7. Dynamic balance: Alternative step test

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Lesson 15: Balance and falls risk assessment in an older person with osteoporosis and aggressive behaviour  Video content 7. Dynamic balance: Alternative step test

Several versions of this test are performed with the patient in a standing position. 

In the original test, an 18 cm, 40 cm deep and 60 cm wide step was used. At the beginning of the test, the participant stands facing the stairs with a double leg support and without walking aids. The participant should be asked to place the entire left and right leg alternately on the step as quickly as possible, 8 times on each leg. Each successful step requires the entire foot to be placed on the step and returned to the floor. 

Rating: Performance for more than 10 seconds increases the risk of falling. 

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