This study was to develop and validate the circular tandem walk test (CTWT) by deriving an optimal cutoff score to indicate the fall risk in 89 active community-dwelling older individuals. The participants aged 65 years and older were assessed for their demographic data, fear of fall variables, and history of falls in the past 6 months. Subsequently, participants were randomized for the sequence of tests between the tandem walk test and the CTWT. The outcomes of CTWT showed the highest significant correlation with all the fall variables (ranging from .631 to .827, p < .001). Moreover, the time to perform the CTWT ≥ 14.6 s and ≥ two error scores had excellent and acceptable diagnostic accuracy to determine the risk of falls in the older individuals, respectively. The CTWT can be used as alternative screening tests for assessing the fall risk in active older adults in community settings.

This study aimed to examine the validity of balance tests and compare their diagnostic accuracy to determine the risk of falls among older community-dwelling individuals. Eighty-five older participants were assessed based on their demographics and fall data. They were then assessed for the ability to perform balance measures, including five times sit-to-stand tests (FTSSTs), timed up and go tests (TUGs), three times stand and walk tests (TTSWs), functional reach tests (FRTs), and single-leg stance tests (SLSs). The correlation between fall data and balance measures was found to be significant for all parameters (p < 0.05). The TTSW showed the highest level of ability to indicate the risk of falls among older community-dwelling adults with sensitivity = 92.68%, specificity = 84.09%, and AUC = 0.931 (95%CI = 0.860 to 1.000). These findings confirm the benefits of the practical functional balance measures to determine the risk of falls among older community-dwelling individuals.