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• 30: If the patient walks clutching onto wall or furniture for support (e.g., needs help, but does
not ask or does not comply with order for bed rest).
4: IV or saline assistance:
• 20: if the patient has an intravenous apparatus or is attached to other medical equipment.
• 0: Otherwise.
5: Mental illness:
To test mental status, ask the patients “Are you able to go to the bathroom alone or do you need
assistance?”. The score will be
• 0: If the patient’s reply is consistent with the hospital/facility’s record.
• 15: If the patient’s response is not consistent with the record, or if the patient’s response is
unrealistic.
7.3 Gait Analysis
The last step of the Morse Fall Risk Scale is to assess the gait or walking quality of the person. Sentinare
activity sensor performs this through the popular 3m Timed Up & Go (TUG) test, which was initially
designed for seniors, but has also been found to be accurate for people with Parkinson's Disease,
Alzheimer’s, hip fracture, routine orthopaedic surgery, and other conditions. The TUG method’s average
sensitivity and specificity is also over 80%, and interrater reliability is 0.98.
7.3.1 Room Setup
To do the gait analysis, users need to select a room with a Cypress or Sentinare 2 sensor and an empty
area of at least 3m long, and ensure that the entire test area can be captured by the sensor. In the
future, we will add a feature to play back the recordings of all historical fall risk assessments. Please do
the following preparation:
• Place an armchair in the room.
• Place a marker (such as a colored tape) 3m away on the floor in front of the chair.
The person doing the test can wear their regular footwear and can use a walking aid, if needed. If
necessary, another person can accompany the senior during the test to prevent them from falling.
7.3.2 The Gait Test
The person being evaluated will start from the sitting position in the chair, and place his/her back
against the chair and rest his/her arms on the chair’s arms.
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