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BERG BALANCE SCALE | PD Warrior, Study notes of Clinical Medicine

Can you do the following tasks? For each item score the lowest category which applies. Sit unsupported with feet on floor. Can you sit to stand.

Typology: Study notes

2021/2022

Uploaded on 09/12/2022

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BERG BALANCE SCALE
Name______________________Date_________
Can you do the following tasks? For each item score the lowest category which applies.
Sit unsupported with feet on floor
Can you sit to stand
able to sits safely and securely for 2 minutes
4
no hands and stabilises independently
4
able to sit 2 minutes under supervision
3
stand independently using hands
3
able to sit 30 seconds
2
stand using hands after several tries
2
Able to sit 10 seconds
1
minimal assistance to stand or stabilise
1
Unable to sit without support for 10 seconds
0
moderate or maximal assistance to stand
0
Can you standing unsupported
Stand unsupported with feet together
Able to stand safely for 2 minutes
4
feet together independently, stand for > 1m
4
Able to stand for 2 minutes with supervision
3
feet together independently, stand for 1m + SB
3
Able to stand 30 seconds unsupported
2
feet together independently, stand < 30s
2
several tries to stand 30 seconds unsupported
1
Assistance to attain position, stand > 15s
1
Unable to stand 30 seconds unassisted
0
Assistance to attain position, stand < 15s
0
Stand unsupported with eyes closed
Reach forward with outstretched arm
Able to stand 10 seconds safely
4
Can reach forward confidently > 26cm
4
Able to stand 10 seconds with supervision
3
Can reach forward > 13 cm
3
Able to stand 3 seconds
2
Can reach forward >5 cm
2
Eyes closed < 3 seconds but stays steady
1
Reaches forward but needs supervision
1
Needs help to keep from falling
0
Needs help to keep from falling
0
Transfers from chair to chair
Stand to sitting
transfers safely with minor use of hands
4
Sits safely with minimal use of hands
4
transfers safely with definite need of hands
3
Controls descent by using hands
3
transfers with verbal cueing and/or SB
2
Uses back of legs against chair to control
descent
2
Needs one person to assist
1
Sits independently, uncontrolled descent
1
two people to assist or supervise to be safe
0
Needs assistance to sit
0
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BERG BALANCE SCALE

Name______________________Date_________

Can you do the following tasks? For each item score the lowest category which applies.

Sit unsupported with feet on floor Can you sit to stand

able to sits safely and securely for 2 minutes 4 no hands and stabilises independently 4 able to sit 2 minutes under supervision 3 stand independently using hands 3 able to sit 30 seconds 2 stand using hands after several tries 2 Able to sit 10 seconds 1 minimal assistance to stand or stabilise 1 Unable to sit without support for 10 seconds 0 moderate or maximal assistance to stand 0

Can you standing unsupported Stand unsupported with feet together

Able to stand safely for 2 minutes 4 feet together independently, stand for > 1 m 4 Able to stand for 2 minutes with supervision 3 feet together independently, stand for 1m + SB 3 Able to stand 30 seconds unsupported 2 feet together independently, stand < 30 s 2 several tries to stand 30 seconds unsupported 1 Assistance to attain position, stand > 15 s 1 Unable to stand 30 seconds unassisted 0 Assistance to attain position, stand < 15s 0

Stand unsupported with eyes closed Reach forward with outstretched arm

Able to stand 10 seconds safely 4 Can reach forward confidently > 26cm 4 Able to stand 10 seconds with supervision 3 Can reach forward > 13 cm 3 Able to stand 3 seconds 2 Can reach forward >5 cm 2 Eyes closed < 3 seconds but stays steady 1 Reaches forward but needs supervision 1 Needs help to keep from falling 0 Needs help to keep from falling 0

Transfers from chair to chair Stand to sitting

transfers safely with minor use of hands 4 Sits safely with minimal use of hands 4 transfers safely with definite need of hands 3 Controls descent by using hands 3 transfers with verbal cueing and/or SB 2 Uses back of legs against chair to control descent

Needs one person to assist 1 Sits independently, uncontrolled descent 1 two people to assist or supervise to be safe 0 Needs assistance to sit 0

Pick up object from the floor Look over left and right shoulder

Able to pick up object safely and easily 4 Look behind from both sides + weight shift 4 Able to pick up object but needs SB 3 Looks behind one side only, - weight shift 3 Unable to pick up but keeps balance 2 Turns sideways only but maintains balance 2 Unable to pick up and needs SB 1 Needs SB when turning 1 Unable to try and max assist 0 Needs assistance while turning 0

Turn 360 degrees, left and right side Alternate stepping on 26cm stool

Able to turn 360 degrees < 4s 4 Safely completes 8 steps < 20s 4 Able to turn 360 degrees one side only < 4s 3 Safely completes 8 steps > 20s 3 Able to turn 360 degrees safely and slowly 2 Completes 4 steps without aid + SB 2 Needs close SB or verbal cueing 1 Completes 2 steps needs minimal assistance 1 Needs assistance while turning 0 Needs assistance to keep from falling 0

Stand unsupported with foot in front Stand on one leg (weakest)

Tandem step independently > 30s 4 Able to lift leg independently, hold > 10s 4 Foot in front > 30s 3 Able to lift leg independently, hold > 5s 3 Small step in front > 30s 2 Able to lift leg independently, hold > 3s 2 Needs help to step, hold for > 15s 1 Attempts to lift leg independently, hold < 3s 1 Loses balance while stepping or standing 0 Unable to try 0

TOTAL SCORE: ____________________________________

49/56 = for those who walk without a stick indoors

48/56 = for those who walk with a stick outdoors only

45/56 = for those who use a stick indoors

33/56 = for those who use a walker indoors