Test
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Score
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Sitting Balance
Leans or slides in chair (0) Steady, safe
(1)
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Arises
Unable without help (0) Able, uses arms to
help (1) Able without using arms (2)
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Attempts to Arise
Unable without help (0) Able, requires >1
attempt (1) Able to arise, 1 attempt (2)
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Immediate Standing Balance (first 5 seconds)
Unsteady (swaggers, moves feet, trunk sway) (0)
Steady, but uses walker or other support (1)
Steady without walker or other support (2)
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Standing Balance
Unsteady (0)
Steady, but wide stance (medial heels >4" apart) & uses
cane or other support (1)
Narrow stance without support (2)
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Nudged - examiner pushes lightly on patient's sternum
with palm of hand 3 times
Begins to fall (0) Staggers, grabs, catches
self (1) Steady (2)
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Eyes closed
Unsteady (0) Steady (1)
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Turning 360 degrees
Discontinuous steps (0) Continuous (1)
Unsteady (grabs, staggers) (0) Steady (1)
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Sitting down
Unsafe (misjudged distance, falls into chair) (0)
Uses arms or not a smooth motion (1)
Safe smooth motion (2)
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TOTAL SCORE (minimum = 0 maximum = 16)
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