Rating Scale Balance* | |||
| f | % | |
1. Sitting balance | Leans or slides in chair Steady, safe | 10 38 | 20.8 79.2 |
2. Rises from chair | Unable to without help Able, uses arms to help Able without use of arms | 14 15 19 | 29.2 31.2 39.6 |
3. Attempts to rise | Unable to without help Able, requires > 1 attempt Able to rise, 1 attempt | 12 7 29 | 25.0 14.6 60.4 |
4. Immediate standing Balance (first 5 seconds) | Unsteady (staggers, moves feet, trunk sway) Steady but uses walker or other support Steady without walker or other support | 15 7 26 | 31.2 14.6 54.2 |
5. Standing balance | Unsteady Steady but wide stance and uses support Narrow stance without support | 17 12 19 | 35.4 25.0 39.6 |
6. Nudged** | Begins to fall Staggers, grabs, catches self Steady | 17 10 21 | 35.4 20.8 43.8 |
7. Eyes closed** | Unsteady Steady | 29 19 | 60.4 39.6 |
8. Turning 360 degrees | Discontinuous steps Continuous Unsteady (grabs, staggers) Steady | 26 22 24 24 | 54.2 45.8 50.0 50.0 |
9. Sitting down | Unsafe (misjudged distance, falls into chair) Uses arms or not a smooth motion Safe, smooth motion | 11 16 31 | 22.9 12.5 64.6 |
Gait Assessment Scale*** | |||
| f | % | |
10. Indication of gait | Any hesitancy or multiple attempts No hesitancy | 16 32 | 33.4 66.6 |
11. Step length and height | a) Right foot Does not exceed the left foot Beyond the left foot Not completely out of the ground Completely out of the ground b) Left foot Does not exceed the right foot Exceeds the right foot Not completely out of the ground Completely out of the ground |
21 27 22 26
22 26 22 26 |
43.8 56.2 45.8 54.2
45.8 54.2 45.8 54.2 |
12. Step symmetry | Right and left step length not equal Right and left step length appear equal | 30 18 | 62.5 37.5 |
13. Step continuity | Stopping or discontinuity between steps Steps appear continuous | 28 20 | 58.3 41.7 |
14. Path | Marked deviation Mild/moderate deviation or uses w. aid Straight without w. aid | 22 10 16 | 45.8 20.8 33.4 |
15. Trunk | Marked sway or uses w. aid No sway but flex. knees or back or uses arms for stability No sway, flex., use of arms or w. aid | 19 8 21 | 39.6 16.7 43.8 |
16. Ankles distance | Separate ankles, ankles almost touch the floor | 34 14 | 70.8 29.2 |