The Tinetti Balance and Gait Test (Tinetti 1986) is the oldest clinical balance assessment tool and the widest used among older people (Yelnik, Bonan 2008). The advantages of Tinetti’s balance assessment tool are its inclusion of both balance and gait and its good interrater reliability (85% agreement between raters) and excellent sensitivity (93% of fallers are identified) (Maki et al., 1994; Topper et al., 1993). However, many items are difficult to assess on a 3-point scale and it has poor specificity (only 11% of nonfallers were identified). Despite being widely used in gerontology, the gait section is seldom used and it has ceiling effects for younger people with balance deficits (Yelnik, Bonan 2008).