Fall risk screening is a simple screening test to assess the fall risk in elderly
and provide information for follow up intervention.
1. Fall history
The risk of fall increase if the elderly experienced one or more previous fall. According
to previous study, about 25% elderly experience recurrent fall.
Had experience fall in the past 6 months - 2 marks
Had not experience fall in the past 6 months - 0 marks
2. Medical history and medication
Taking medication for hypertension, sleeplessness or diabetes may cause fainting
in some elderly and increase the risk of fall. Medical conditions such as stroke
and Parkinson's disease would also affect the balance and movement of the elderly
and may increase the risk of fall.
Elderly taking either medication on hypertension, sleeplessness or diabetes OR elderly
suffering from stroke or Parkinson's disease - 1 marks
Not taking the medicine nor suffering from the conditions mentioned - 0 marks
3. Lower limb strength assessment
Elderly under test is required to get up from a stable chair within 2 seconds. Sufficient
lower limb strength is required to complete this test.
Unable to complete in 2 sec - 3 marks
Able to complete in 2 sec - 0 marks
4. Balance assessment
Elderly under test should keep the tandem stand posture for 30 sec.
Unable to maintain the posture - 3 marks
Able to maintain the posture - 0 mark
5. Reaction assessment
The assessor should hold a rod (about 1 feet) above the hand of the elderly. The
assessor will drop the rod suddenly and the elderly should catch the rod as quick
Unable to catch the rod - 3 marks
Able to catch the distal segment of the rod - 2 marks
Able to catch the meddle segment of the rod - 1 marks
Able to catch the proximal segment of the rod - 0 mark
Type of Fall Risk
6 marks or above
The risk of fall is high
5 marks or below
The risk of fall is low
1. Chu LW, Chi I and Chiu AYY: Incidence and Predictors of Falls in the Chinese Elderly.
Ann Acad Med Singapore. 2005;34:60-72.