Screening for Falls Risk

Falls risk screening is prevention. Early screening helps identify risks before a fall happens. Below you’ll find recommended screenings and assessments, step-by-step guidance, and intervention strategies. When someone screens at high risk, timely action is key. Learn more by exploring the CDC STEADI Algorithm for Fall Risk Screening, Assessment, and Intervention

Recommended professionals to conduct falls risk screenings: Medical Doctor, Registered Nurse, Physical Therapist/PT Assistant/PT Student, Occupational Therapist/OT Assistant/OT Student, Athletic Trainer, Exercise Physiologist, and other certified healthcare professionals as appropriate. 

Common Assessments

30-Second Chair Stand
4-Stage Balance Test
Timed Up & Go
Stay Independent Self-Assessment
Other Screenings to Consider

Screening Examples

ADRC of Brown County

The Aging & Disability Resource Center of Brown County offers multiple opportunities for falls risk screening: 

  • At their annual “Freedom From Falls” event – Physical Therapy students, overseen by a Physical Therapist, complete the TUG Test, 30-Second Chair Stand, and 4-Stage Balance Test with participants. Screening tool.

  • During other events, like “Wellness Week” a Physical Therapist and Physical Therapy Assistant conduct balance screenings. See flyer.

  • During participation in the “Boost Your Balance: In-Home Fall Risk Screening” program, volunteers (MCW students or retired medical professionals) use the TUG test and Functional Reach Test. This program is an internal referral from ADRC Specialists. 

ADRC of Portage County

The Aging and Disability Resource Center of Portage County partners with UW-Stevens Point Doctor of Physical Therapy program to host Balance & Falls Clinics. Students provide comprehensive falls screening, a personalized treatment plan, and balance training. 

Safe Communities

Only Leaves Should Fall is a collaborative effort led by Safe Communities’ Falls Free Dane coalition. After lunch and a keynote address, participants progress through a series of screenings provided by Madison College’s OTA program and UW Madison’s PT, Pharmacy and Nursing programs. Screenings include blood pressure, vision, gait, balance, home safety, cognition, and medication. Participants are given a Checklist that is completed at each screening so that by the end of the event, each participant has a good idea of 1) what their fall risk is, and 2) what may be attributed to that risk.  

Local organizations have booths at the event so participants can connect with valuable services and programs that can help them on their fall prevention and resilience journey. Students are paired with a small group of participants and stay with them through the duration of the event and serve as “buddies” to help participants navigate through screenings and do some goal setting at the end of the event. Thirty-day follow-up is provided for those who are interested. The event is always free to participants, and space is available on a first come, first served basis. 

Orthopedic & Spine Therapy

Orthopedic & Spine Therapy’s Occupational Therapists provides free balance screening events throughout the year. They use the TUG Test, the 4-Stage Balance Test, and the 30-Second Chair Stand Test, as well as administer a self-assessment in order to better guide if a person is a good fit for 1:1 therapy. If they score “well” in these categories, but are still concerned, they often will recommend them to a Stepping On or StrongBodies course that is happening soon. Flyer | Screenings | Self-Assessment

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