Berg Balance Scale

Name

First Last

Date

Patient Age

1. Sitting to standing

4- able to stand without using hands and stabilize independently
3- able to stand independently using hands
2- able to stand using hands after several tries
1- needs minimal aid to stand or stabilize
0- needs moderate or maximal assist to stand

Please stand up. Try not to use your hand for support

2. Standing unsupported

4- able to stand safely for 2 minutes
3- able to stand 2 minutes with supervision
2- able to stand 30 seconds unsupported
1- needs several tries to stand 30 seconds unsupported
0- unable to stand 30 seconds unsupported

Please stand for two minutes without holding on

3. Sitting with back unsupported but feet supported on floor or on a stool

4- able to sit safely and securely for 2 minutes
3- able to sit 2 minutes under supervision
2- able to sit 30 seconds
1- able to sit 10 seconds
0- unable to sit without support 10 seconds

Please sit with arms folded for 2 minutes.

4. Standing to sitting

4- sits safely with minimal use of hands
3- controls descent by using hands
2- uses back of legs against chair to control descent
1- sits independently but has uncontrolled descent
0- needs assist to sit

Please sit down.

5. Transfers

4- able to transfer safely with minor use of hands
3- able to transfer safely definite need of hands
2- able to transfer with verbal cuing and /or supervision
1- needs one person to assist
0- needs two people to assist or supervise to be safe

Arrange chair(s) for pivot transfer. Ask subject to transfer one way toward a seat with armrests and one way toward a seat without armrests. You may use two chairs (one with and one without armrests) or a bed and a chair.

6. Standing unsupported with eyes closed

4- able to stand 10 seconds safely
3- able to stand 10 seconds with supervision
2- able to stand 3 seconds
1- unable to keep eyes closed 3 seconds but stays safely
0- needs help to keep from falling

Please close your eyes and stand still for 10 seconds.

7. Standing unsupported with feet together

4- able to place feet together independently and stand 1 minute safely
3- able to place feet together independently and stand 1 minute with supervision
2- able to place feet together independently but unable to hold for 30 seconds
1- needs help to attain position but able to stand 15 seconds feet together
0- needs help to attain position and enable to hold for 15 seconds

Place your feet together and stand without holding on.

8. Reaching forward with outstretched arm while standing

4- can reach forward confidently 25 cm (10 inches)
3- can reach forward 12 cm (5 inches)
2- can reach forward 5 cm (2 inches)
1- reaches forward but needs supervision
0- loses balance while trying/requires external support

Lift arm to 90 degrees. Stretch out your fingers and reach forward as far as you can. (Examiner places a ruler at the end of fingertips when arm is at 90 degrees. Fingers should not touch the ruler while reaching 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.)

9. Pick up object from the floor from a standing position

4- able to pick up slipper safely and easily
3- able to pick up slipper but needs supervision
2- unable to pick up but reaches 2-5 cm (1-2 inches) from slipper and keeps balance independently
1- unable to pick up and needs supervision while trying
0- unable to try/needs assist to keep from losing balance or falling

Pick up the shoe/slipper, which is in front of your feet.

10. Turning to look behind over left and right shoulders while standing

4- looks behind from both sides and weight shifts well
3- looks behind one side only other side shows less weight shift
2- turns sideways only but maintains balance
1- needs supervision when turning
0- needs assist to keep from losing balance or falling

Turn to look directly behind you over toward the left shoulder. Repeat to the right. (Examiner may pick an object to look at directly behind the subject to encourage a better twist turn.)

11. Turn 360 degrees

4- able to turn 360 degrees safely in 4 seconds or less
3- able to turn 360 degrees safely one side only 4 seconds or less
2- able to turn 360 degrees safely but slowly
1- needs close supervision or verbal cuing
0- needs assistance while turning

Turn completely around in a full circle. Pause. Then turn a full circle in the other direction.

12. Place alternate foot on step or stool while standing unsupported

4- able to stand independently and safely and complete 8 steps in 20 seconds
3- able to stand independently and complete 8 steps in >20 seconds
2- able to complete 4 steps without aid with supervision
1- able to complete >2 steps needs minimal assist
0- needs assistane to keep from falling/unable to try

Place each foot alternately on the step/stool. Continue until each foot has touched the step/stool four times.

13. Standing unsupported one foot in front

4- able to place foot tandem independently and hold 30 seconds
3- able to place foot ahead independently and hold 30 seconds
2- able to take small step independently and hold 30 seconds
1- needs help to step but can hold 15 seconds
0- loses balance while stepping or standing

(Demonstrate to subject) Place one foot directly in front of the other. If you feel that you cannot place your foot directly in front, try to step far enough ahead that the heel of your forward foot is ahead of the toes of the other foot. (To score 3 points, the length of the step should exceed the length of the other foot and the width of the stance should approximate the subject's normal stride width.)

14. Standing on one leg

4- able to lift leg independently and hold > 10 seconds
3- able to lift leg independently and hold 5-10 seconds
2- able to lift leg independently and hold for greater than or equal to 3 seconds
1- tries to lift leg unable to hold 3 seconds but remains standing independently.
0- unable to try or needs assist to prevent fall

Stand on one leg as long as you can without holding on.

Berg Score as a percent of 100-

The number is the total score divided by 100 indicating the risk of not falling. A score above 80% indicates low-risk o falling and no dependency on an assistive device

Call Us

Email Us

Berg Balance Scale

ONLINE HASSLE FREE APPOINTMENT BOOKING

Presets Color