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Interactive Performance Oriented Mobility Assessment (iPOMA)

Interactive Performance Oriented Mobility Assessment (iPOMA)

University of Miami Leonard M. Miller School of Medicine
Jorge G. Ruiz, MD, Guillermo Morel, MD, Michael Smith, MD, Osvaldo Rodriguez, MD, Aaron McEntire, MD, Saleh Hernandez, MD, Axel Juan, MD, Maria H van Zuilen, MD, Michael Mintzer, MD
Donald W. Reynolds Foundation
POGOe Id: 
Date Posted: 
Date Reviewed/Updated for Clinical Accuracy: 
Ok Peer reviewed Peer reviewed

Based on the falls risk assessment tool developed by M. Tinetti, this computer-based training module was created as a "reusable learning object". This tool has been used to assess fall risk in a wide variety of settings including outpatient, acute, home and long term care. The instrument has been modified over the years in order to measure usual function rather than standard function; the maneuvers included are based on the position changes and gait activities used during daily activity. Hence this particular instrument includes some maneuvers designed to measure the individual's function in the individual's most natural setting, his home, as opposed to the laboratory or the clinical setting.


Educational objectives: 

The learner will be able to:

  1. Describe the general characteristics, indications, validity, and reliability of the Performance Oriented Mobility Assessment.
  2. Describe the components of the balance and gait test.
  3. Determine when it is appropriate to perform the POMA on an individual.
  4. Advanced level: To administer and score the Performance Oriented Mobility Assessment safely and accurately.
Additional information/Special implementation requirements or guidelines: 

The inter-rater reliability for this instrument has been determined at around 83%. In a group of community dwelling elderly, the sensitivity and specificity was 70% and 52% respectively. This particular version has a greater number of maneuvers with a wider spectrum of difficulty in order to increase the sensitivity of the instrument. The maximum number of points that can be achieved is 35. The lower the score, the higher the fall risk, but there are no predetermined cut-off points. The score can be used as a baseline prior to implementing a therapeutic intervention for a particular individual. The maneuvers measured are likely to improve with a therapeutic intervention. The individual can be tested again at the end of the intervention to assess response to therapy. The POMA can be administered in 10-15 minutes.

Windows OS: Internet Explorer 6.0 and above, Netscape Navigator 7.0 and above

Macintosh OS: Mozilla 1.0 and above (which uses the same engine as Netscape) Flash 6.0 or higher CD ROM drive

For a shorter version of this product, view POGOe Product Interactive Gait and Balance Assessment.

Estimated time to complete: 
45 minutes
Contact Person/Corresponding Author:

Suggested Citation:
Jorge G. Ruiz, Guillermo Morel, Michael Smith, Osvaldo Rodriguez, Aaron McEntire, Saleh Hernandez, Axel Juan, Maria H van Zuilen and Michael Mintzer. Interactive Performance Oriented Mobility Assessment (iPOMA). POGOe - Portal of Geriatrics Online Education; 2009 Available from:


Submitted by sskanthan on

excellent teaching module