Balance Assessment

Easiest

Hardest

Activities specific Balance Confidence Scale (ABC) Activities specific Balance Confidence Scale (ABC) The ABC is an 11-point scale and ratings should consist of whole numbers (0-100) for each item.   Score Interpretation: 80% = high level of physical functioning 50-80% = moderate level of physical functioning < 50% = low level of physical functioning < 67% = older adults at risk for falling; predictive of future fall
One Legged Stance Test (OLST) The OLST measures an older adult’s balance abilities (non-institutionalized population). Stand, arms across the chest, eyes open. Lift one foot off the floor and time how long they can maintain balance. Stop the test at 30 seconds. See normative values on page:

Normative Values

60-64 38 34
65-69 24 24
70-74 18 20
75-79 11 12
80-86 11 10
Age Group
BESTest 95.7 91.4 85.4 79.4
Mini-BESTest 26.3 24.7 21.0 19.6

Easiest

Hardest

Tinetti Performance Oriented Mobility Assessment (POMA) Assesses both gait and balance activities by 9 balance tasks and 7 components of gait.   Each task is scored 0 (impaired), 1 or 2 (independent) Total Balance Score = 16; Total Gait Score = 12; Total Test Score = 28 Interpretation: 25-28 = low fall risk; 19-24 = medium fall risk; < 19 = high fall risk
Dynamic Gait Index This scale was designed to test eight facets of gait using a four-point ordinal scale, ranging from 0-3. (0 =lowest level of function; 3 =highest function; Total Score = 24)   Interpretation: < 19 = predictive of falls in the elderly > 22 = safe ambulators
Four Square Step Test (FSST) The FSST measures an older adult’s (65+) balance, incorporating quick change of directions which is predictive for risk of multiple falls Interpretation: >15 seconds considered a multiple faller
BESTest1 and Mini-BESTest2 Balance test to differentiate balance in six systems that may influence balance: biomechanical, stability limits, postural responses, anticipatory postural adjustments, sensory orientation, and dynamic balance during gait and cognitive effects. 1   Interpretation: <19 on Mini-BESTest predicts future falls (Parkinson’s Disease)3 <16 on Mini- BESTest = history of falls4 <82 on BESTest = history of falls5   Reliability: (BESTest inter-rater reliability: 0.916, Mini-BESTest inter-rater reliability 0.72-0.996).