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Berg Balance Scale (with instructions) - Physiopedia

Berg Balance Scale (with instructions) SITTING TO STANDINGINSTRUCTIONS: Please stand up. Try not to use your hand for support.( ) 4able to stand without using hands and stabilize independently( ) 3able to stand independently using hands( ) 2able to stand using hands after several tries( ) 1needs minimal aid to stand or stabilize( ) 0needs moderate or maximal assist to standSTANDING UNSUPPORTEDINSTRUCTIONS: Please stand for two minutes without holding on.( ) 4able to stand safely for 2 minutes( ) 3able to stand 2 minutes with supervision( ) 2able to stand 30 seconds unsupported( ) 1needs several tries to stand 30 seconds unsupported( ) 0unable to stand 30 seconds unsupportedIf a subject is able to stand 2 minutes unsupported, score full points for sitting unsupported. Proceed to item # WITH BACK UNSUPPORTED BUT FEET SUPPORTED ON FLOOR OR ON A STOOLINSTRUCTIONS: Please sit with arms folded for 2 minutes.

forward. The recorded measure is the distance forward that the fingers reach while the subject is in the most forward lean position. When possible, ask subject to use both arms when reaching to avoid rotation of the trunk.) ( ) 4 can reach forward confidently 25 cm (10 inches) ( ) 3 can reach forward 12 cm (5 inches)

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