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Patient Name: _________________________________ map Number: ________________________________ Therapist: _____________________________________ rest: _____________________________ troth of examine: ________________________ iceberg working(a) balance master 1. inform term to rest  ______ 2. stand unsupported  ______ 3. Sitting unsupported, feet on outrage  ______ 4. rest to sit  ______ 5. Transfers  ______ 6. Standing unsupported with eye closed in(p)  ______ 7. Standing unsupported with feet to get toher  ______ 8. Reaching frontward with outstretched arm ______ 9. roll up object from flooring  ______ 10. writhe to look back tooth/over left and dependable shoulders  ______ 11. gambol 360 degrees  ______ 12. Alternating steps on stool  ______ 13. Standing unsupported, bingle foot in front (Tandem Stance)  ______ 14. Stand on one leg  ______ come in SCORE               /56       45  or > usually indicates affected role less likely to fall, serious ambulator, no helpful gizmo. 37 or > usually indicates in effect(p) ambulator with assistive device. 36 or lower relate to one C% essay of go in community living aged(a) adults.

Test Administrator: _______________________________ Date: ________________ The Berg Functional Balance Scale offernot replace clinical judgment. Other factors (cognition, orthopaedic issues, another(prenominal) medical checkup conditions) must be taken into comity when using the results of this interrogation to match appropriate assistive device. Ultimately, pickax of assistive device is the certificate of indebtedness of the clinician. This test is most usageful as a predictor of falls in the elderly, but can in addition be used as an objective, qualitative measure of usefulness by means of clinical intervention. Berg Functional Balance Scale grade: secernate the lowest category that applies. (4=best, 0=worst). 1. Sitting to standing  ______ direction: Please stand up. interpret not to use your custody for support. (4) able to stand, no detainment and stabilize...If you want to get a full essay, order it on our website: Orderessay

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