Berg Balance Scale - Falls Prevention in SA
Berg Balance Scale - Falls Prevention in SA
Berg Balance Scale - Falls Prevention in SA
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<strong>Berg</strong> <strong>Balance</strong> <strong>Scale</strong><br />
Name: __________________________________<br />
___________________<br />
Location: ________________________________<br />
___________________<br />
Date:<br />
Rater:<br />
ITEM DESCRIPTION SCORE (0-4)<br />
Sitt<strong>in</strong>g to stand<strong>in</strong>g<br />
Stand<strong>in</strong>g unsupported<br />
Sitt<strong>in</strong>g unsupported<br />
Stand<strong>in</strong>g to sitt<strong>in</strong>g<br />
Transfers<br />
Stand<strong>in</strong>g with eyes closed<br />
Stand<strong>in</strong>g with feet together<br />
Reach<strong>in</strong>g forward with outstretched arm<br />
Retriev<strong>in</strong>g object from floor<br />
Turn<strong>in</strong>g to look beh<strong>in</strong>d<br />
Turn<strong>in</strong>g 360 degrees<br />
Plac<strong>in</strong>g alternate foot on stool<br />
Stand<strong>in</strong>g with one foot <strong>in</strong> front<br />
Stand<strong>in</strong>g on one foot<br />
________<br />
________<br />
________<br />
________<br />
________<br />
________<br />
________<br />
________<br />
________<br />
________<br />
________<br />
________<br />
________<br />
________<br />
Total<br />
________<br />
GENERAL INSTRUCTIONS<br />
Please document each task and/or give <strong>in</strong>structions as written. When scor<strong>in</strong>g,<br />
please record the lowest response category that applies for each item.<br />
In most items, the subject is asked to ma<strong>in</strong>ta<strong>in</strong> a given position for a specific time.<br />
Progressively more po<strong>in</strong>ts are deducted if:<br />
• the time or distance requirements are not met<br />
• the subject’s performance warrants supervision<br />
• the subject touches an external support or receives assistance from the<br />
exam<strong>in</strong>er<br />
Subject should understand that they must ma<strong>in</strong>ta<strong>in</strong> their balance while attempt<strong>in</strong>g<br />
the tasks. The choices of which leg to stand on or how far to reach are left to the<br />
subject. Poor judgment will adversely <strong>in</strong>fluence the performance and the scor<strong>in</strong>g.<br />
Equipment required for test<strong>in</strong>g is a stopwatch or watch with a second hand, and a<br />
ruler or other <strong>in</strong>dicator of 2, 5, and 10 <strong>in</strong>ches. Chairs used dur<strong>in</strong>g test<strong>in</strong>g should be<br />
a reasonable height. Either a step or a stool of average step height may be used<br />
for item # 12.<br />
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