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Lateral Scoot

Description & Directions

"Move sideways 2 inches without using your arms."

Patient may move in their preferred direction or to stronger or less involved side. Use tape measure to ensure 2 inches of movement. Assign a score.

Lateral Scoot Scoring

Score Description  Selected Example
 4 Independent Normal performance.
 3 Verbal cues/increased time Impulsive movement deemed unsafe, would require verbal cues to slow down.
 2 Upper extremity support Must use hand(s) to complete scoot, even on repeated attempt.
 1 Needs assistance Min A needed to complete the scoot.
 0 Dependent Requires total assist to scoot.

Common questions about Lateral Scoot

  • I had to provide cues for the patient to try a second time using their hands.  On the second attempt, when using their hands, the patient successfully scooted.  How to I score the patient? You provided cues (score = 3) but the patient had to use their hands to be successful (score = 2).  You select the lower of the scores, a 2, to best reflect their need to use their hands.

Video examples

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Now you are familiar with all 14 of the FIST items.

Next, documenting FIST results