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Stand with your feet tandem (one foot in front of the other) and close your eyes: You should be able to stand for > 30 seconds without swaying or losing your balance. This is a simple task, but many people have difficulty with it, especially when balance is overall poor.
The Function in Sitting Test (FIST) is a bedside evaluation of sitting balance that evaluates sensory, motor, proactive, reactive, and steady state balance factors.
Stand with your feet tandem (one foot in front of the other) and close your eyes: You should be able to stand for > 30 seconds without swaying or losing your balance. This is a simple task, but many people have difficulty with it, especially when balance is overall poor.
The FIST was designed this way to make learning and using the scoring scale easy and to decrease the need to constantly refer to written directions when scoring each item. The items are scored on a 5 point ordinal scale ranging from 0 to 4, with 0 representing the lowest ability and 4 representing normal ability.
Static Sitting Balance Definition: Maintaining 'Good' postural alignment against gravity while sitting unsupported for greater than 30+ minutes without postural collapse.
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The Function in Sitting Test (FIST) was created to allow healthcare providers to better describe and document patient/client abilities to move and perform functional tasks in a seated position.
Have the patient look directly behind them over their right shoulder then left to look at the object. Instructions: Place a clipboard at the level with the sitting surface. Have the patient bend sideways to have left elbow touch the clipboard and return to upright. Repeat on the other side.
Have the patient look directly behind them over their right shoulder then left to look at the object. Instructions: Place a clipboard at the level with the sitting surface. Have the patient bend sideways to have left elbow touch the clipboard and return to upright. Repeat on the other side.
Have the patient look directly behind them over their right shoulder then left to look at the object. Instructions: Place a clipboard at the level with the sitting surface. Have the patient bend sideways to have left elbow touch the clipboard and return to upright. Repeat on the other side.
The Function in Sitting Test, or FIST, is a 14 item, performance-based, clinical examination of sitting balance. The FIST was designed to be administered at the hospital bedside by a physical therapist or other health care provider.

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