Four Square Step Test (FSST)

Purpose

Assesses rapid directional stepping across four squares.

Equipment

Four low canes arranged as plus sign, stopwatch

Protocol

Practice when needed; step with both feet into each square following clockwise then counterclockwise sequence while facing forward. Record two valid timed trials and select faster.

Interpretation

Lower valid time indicates faster multidirectional stepping. Only score valid trials.

Safety

Guard, ensure safe obstacles, invalidate trial if required sequence/obstacle clearance not achieved.

Frequently asked questions

What does the Four Square Step Test (FSST) measure?

Assesses rapid directional stepping across four squares.

How should I interpret Four Square Step Test (FSST) results?

Lower valid time indicates faster multidirectional stepping. Only score valid trials.