For therapists
Clinical resources for therapists
A library of clinical reference pages for licensed therapists, starting with physical therapy: outcome measures, special tests and reassessment, each number tied to its source and the population it came from.
- Sources Cited
- For Clinicians
- Clinically Reviewed
For licensed physical therapists, occupational therapists and speech-language pathologists: DrSensory’s clinical resources are sourced reference pages on tests and measures, starting with five physical therapy pages on gait speed, balance measures, special test interpretation, the Lachman test and reassessment, each number tied to its source and the population that produced it.
Key takeaways
- The library starts with physical therapy: gait speed, balance outcome measures, orthopedic special test interpretation, the Lachman test, and reassessment and documentation.
- The first topics follow the neurologic core-measures guideline, which asks for the same measures at admission and discharge under the same test conditions.1
- A published cutoff describes the population that produced it; the same test carries different cutoffs in community-dwelling older adults, Parkinson disease and stroke.2,3,4
- No single fall-risk test predicts falls strongly on its own, which is why the pages present measures as a set.2
- The clinic-running guides for therapists, from evaluation codes to referrals, sit alongside the clinical pages in the For Therapists section.
What is the DrSensory clinical resources library?
It is a set of clinical reference pages written for licensed therapists, separate from the guides on running a clinic that make up the rest of the For Therapists section. Each page answers the questions a clinician searches for at the point of care, such as how to run a test, what the normal values are and which cutoff applies to which patient, and each number on it carries a numbered source and the population the source studied.
The pages draw on clinical practice guidelines such as the Academy of Neurologic Physical Therapy’s core outcome measures guideline, the CDC’s STEADI materials for older-adult fall risk, the Shirley Ryan AbilityLab’s Rehabilitation Measures Database summaries and the peer-reviewed studies behind them.1,5,6 Where a page relies on a database summary for a number, it cites the original study as well, so a reader can check the study population before applying the figure.
Each page names its clinical reviewer in the byline, and each source entry gives the day it was checked. The pages are educational; they do not replace the guideline itself, the clinician’s own examination or the licensing law of the state where the clinician works.
Which physical therapy references are in the library now?
Five pages make up the physical therapy pilot, two on outcome measures, two on the orthopedic examination and one on reassessment:
- Gait speed: the 10-meter and 4-meter walk tests, static and dynamic starts, norms by age and sex, fall-risk and ambulation thresholds, and meaningful change by patient group.
- Balance measures: the Berg Balance Scale, Mini-BESTest, Timed Up and Go, Functional Gait Assessment, 30-second chair stand, 4-Stage Balance Test and ABC Scale, with a selection table by patient group.
- Special test interpretation: reading orthopedic special tests through sensitivity, specificity, likelihood ratios and pretest probability.
- The Lachman test: technique, grading and diagnostic accuracy for anterior cruciate ligament tears.
- PT reassessment and documentation: what Medicare Part B asks for when a physical therapist reports progress, re-evaluates or recertifies the plan of care, and what to document.
Each page stands alone, and they cross-link where a topic continues: gait speed and the balance tests appear side by side in the falls guidelines, and the reassessment page covers the progress reports in which repeated measures are recorded for Medicare.7
Why start with outcome measures and special tests?
Because they are what the guidelines ask clinicians to give, repeat and compare. The Academy of Neurologic Physical Therapy’s guideline recommends a core set of measures for adults with neurologic conditions, to be given under the same test conditions at least at admission and discharge, and asks clinicians to discuss the results with patients and decide together how they shape care.1 The World Falls Guidelines name gait speed, the Timed Up and Go, the Berg Balance Scale, the chair stand test and the Short Physical Performance Battery as commonly used gait and balance tools for older adults.7
Those recommendations only help when the test is given the same way each time and read against the right reference. A walking speed review stresses that consistency across testing sessions is what allows accurate conclusions, and a 4-meter and a 10-meter walk of the same person can differ by up to about 0.15 to 0.17 m/s.8,9 The pages set out the protocol next to the numbers for that reason.
Which outcome measures make up the neurologic core set?
Six measures, plus a goal assessment: the Berg Balance Scale, the Functional Gait Assessment, the Activities-specific Balance Confidence Scale, the 10-meter walk test, the 6-Minute Walk Test and the Five Times Sit-to-Stand.1 The guideline asks that they be given at least twice, at admission and discharge, under the same test conditions, and that a patient who cannot complete one, such as a patient unable to walk for the 10-meter walk test, be scored 0.1
| Measure | What it assesses | Where to read more |
|---|---|---|
| Berg Balance Scale | Sitting and standing, static and dynamic balance, 14 items, 0 to 561 | Balance measures |
| Functional Gait Assessment | Balance while walking, 10 items, 0 to 301 | Balance measures |
| ABC Scale | Self-rated balance confidence, 16 items, 0% to 100%1 | Balance measures |
| 10-meter walk test | Comfortable and fast gait speed over the central 6 m of 10 m1 | Gait speed |
| 6-Minute Walk Test | Walking distance1 | The guideline itself |
| Five Times Sit-to-Stand | Sit-to-stand transfers1 | The guideline itself |
The guideline covers adults with neurologic conditions. For community-dwelling adults aged 65 and older screened for falls, the CDC’s STEADI algorithm names a different trio, the Timed Up and Go, the 30-Second Chair Stand and the 4-Stage Balance Test.5
How should a clinician use published cutoffs and norms?
As a probability shift for a matching population, never as a diagnosis on its own. A systematic review of fall-risk measures in community-dwelling older adults found that no single test showed strong posttest probability, and that most measures were better at ruling fall risk in than ruling it out.2 The authors of a Parkinson fall-prediction study called every cutoff a guideline rather than a boundary between fallers and non-fallers.3
- Match the population. A Berg Balance Scale score of 50 or less raised fall probability in community-dwelling older adults, while 47 or less of 56 was the cutoff in a Parkinson cohort.2,3
- Match the protocol. Healthy-adult gait speed norms came from normal-pace walks of 3 to 30 m and may not apply to a short walk from a standing start.10
- Match the scoring. Some Mini-BESTest studies report scores out of 32 rather than the test’s 28.4
- Read change against error. On the Berg, the change needed to be 95% confident of true change ranges from 4 to 7 points depending on the starting score.11
- Read change against meaning. The minimal clinically important difference in gait speed was 0.16 m/s in subacute stroke and near 0.05 to 0.10 m/s in older adults.12,13
How do the clinical pages connect to the For Therapists guides?
The rest of the For Therapists section covers the business side of therapy, and several guides sit next to the clinical pages in a working day. The PT evaluation codes guide explains how the examination, including standardized tests and measures, enters the choice of evaluation level, and the eight-minute rule guide covers timed treatment minutes. The therapy documentation audit reviews the record those measures go into, and discharging patients covers the end of the episode, when the core-measures guideline asks for the measures again.1
For building a caseload, the guides on adult therapy referrals, orthopedic and sports medicine referrals and more adult PT patients start from the conditions these tests assess. Therapists opening their own clinic can start with starting a physical therapy clinic and credentialing with insurers.
Are there clinical references for OT and speech-language pathology?
Not yet: the first clinical pages are physical therapy references, under the scope of the physical therapist who reviews them. Occupational therapists and speech-language pathologists can use the gait and balance pages where their own scope and setting include those measures, and the For Therapists guides already cover each discipline’s clinic topics, among them OT evaluation codes, speech therapy CPT codes, starting an occupational therapy clinic and starting a speech-language pathology clinic.
Frequently asked questions
Is the clinical resources library free to read?
Yes. The pages are open to anyone, with no account, and they are written for licensed clinicians and the students training with them.
Do these pages replace a clinical practice guideline?
No. They summarize and cite guidelines such as the neurologic core-measures guideline, which carries its own protocols, evidence grades and recommendations, and the guideline is the document to follow.1
Why do cutoffs for the same test differ between sources?
Because the studies tested different people. A Timed Up and Go of 12 seconds or more is STEADI’s line for older adults, more than 15 seconds is the World Falls Guidelines’ alternative, and a meta-analysis advised against using the test alone.7,14,15
What is the difference between MDC and MCID?
The minimal detectable change is the change needed to be confident, usually at 95%, that a score really moved; the minimal clinically important difference is the change that matters to the patient, anchored to an outside measure such as a disability scale.11,12
Do the gait speed norms apply to children?
No. The healthy-adult gait speed norms on the gait speed page start at age 20, so a child’s walking speed needs a pediatric reference.10
How often should outcome measures be repeated during care?
At least at admission and discharge, under the same test conditions, and between them when feasible, by the neurologic core-measures guideline’s schedule.1
Which tests does the CDC’s STEADI use for older adults?
The Timed Up and Go, the 30-Second Chair Stand and the 4-Stage Balance Test, as the common assessments of gait, strength and balance for community-dwelling adults aged 65 and older.5
Does DrSensory list physical therapy clinics?
Yes. DrSensory is a directory families use free to find occupational, physical and speech therapy clinics for children and adults in all 50 states and Washington, DC; it lists clinics, not individual therapists, and every clinic has a basic listing at no cost, which its owner can claim and improve.
Sources
- Moore JL, Potter K, Blankshain K, Kaplan SL, O’Dwyer LC, Sullivan JE. A Core Set of Outcome Measures for Adults With Neurologic Conditions Undergoing Rehabilitation: A Clinical Practice Guideline (Journal of Neurologic Physical Therapy, 2018;42(3):174-220, doi:10.1097/NPT.0000000000000229, PMID 29901487, PMC6023606; developed with support from the APTA and the Academy of Neurologic Physical Therapy; full text read through PubMed Central). Checked October 30, 2026.
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“The core set includes the BBS, FGA, ABC, 10mWT, 6MWT, and 5TSTS, and the recommended patient goal assessment for adults who are undergoing neurologic physical therapy.”; “In cases when a patient cannot complete one or more core set OMs (eg, a patient who is unable to walk; thus, cannot complete the 10mWT or the 6MWT), a score of 0 should be documented.”; “The core set should be administered under the same test conditions at least 2 times, at admission and discharge, and when feasible between these periods”; “Clinicians should discuss the purpose of OMs, OM results, and how these results influence treatment options with patients undergoing neurologic physical therapy.”; “This protocol assesses the time to the nearest 100th of a second to walk the central 6 m of a 10-m walkway at the patient’s comfortable and fast walking speeds.”; “Two trials are administered at the comfortable speed, with the instruction “walk at your own comfortable speed and stop when you reach the far line,” followed by 2 trials at the fast speed, with the instruction “walk as fast as you can safely walk.””; “Use of an assistive device is permitted and should be documented.”; “Data to assist in interpretation and measuring changes were reported in chronic stable (stroke; MDC = 0.18 m/s)”; “PD (MDC = 0.18 m/s for comfortable and 0.25 m/s for fast speeds)”; “The BBS is a 14-item clinician-rated scale that assesses sitting and standing, static and dynamic balance.”; “The total score is calculated by summing the scores of the 14 items, with the maximum score of 56 and the minimum score of 0.”; “The patient’s ability to complete each item is rated on a 0- to 4-point scale, with 0 representing the inability to complete the task and 4 reflecting independent item completion.”; “The BBS has high clinical feasibility, as it requires minimal equipment, is free, and requires less than 20 minutes to administer.”; “A standardized testing form with administration instructions is available, and commonly available equipment (chair, stopwatch, ruler, and step) is used during testing.”; “It may be more difficult to achieve high reliability on individuals who score between 20 and 44.”; “Patients who have a high level of balance ability (eg, able to walk without an assistive device at a gait speed >1.0 m/s) may experience a ceiling effect on the BBS.”; “In participants with acute stroke, the SEM was 2.49 points”; “Clinics and organizations should establish administration consistency within and among clinicians prior to using the BBS, and this should be repeated annually.”; “In patients who perform well on the BBS, and score near the top of the scale, it may not be necessary to readminister the test.”; “The FGA is a 10-item clinician-rated test that assesses balance while walking.”; “To score the FGA, the items are summed and a maximum total score is 30.”; “A testing form with administration instructions is available, and commonly available equipment (obstacles, stopwatch, and steps) is used during testing.”; “In participants with mixed acute and chronic stable conditions, Lin et al calculated an MDC of 4.2.”; “In individuals with acute vestibular dysfunction, the ceiling effect was 25%.”; “If a patient demonstrates a high score (near 30 out of 30), or is likely to do so, the clinician may need to select a more challenging OM to assess changes over time.”; “Each item is rated on a 0% to 100% scale, and the total score is calculated by adding item scores and dividing by 16”; “requires minimal time (5-10 minutes)”; “Jonasson et al calculated an MDC of 11%.”; “Steffen and Seney reported a substantially higher MDC of 30% in a similar sample.”; “was considered for inclusion in the core set of OMs; however, it did not meet the established criteria.” The last quotation is the guideline’s sentence on the Mini-BESTest. - Lusardi MM, Fritz S, Middleton A, Allison L, Wingood M, Phillips E, et al. Determining Risk of Falls in Community Dwelling Older Adults: A Systematic Review and Meta-analysis Using Posttest Probability (Journal of Geriatric Physical Therapy, 2017;40(1):1-36, doi:10.1519/JPT.0000000000000099, PMID 27537070, PMC5158094; full text read through PubMed Central). Checked October 30, 2026.
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“have a sample size of at least 30 ambulatory community-living older adults (≥65 years), and track falls occurrence for a minimum of 6 months.”; “No single test/measure demonstrated strong PoTP values.”; “Berg Balance Scale score (≤50 points), Timed Up and Go times (≥12 seconds), and 5 times sit-to-stand times (≥12) seconds are currently the most evidence-supported functional measures to determine individual risk of future falls.”; “For most, Sp values were much higher than Sn values, indicating greater usefulness for ruling in risk of future falls than ruling them out.”; “A cut score of 50 points provides a PoTP of 59% for those who score 50 or less (a positive test) and from a PoTP of 23% for those who score 51 or more points (a negative test).”; “The single-task Timed Up and Go (TUG) test 12 seconds or more had a PoTP of 47% (positive test) and a PoTP of 25% if TUG time less than 12 seconds.”; “being unable to maintain the SLS potions for at least 6.5 seconds (positive test) yielded a PoTP of 45%.”; “Exceeding this time (negative test) yields a PoTP of 28%.”; “Self-selected walking speed (SSWS) less than 1.0 m/s (positive test) resulted in a PoTP of 39%. An SSWS 1.0 m/s or more (negative test) resulted in a PoTP of 20%.”; “Two of these, (combined sample size 509 participants) also considered an SSWS cut score of 0.6 m/s, reporting a PoTP of 61% for those walking 0.6 m/s or less”; “Summary of Clinically Useful Indicators of Risk of 1 or More Future Falls Based on a PrTP of 30%”. - Duncan RP, Leddy AL, Cavanaugh JT, Dibble LE, Ellis TD, Ford MP, et al. Accuracy of fall prediction in Parkinson disease: six-month and 12-month prospective analyses (Parkinson’s Disease, 2012;2012:237673, doi:10.1155/2012/237673, PMID 22191069, PMC3236452; full text read through PubMed Central). Checked October 30, 2026.
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“The BESTest, Mini-BESTest, Functional Gait Assessment (FGA), and Berg Balance Scale (BBS) were administered to 80 participants with idiopathic PD at baseline.”; “it is important to emphasize that cutoff scores should be utilized with caution and with the appreciation that any and all cutoff scores are simply guidelines and not definitive boundaries that separate fallers from nonfallers.” Its Table 2(a), predictive values at six months, summarized here, not quoted: Mini-BESTest at or below 20 of 32 points, sensitivity 0.86, specificity 0.78; Berg Balance Scale at or below 47 of 56, sensitivity 0.79, specificity 0.86; FGA at or below 15 of 30, sensitivity 0.64, specificity 0.81. - Shirley Ryan AbilityLab, Rehabilitation Measures Database. Mini-Balance Evaluation Systems Test (instrument summary, last updated June 4, 2013). Checked October 30, 2026.
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“The Mini BESTest is a 14-item test scored on a 3-level ordinal scale.”; “1) Anticipatory postural adjustments 2) Reactive postural control 3) Sensory orientation 4) Dynamic gait”; “Total score = 28 points per test directions.”; “The original BESTest 4 level (0 - 3) scoring was revised to 3 levels (0 - 2) due to redundancy.”; “HR Highly Recommend”; “Recommendations Based on Parkinson Disease Hoehn and Yahr stage: I II III IV V PD EDGE HR HR HR HR NR”; “For research, many studies specify use of both left and right data, thus calculating data based on 32 (vs. 28) points.”; “Note: original test published standards and instructions, state to count the lowest score of the two sides.”; “Chronic Stroke (Tsang et al 2013, n = 106 people with stroke, mean age 57.1 ± 11.0 years, 73 men, 33 women and 48 controls, mean age 60.2 ± 9.3 years, 28 men and 20 women) Scores of ≤ 17.5 identified those with a history of falling, sensitivity 64%, specificity 64% AUC 0.64”. - Centers for Disease Control and Prevention, STEADI. Algorithm for Fall Risk Screening, Assessment, and Intervention (2019). Checked October 30, 2026.
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“STEADI Algorithm for Fall Risk Screening, Assessment, and Intervention among Community-Dwelling Adults 65 years and older”; “SCREEN for fall risk yearly, or any time patient presents with an acute fall.”; “Three key questions for patients [at risk if YES to any question] - Feels unsteady when standing or walking? - Worries about falling? - Has fallen in past year?”; “Evaluate gait, strength, & balance”; “Timed Up & Go 30-Second Chair Stand 4-Stage Balance Test”. The algorithm lists the three tests as its common assessments of gait, strength and balance. - Shirley Ryan AbilityLab, Rehabilitation Measures Database. 10 Meter Walk Test (instrument summary, last updated January 22, 2014). Checked October 30, 2026.
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“Two trials are administered at the patient’s comfortable walking speed, followed by 2 trials at his/her fast walking speed, per the below instructions. The 2 trials, for each speed, are averaged and the 2 gait speeds are documented in meters/second.”; “Assistive devices may be used but must be documented from test to test.”; “The level of assistance documented, however, should reflect the greatest amount of assistance provided during the test.”; “Test administrator should walk at least a half step behind the patient so as not to influence the patient’s speed”; “No significant difference noted when comparing static and dynamic starts in chronic incomplete SCI (Scivoletto et al, 2011)”; “Healthy Adults (Bohannon RW & Andrews AW, 2011; n=23,111)”; “Healthy adults: (Bohannon 1997; n=230 healthy volunteers)”; “(Tilson, 2010; n = 283; mean age = 63.5 (12.5) years; assessed at approximately day 20 and day 60 post stroke, 14m walk with middle 10 m timed with or without assistance, Acute Stroke) MCID = 0.16 m/s”; “< 0.4 m/s were more likely to be household ambulators 0.4 - 0.8 m/s limited community ambulators > 0.8 m/s were community ambulators”; “Ambulation ability has been correlated with gait speed (Perry et al, 1995)”. Its normative tables, summarized here, not quoted: from Bohannon and Andrews 2011, grand mean gait speed in cm/second, men 20-29 135.8, 30-39 143.3, 40-49 143.4, 50-59 143.3, 60-69 133.9, 70-79 126.2, 80-99 96.8; women 20-29 134.1, 30-39 133.7, 40-49 139.0, 50-59 131.3, 60-69 124.1, 70-79 113.2, 80-99 94.3; from Bohannon 1997, mean comfortable and maximum gait speed in cm/second, men 20s 139.3 and 253.3, 30s 145.8 and 245.6, 40s 146.2 and 246.2, 50s 139.3 and 206.9, 60s 135.9 and 193.3, 70s 133 and 207.9; women 20s 140.7 and 246.7, 30s 141.5 and 234.2, 40s 139.1 and 212.3, 50s 139.5 and 201, 60s 129.6 and 177.4, 70s 127.2 and 174.9. - Montero-Odasso M, van der Velde N, Martin FC, Petrovic M, Tan MP, Ryg J, et al.; Task Force on Global Guidelines for Falls in Older Adults. World guidelines for falls prevention and management for older adults: a global initiative (Age and Ageing, 2022;51(9):afac205, doi:10.1093/ageing/afac205, PMID 36178003, PMC9523684; full text read through PubMed Central). Checked October 30, 2026.
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“Opportunistic case finding for falls risk is recommended for community-dwelling older adults.”; “For risk stratification, we recommend use of gait speed, with a cut-off value of <0.8 m/s on the basis of its predictive ability and simplicity”; “Alternatively, the Timed Up and Go (TUG) test can be used, with a cut-off value of >15 seconds, although evidence for fall risk stratification is mixed.”; “Assessment tools that are useful and commonly used in the assessment of gait and balance include: gait speed, The Timed Up and Go (TUG) test, the untimed Get Up And Go test, Berg Balance Scale, the Chair Stand test (CST) and Short Physical Performance Battery (SPPB).” - Middleton A, Fritz SL, Lusardi M. Walking speed: the functional vital sign (Journal of Aging and Physical Activity, 2015;23(2):314-322, doi:10.1123/japa.2013-0236, PMID 24812254, PMC4254896; full text read through PubMed Central). Checked October 30, 2026.
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“the original article proposed WS be considered the “sixth vital sign””; “Although a standardized protocol has not been adopted, there is evidence available to help guide WS test selection.”; “Therefore, WSs calculated via the 4 meter walk test can be compared across testing sessions, but should not be compared to 10 meter walk test results for determining changes over time.”; “WSs calculated without an acceleration phase (static start) are slower than WSs calculated via dynamic start protocols”; “Clinicians should consider administering tests with timed distances of 5 to 10 meters”; “and acceleration phases of approximately 2.5 meters for self-selected speeds”; “and 3.25 meters for maximal WSs”; “A straight path should be used in order to capture steady state WS rather than including a turn”; “Hand held stopwatches can be used for timing”; “Regardless of approach decided upon, instructions should be consistent across testing sessions as differing methods have been shown to produce significantly different results”; “While an individual’s self-selected or usual WS is indicative of current functional status”; “maximal WS provides information regarding an individual’s capabilities in the community”; “Therefore, maximal WS should be assessed in addition to self-selected WS as part of a comprehensive evaluation”; “For example, in the United States WSs of 1.32 m/s or greater are required to ensure safe street crossing”; “Regardless of protocol chosen, the important take home message is that consistency across testing sessions must be maintained in order for accurate conclusions to be drawn.” Its Table 2, summarized here, not quoted: MDC95 for self-selected walking speed of 0.14 m/s in community-dwelling older adults aged 60 and over (4 m timed, 2 m acceleration), and 0.18 m/s self-selected and 0.13 m/s maximal in chronic stroke (10 m timed, 2 m acceleration). - Peters DM, Fritz SL, Krotish DE. Assessing the reliability and validity of a shorter walk test compared with the 10-Meter Walk Test for measurements of gait speed in healthy, older adults (Journal of Geriatric Physical Therapy, 2013;36(1):24-30, doi:10.1519/JPT.0b013e318248e20d, PMID 22415358; abstract read through the Europe PMC record). Checked October 30, 2026.
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“Forty-three healthy, older adults (mean age = 84.3 ± 6.9 years) performed 3 consecutive walking trials on the 4- and 10-Meter Walk Tests at their self-selected walking speed.”; “with similar results for stopwatch and automatic timer assessments (ICC values of 0.99-1.00).”; “the Bland-Altman analysis revealed a discrepancy of ±0.15 to ±0.17 m/s between measurement methods.”; “the 4-Meter Walk Test does not exhibit a high enough degree of concurrent validity with the 10-Meter Walk Test to be used interchangeably for gait speed assessments in healthy, older adults.” - Bohannon RW, Williams Andrews A. Normal walking speed: a descriptive meta-analysis (Physiotherapy, 2011;97(3):182-189, doi:10.1016/j.physio.2010.12.004, PMID 21820535; abstract read through the Europe PMC record). Checked October 30, 2026.
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“Inclusion required that the gait speed of apparently healthy adults was documented as they walked at a normal pace over a course of 3 to 30 m.”; “Combined, they provided data from 23111 subjects.”; “The gait speed was homogeneous within strata and ranged from a mean of 143.4 cm/second for men aged 40 to 49 years to a mean of 94.3 cm/second for women aged 80 to 99 years.”; “The data presented herein may not be useful as a standard of normal if gait is measured over short distances from the command ’go’ or if a turn is involved.” - Donoghue D, Physiotherapy Research and Older People (PROP) group, Stokes EK. How much change is true change? The minimum detectable change of the Berg Balance Scale in elderly people (Journal of Rehabilitation Medicine, 2009;41(5):343-346, doi:10.2340/16501977-0337, PMID 19363567; abstract read through the Europe PMC record). Checked October 30, 2026.
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“in a group of elderly people, undergoing physiotherapy rehabilitation”; “Cross-sectional sample of convenience of people over 65 years (n = 118) without a previous history of stroke, Parkinson’s disease or recent hip arthroplasty.”; “A change of 4 points is needed to be 95% confident that true change has occurred if a patient scores within 45-56 initially, 5 points if they score within 35-44, 7 points if they score within 25-34 and, finally, 5 points if their initial score is within 0-24 on the Berg Balance Scale.” - Tilson JK, Sullivan KJ, Cen SY, Rose DK, Koradia CH, Azen SP, et al. Meaningful gait speed improvement during the first 60 days poststroke: minimal clinically important difference (Physical Therapy, 2010;90(2):196-208, doi:10.2522/ptj.20090079, PMID 20022995, PMC2816032; abstract read through the Europe PMC record). Checked October 30, 2026.
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“The participants in this study were 283 people with first-time stroke prospectively enrolled in the ongoing Locomotor Experience Applied Post Stroke (LEAPS) multi-site randomized clinical trial.”; “Mean (SD) CGS was 0.18 (0.16) m/s at 20 days and 0.39 (0.22) m/s at 60 days poststroke.”; “We estimate that the MCID for gait speed among patients with subacute stroke and severe gait speed impairments is 0.16 m/s.” - Perera S, Mody SH, Woodman RC, Studenski SA. Meaningful change and responsiveness in common physical performance measures in older adults (Journal of the American Geriatrics Society, 2006;54(5):743-749, doi:10.1111/j.1532-5415.2006.00701.x, PMID 16696738; abstract read through the Europe PMC record). Checked October 30, 2026.
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“Older adults with mobility disabilities in a strength training trial (n=100), subacute stroke survivors in an intervention trial (n=100), and a prospective cohort of community-dwelling older people (n=492).”; “Best initial estimates of small meaningful change are near 0.05 m/s for gait speed, 0.5 points for SPPB, and 20 m for 6MWD and of substantial change are near 0.10 m/s for gait speed, 1.0 point for SPPB, and 50 m for 6MWD.” - Centers for Disease Control and Prevention, STEADI. Assessment: Timed Up & Go (TUG) (two-page clinician form, 2017). Checked October 30, 2026.
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“Patients wear their regular footwear and can use a walking aid, if needed.”; “Always stay by the patient for safety.”; “Begin by having the patient sit back in a standard arm chair and identify a line 3 meters, or 10 feet away, on the floor.”; “An older adult who takes ≥12 seconds to complete the TUG is at risk for falling.”; “Observe the patient’s postural stability, gait, stride length, and sway.” - Barry E, Galvin R, Keogh C, Horgan F, Fahey T. Is the Timed Up and Go test a useful predictor of risk of falls in community dwelling older adults: a systematic review and meta-analysis (BMC Geriatrics, 2014;14:14, doi:10.1186/1471-2318-14-14, PMID 24484314, PMC3924230; abstract read through the Europe PMC record). Checked October 30, 2026.
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“Twenty-five studies were included in the systematic review and 10 studies were included in meta-analysis.”; “The TUG test was found to be more useful at ruling in rather than ruling out falls in individuals classified as high risk (>13.5 sec), with a higher pooled specificity (0.74, 95% CI 0.52-0.88) than sensitivity (0.31, 95% CI 0.13-0.57).”; “The Timed Up and Go test has limited ability to predict falls in community dwelling elderly and should not be used in isolation to identify individuals at high risk of falls in this setting.”
Medical disclaimer. This page is for general educational purposes and does not constitute medical advice, diagnosis, or treatment. It is clinical reference information for licensed clinicians; it does not replace clinical judgment, the patient’s own presentation, or the licensing law of the clinician’s state.
