurancePerformance-Based8-ft walkway, Unarmed chair, and Stopwatch10 to 15 minutes

4.1.3Six-Minute Walk Test (6MWT)Evaluation of physical performance, endurance & mobilityPerformance-Based100 ft. hallway and StopwatchUp to 6 minutes

4.1.48 Foot-Up-and-Go (UG)Measurement of power, speed, ability & dynamic balancePerformance-BasedArmed chair, Stopwatch and ConeEasily & safely

4.1.5Usual/Habitual Gait Speed (UGS or HGS)Evaluation of gait speedPerformance-BasedHallway and StopwatchDependent on the specified walking distance

4.1.6Physical Performance Test (PPT)Monitoring multiple domains of physical function in frail & community-dwelling elderliesPerformance-BasedBook, Pencil, Paper, Shelf, Stairs and Jacket< 10 minutes

4.1.75-Time Sit-to-Stand (5TSTS)Evaluation of lower limb strengths, muscle forces, balance & functional statusPerformance-BasedUnarmed chair and StopwatchIn a short time

4.1.8L-Test of Functional Mobility (L-Test)Initially initiated to evaluate gait of subjects with lower limb amputationPerformance-BasedL-shape walkway, Chair and Stopwatch10th of a second

4.1.9Backward Walking (BW)Evaluation of mobility sensitivelyPerformance-BasedNo need of equipmentDependent on the specified walking distance

4.1.10De Morton Mobility Index (DEMMI)Measurement of elderly mobility through clinical settingsPerformance-BasedBed, Plinth, Armed chair of 45 cm seat height, Pen and StopwatchAverage of 8.8 minutes (SD 3.9)

4.1.11Figure of 8 Walk (F8W) TestCharacterize the complex walking abilities & skillsPerformance-Based2 cones and StopwatchMinimal time

4.1.12Instrumented Stand & Walk (ISAW) TestAssessment of balance & gait through synchronized body-worn sensorsPerformance-BasedOpal™ movement with 3D angular rate sensor, 3D accelerometer and GyroscopeQuick protocol

4.1.13Hierarchical Assessment of Balance & Mobility (HABAM)Graphical display of balance & mobility changes over time through mobility, transfer and balance evaluationsPerformance-Based Walkway, Bed and StopwatchLongitudinal study

4.1.14Trail Walking Test (TWT)Evaluation of gait through motor cognition & motor functionPerformance-Based25 m2 area, 15 flags, Marker and StopwatchEasily made

4.1.15Parallel Walk Test (PWT)Assessment of dynamic balance & stability during ambulationPerformance-BasedMarked line on floorQuick test

4.1.16Charité Mobility Index (CHARMI)Monitoring of mobilization through positioning, transfers & locomotionPerformance-BasedBed, Chair, Stairs and WheelchairUp to 15 minutes

4.1.17Standardized walking Obstacle Course (SWOC)Evaluation of mobility capacity under circumstances & ability to negotiate obstaclesPerformance-BasedHallway, Chair, Dark glasses and TrayNot found

4.1.18Pick-Up Weight TestAssessment of the ability to reach down and pick up an objectPerformance-BasedObject of approx. 5 KgFew seconds

4.2.1Tinetti Performance Oriented Mobility AssessmentMeasurement of balance & gaitPerformance & Judgement Based15 ft. walkway, Armless chair, and Stopwatch10 to 15 minutes

4.2.2Berg Balance Scale (BBS)Assessment of balance & transfers in elderly peoplePerformance & Judgement Based15 ft. walkway, 2 Standardized Chair (with and without arm rests), Obstacles, and Step/Stool15 to 20 minutes

4.2.3Dynamic Gait Index (DGI)Evaluation of functional stability & fall risksPerformance & Judgement BasedWalking hallway, Stopwatch, Obstacle and Stairs15 minutes

4.2.4Balance Evaluation Systems Test (BesTest)Evaluation of 6 different balance control systemsPerformance & Judgement BasedStopwatch, 10 degrees incline ramp, Stair step (15 m in height), Obstacles, Chair and TapeMay take up to 40 minutes for diseased people

4.2.5Functional Gait Assessment (FGA)Evaluation of functional stability & fall risksPerformance & Judgement BasedWalking hallway, Stopwatch and Stairs5 to 10 minutes

4.2.6Alternate Step Test (AST)Assessment of balance & lateral stabilityPerformance & Judgement BasedStep/Stool of 18 cm height approximatelyFew seconds

4.2.7Elderly Mobility Scale (EMS)Evaluation of gait, transfer & balance through functional activitiesPerformance & Judgement BasedHallway, Bed, Chair, Yardstick and Stopwatch15 minutes

4.2.8Physical Performance & Mobility Examination (PPME)Evaluation of the physical functioning and mobility of hospitalized elderlyPerformance & Judgement BasedBed, Chair, Stopwatch and Standardized stepApproximately 10 minutes

4.2.9Functional Obstacle Course (FOC)Evaluation of balance & mobility dysfunctionPerformance & Judgement Based4 stations with different types of floor, 2 ramps, 2 sets of stairs, Chair, Foam cylinders and Stopwatch274.6 ± 131.2 seconds for faller & non-faller

4.2.10TURN180Evaluation of dynamic postural stabilityPerformance & Judgement BasedNo need of equipmentFew seconds

4.2.11Duke Progressive Mobility Skills TestAssessment of mobility through static & dynamic balance evaluationPerformance & Judgement BasedChair, Walkway, Obstacles, Stairs and StopwatchApproximately 10 minutes

4.3.1Life Space Mobility Assessment (LSMA)Evaluation of mobility based on how far and how often a person transfers to 5 selected zonesSelf-ReportNo need of equipmentOn a period of 1 month

4.3.2Modified Gait Efficacy Scale (mGES)Evaluation of mobility based on self-efficacy in walkingSelf-ReportObstacles, Stairs with handrail and CurbLess than 5 minutes