National Physical Therapy Examination (NPTE) Practice Exam

Which of the following outcome measure scores would be MOST indicative of high fall risk?

1. Berg Balance Scale score of 49

2. Tinetti (POMA) score of 21

3. Functional Reach Test score of 9

4. TUG score of 9 seconds

The correct answer is: Functional Reach Test score of 9

The Functional Reach Test is widely recognized as a reliable measure for assessing balance and fall risk, particularly for older adults. A score of 9 inches on this test indicates a significantly low functional reach, which suggests that the individual has a diminished balance capability. Research supports that scores below 10 inches on the Functional Reach Test are associated with a high risk of falls. In contrast, higher scores on the other measures indicate better balance and a lower risk of falls. For example, a Berg Balance Scale score of 49 implies good balance, as the maximum score is 56, with higher scores indicating a lower risk. Similarly, a Tinetti (POMA) score of 21 falls into a category that generally indicates moderate risk of falls, and a Timed Up and Go (TUG) score of 9 seconds is considered to be within the normal range for mobility, reflecting a lower risk of falls. Thus, the 9-inch score from the Functional Reach Test is the most concerning indication of fall risk among the options provided.