Berg Balance Scale

Patient Name:
Rater Name:   
Date:             

Balance Item

Rate the balance item for ability
between 0 (disabled) and 4 (able)
1. Sitting unsupported.
2. Change of position: sitting to standing
3. Change of position: standing to sitting
4. Transfers
5. Standing unsupported
6. Standing with eyes closed
7. Standing with feet together
8. Tandum standing
9. Standing on one leg
10. Turning trunk (feet fixed)
11. Retrieving objects from floor
12. Turning 360 degrees
13. Stool stepping
14. Reaching forward while standing

References:
Berg K, Wood-Dauphinee S, Williams JI, Maki, B: Measuring balance in the elderly: Validation of an instrument. Can.J.Pub.Health, July/August supplement 2: S7-11, 1992.
Berg K, Wood-Dauphinee S, Williams JI, Gayton D: Measuring balance in the elderly: Preliminary development of an instrument. Physiotherapy Canada, 41:304-311, 1989.
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