Falls Questionnaire

History of Falls Questionnaire

Area of Assessment

Balance – Vestibular
Balance – Non-vestibular
Functional Mobility
Gait

Time

minutes

Assessment Type

Patient Reported Outcomes

cost

Free

Rehabilitation Measure

Mini BEST

Mini Balance Evaluation Systems Test

Area of Assessment

Balance – Vestibular
Balance – Non-vestibular
Functional Mobility
Gait
Vestibular

Time

minutes

Assessment Type

Performance Measure

cost

Free

Rehabilitation Measure

RehabMeasures Instrument

Modified Gait Efficacy Scale

Time

minutes

Assessment Type

Patient Reported Outcomes

cost

Free

Rehabilitation Measure

RehabMeasures Instrument

Modified Parkinson Activity Scale

Area of Assessment

Activities of Daily Living
Functional Mobility
Gait
Strength
Upper Extremity Function

Time

minutes

Assessment Type

Performance Measure

cost

Free

Rehabilitation Measure

RehabMeasures Instrument

Timed Backwards Walk

Area of Assessment

Balance – Non-vestibular
Gait

Time

minutes

Assessment Type

Performance Measure

cost

Not Free

Rehabilitation Measure

RehabMeasures Instrument

Modified Physical Performance Test

Area of Assessment

Activities of Daily Living
Balance – Non-vestibular

Time

minutes

Assessment Type

Performance Measure

cost

Not Free

Rehabilitation Measure

RehabMeasures Instrument

Supine to Stand Test

Area of Assessment

Activities of Daily Living
Functional Mobility

Time

minutes

Assessment Type

Performance Measure

cost

Free

Rehabilitation Measure

RehabMeasures Instrument

Multidirectional Reach Test; Reach in Four Directions Test

Time

minutes

Assessment Type

Performance Measure

cost

Free

Rehabilitation Measure

RehabMeasures Instrument

Outpatient Physical Therapy Improvement in Movement Assessment Log

Area of Assessment

Balance – Non-vestibular
Coordination
Dexterity
Functional Mobility
Gait
Upper Extremity Function

Time

minutes

Assessment Type

Patient Reported Outcomes

cost

Free

Rehabilitation Measure

RehabMeasures Instrument

Parkinson’s Disease Activities of Daily Living Scale

Time

minutes , 5 minutes or less

Assessment Type

Patient Reported Outcomes

cost

Free

Rehabilitation Measure

RehabMeasures Instrument

Parkinson’s Disease Questionnaire-8

Area of Assessment

Activities of Daily Living
Attention & Working Memory
Communication
Depression
Quality of Life
Social Relationships

Time

minutes , (Huang et al, 2010)

Assessment Type

Patient Reported Outcomes

cost

Not Free

Rehabilitation Measure

Rehabilitation Measures

Purdue Pegboard Test

Area of Assessment

Coordination
Dexterity

Time

minutes

Assessment Type

Performance Measure

cost

$150.00

Rehabilitation Measure