Berg Balance Scale
Rate each task from 0 (unable) to 4 (independent).
1. Sitting to standing
0 - Unable
1 - Needs help
2 - Uses hands
3 - Independent with caution
4 - Independent
2. Standing unsupported
0 - Unable
1 - Needs help
2 - <30 sec
3 - <2 min
4 - ≥2 min
3. Sitting unsupported
0 - Unable
1 - Needs help
2 - <30 sec
3 - <2 min
4 - ≥2 min
4. Standing to sitting
0 - Unable
1 - Needs help
2 - Uses hands
3 - Independent with caution
4 - Independent
5. Transfers
0 - Needs help (2 people)
1 - Needs help (1 person)
2 - Uses hands
3 - Independent with caution
4 - Independent
6. Standing with eyes closed
0 - Unable
1 - Needs help
2 - <10 sec
3 - <30 sec
4 - ≥30 sec
7. Feet together unsupported
0 - Unable
1 - Needs help
2 - <30 sec
3 - Independent with caution
4 - ≥60 sec
8. Reaching forward with outstretched arm
0 - Unable
1 - Needs help
2 - <5 cm
3 - <12 cm
4 - ≥25 cm
9. Pick up object from floor
0 - Unable
1 - Needs help
2 - Independent with caution (uses support)
3 - Independent with caution (no support)
4 - Independent
10. Turning to look behind
0 - Unable
1 - Needs help (unable)
2 - Needs help (unstable)
3 - Independent with caution
4 - Independent
11. Turn 360 degrees
0 - Unable
1 - Needs help
2 - <4 steps each side
3 - >4 steps but independent
4 - ≤4 steps each side
12. Alternate foot on stool
0 - Unable
1 - Needs help
2 - <4 touches
3 - >4 touches but independent
4 - 8 touches in 20 sec
13. Tandem standing
0 - Unable
1 - Needs help
2 - <30 sec
3 - <60 sec
4 - ≥60 sec
14. Standing on one leg
0 - Unable
1 - Needs help
2 - <10 sec
3 - <30 sec
4 - ≥30 sec
Calculate
Total Score:
0
/ 56
-
Interpretation