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. 2020 Jul 30;15:1249–1262. doi: 10.2147/CIA.S247332

Table 1.

English Version of the Frail’BESTest: Instructions and Evaluation

System Test Consign Evaluation
A
Anticipations
Rise to toes “Give me your hands, rise on your toes and come back down, 3 times” 1: optimal postural preparation (anterior pelvic shift)
Alternated foot reaching on a step “Put your foot on the stair and go back on the floor, and with the other foot, repeat 2 times” 1: optimal postural preparation (lateral pelvic shift)
Half-Turn preparation “Please go straight on and turn around in front of this wall” 1: optimal postural preparation (the last foot support is oriented on the turn direction)
Sit-to-stand “Please Stand-up” 1: optimal trunk tilt (around 45–60° with vertical line)
Back-to-sit “Please sit-down” 1: optimal trunk tilt (around 45–60° with vertical line)
B
Reactions
Postural adaptation “I look for your reaction” 1: Optimal muscular contraction with the anterior muscular plan to counteract the anteroposterior light push
Fall avoidance reaction “I look for your reaction” 1: Optimal back step to counteract the anteroposterior heavy push
C
Locomotion
Gait speed in dual task “Please walk on this corridor, I am just behind you” 1: No notable gait-speed decrease, or instability
Gait speed modulation “Please try to walk faster, and now slower” 1: Ability to walk faster and slower
Half-turn quality This test can be assessed during the part A 1: No more than 4 steps are necessary to finish the half-turn
Cervical rotation when walking “Please walk on this corridor, I am on your side … ok now please turn the head to watch me, and now turn on the other side” 1: The patient turn the head with 45° of cervical rotation without slowdown or instability
Go down to the floor “Please sit down on the floor, you can use this chair to help yourself” 1: The patient sit down without human help (physical or verbal), securely
Rise from the floor “Please standup from the floor, you can use this chair to help yourself” 1: The patient stand up without human help (physical or verbal), securely
D
Sensory orientation
Feet together/eyes open “Please stay in this stand up position for a few seconds” 1: The patient is able to stay during 15 seconds in the position without important instability
Feet shoulder width apart/eyes closed Please stay in this stand up position for a few seconds” 1: The patient is able to stay during 15 seconds in the position without important instability
Feet shoulder width apart on a foam surface/eyes open Please stay in this stand up position for a few seconds” 1: The patient is able to stay during 15 seconds in the position without important instability
E
Biomechanical constraints
Effort adaptation No specific consign 1: The patient is not short of breath when he sit down after the gait speed test
Lower limbs muscle power Consign of the chair test: “please stand up and sit down successively, I will say when you will stop, you can use the armchairs if you need” 1: The patient is able to stand up and sit down three times in 15 seconds
Ankle range of motion No specific consign, patient is sit down, with 90° hip and knee flexion 1: passive and active range of motion of more than 10° in dorsal ankle flexion
Foot quality state No specific consign, no shoes 1: no problem on the feet, neither cutaneous nor osteoarticular deformities
Directional instability No specific consign, the patient is observed during the others tests 1: no preferential instability in one direction, for example backward, or laterally.
Anterior stability limit (Functional Reach Test) Consigns of the FRT (Duncan at al 1990): “Please reach forward as far as you can with your index finger without moving on your feet” 1: The patient is able to reach minimum 26 cm
F
Gait Symmetry
Gait symmetry No specific consigns, gait analysis during the gait speed test 1: Equal longer of each step
Weight bearing pain “Do you have pain when you charge one foot?” 1: No pain neither for the right nor for the left foot charge
Strength deficit No specific consign 1: The therapist evaluation find no strength deficit linked with the gait asymmetry
Range of motion deficit No specific consign 1: The therapist evaluation find no range of motion deficit linked with the gait asymmetry