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BERG BALANCE TEST, Exercises of Clinical Medicine

BERG BALANCE TEST. Name: ... Berg K, Wood-Dauphinee S, Williams JI, Maki, B: Measuring balance in the elderly: Validation of an instrument. Can. J. Pub.

Typology: Exercises

2021/2022

Uploaded on 09/12/2022

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BERG BALANCE TEST
Name: __________________________________ Date: ___________________
Age: ____ Sex: ____ Diagnosis: ______________________
Contact no.: _________________ Address: ______________________________
Location: ________________________________ Rater: ___________________
Interpretation
020 : Wheelchair bound
2140 : Walking with assistance
4156 : Independent
S.N.
Item Description
Date
Score [0-4]
1
Sit to stand
2
Standing Unsupported
3
Sitting Unsupported
4
Standing to sitting
5
Transfers
6
Standing with eyes closed
7
Standing with feet together
8
Reaching forward with outstretched arms
9
Retrieving object from ground
10
Turning to look behind
11
Turning 360 degrees
12
Placing alternate foot on stool
13
Standing with one foot in front
14
Standing on one foot
Total
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BERG BALANCE TEST

Name: __________________________________ Date: ___________________

Age: ____ Sex: ____ Diagnosis: ______________________

Contact no.: _________________ Address: ______________________________

Location: ________________________________ Rater: ___________________

Interpretation

 0 – 20 : Wheelchair bound  21 – 40 : Walking with assistance  41 – 56 : Independent

S.N. Item Description

Date

Score [0-4]

1 Sit to stand

2 Standing Unsupported

3 Sitting Unsupported

4 Standing to sitting

5 Transfers

6 Standing with eyes closed

7 Standing with feet together

8 Reaching forward with outstretched arms

9 Retrieving object from ground

10 Turning to look behind

11 Turning 360 degrees

12 Placing alternate foot on stool

13 Standing with one foot in front

14 Standing on one foot

Total

References

  1. 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
  2. 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.