Fall Risk Assessment Physical Exam

– Orthostatic vital signs (supine and standing 1 and 3 minutes)
– Visual acuity
– Hearing (whisper test or audiometry): CN VIII problems can increase fall risk
– Extremities (bunions, calluses, arthritic deformities of feet)
– Neuro exam (lower extremity strength, gait, postural stability)
and the Get Up and Go Test:  Seated –> stand –> walk 10 feet –> return and sit.
Mean time:  60-70 = 8 s, 71-80 = 9 s, 81-90 = 10s
One systematic review found that lower extremity weakness had better correlation with fall risk than hx of falls (4x vs 3x)!
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