Balance Assessment

#BALANCE

Berg Balance Score Test (BBS)

The Berg Balance Score test is the best-known balance measurement tool, originally designed to measure balance in older adults.

Standing On One Leg

Stand with one leg

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Standing With Feet Together

Stand in front of the camera with feet together without holding.

Standing Unsupported One Foot In Front

Stand with one foot in front of the other.

Standing With Eyes Closed

Stand still in front of the camera with eyes closed for 10 seconds.

Standing Unsupported

Stand in front of the camera for 2 minutes without holding.

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Sitting With Back Unsupported

Sit in front of the camera for 2 minutes with arms folded. Back should be unsupported but feet supported on the floor or on a stool.

Reaching Forward With Outstretched Arm

Lift arm to 90°. Stretch out your fingers and reach forward as far as you can.

Sitting to Standing

Start with sitting and then stand up without support.

Standing to Sitting

Start with standing and then sit down without support.

Transfers

Arrange chairs (one with and one without

armrests) for a pivot transfer. Ask subject to

transfer one way towards a seat with

armrests and one way toward a seat without

armrests.

Retrieving Object From Floor

Pick up the object which is placed in front of your feet from a standing position.

Turning To Look Behind

Turn to look directly behind you over toward left shoulder while standing. Repeat to the right.

Turn 360°

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

Placing Alternate Foot On Step

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

Dynamic Balance

The ability to maintain stability while moving.

Limit of Stability

This protocol measures several movement characteristics in 8 different directions – front, forward/right, right, backward/right, backward, backward/left, left, and forward/left. The patient controls their centre of mass while we measure the extent to which they are able to shift their centre of mass in each direction.

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Timed Up and Go Test

Starts in a seated position. Stands up upon verbal and audio command: walks 3 meters, turns around, walks back to the chair and sits down. The time stops when seated.

Multi-planar Lunge to Balance

Stand with feet shoulders-width apart and pointing straight ahead. Hips should be in a neutral position. Lunge to the side with toes pointed straight in the intended direction and knee directly over the toes.

To return to starting position, push away from front

foot through heel onto back leg and maintain

balance on the back leg.

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Multi-planar Lunge to Balance (Side)

Stand with feet shoulders-width apart and pointing straight ahead. Hips should be in a neutral position. Lunge and turn 90° with toes pointed straight in the intended direction and knee directly over the toes.

To return to starting position, push away from front

foot through heel onto back leg and maintain

balance on the back leg.

Multi-planar Lunge to Balance (Front)

Stand with feet shoulders-width apart and pointing straight ahead. Hips should be in a neutral position. Lunge forward with toes pointed straight in the intended direction and knee directly over the toes. To return to starting position, push away from front foot through heel onto back leg and maintain balance on the back leg.

Static Balance

The ability to hold still while maintaining a particular posture.

Standing at Shoulder Width

Stand in front of the camera with feet at shoulder width.

Semi-Tandem Stance

Stand with one foot slightly in front of the other.

Single-leg Balance

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Single-leg Balance Reach

Stand with feet shoulders-width apart and pointing straight ahead. Hips should be level and in a neutral position. Lift one leg directly beside balance leg. Move lifted leg to the front of the body. Hold for a few seconds.

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Single-leg Hip Rotation

Stand with feet shoulders-width apart and pointing straight ahead. Hips should be in a neutral position. Lift one leg while maintaining optimal alignment, including level hips and shoulders. Slowly rotate hip of lifted leg, internally and externally, holding each end position for a few seconds.

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Single-leg Squat

Stand with feet shoulders-width apart and pointing straight ahead. Hips should be in a neutral position. Lift one leg directly beside balance leg. Maintain optimal alignment, including level hips and shoulders. Slowly squat as if sitting in a chair, flexing at hips, knees, and ankles. Lower to first point of compensation. Hold for a few seconds before slowly standing upright.

Single-leg Squat Touchdown

Stand with feet shoulders-width apart and pointing straight ahead. Hips should be in a neutral position. Lift one leg directly beside balance leg. Slowly squat as if sitting in a chair, reaching hand opposite of balance leg toward foot. Hold for a few seconds before slowly stand upright.

Single-leg Romanian Deadlift

Stand with feet shoulders-width apart and pointing straight ahead. Hips should be in a neutral position. Lift one leg directly beside balance leg. Bend from the waist and slowly reach hand down toward the toes of the balance leg. It is important to keep the spine in a neutral position and avoid hunching over. Hold for a few seconds before slowly stand upright.