§ 01Functional Independence Tests
Clinical fitness assessmentGait Speed (4-Metre Walk)
Measure walking speed — a powerful predictor of functional decline, hospitalisation, and mortality in older adults.
Equipment
Tape measure for 4 m course (plus 2 m acceleration and 2 m deceleration zones), stopwatch.
The protocol
- 01Mark an 8-metre course: 2 m acceleration zone, 4 m timed zone, 2 m deceleration zone.
- 02Client starts at the beginning of the acceleration zone.
- 03Instruct: "Walk at your usual, comfortable pace."
- 04Start the timer when the client's leading foot crosses the 2 m mark (start of timed zone).
- 05Stop the timer when the leading foot crosses the 6 m mark (end of timed zone).
- 06Calculate gait speed: 4 metres / time in seconds = m/s.
- 07Client may use their usual walking aid.
What to watch for
- Client walking faster or slower than their usual pace.
- Not allowing adequate acceleration and deceleration zones.
- Starting/stopping the timer at the wrong marks.
Normative scoring
≥1.0 m/s: Normal. 0.8-1.0 m/s: Adequate but declining. 0.6-0.8 m/s: Increased risk of adverse outcomes. <0.6 m/s: High risk — predicts functional decline and disability.
Run it with GainPT
Run this test with branded client reports.
GainPT scores Gait Speed (4-Metre Walk) against published normative data and turns it into a clean, GainPT-branded PDF your client keeps. All 47 clinical tests, unlimited retests — free to start, no card required.