ASSESSMENT The 4-Stage Balance Test
The 4-Stage Balance Test An older adult who cannot hold the tandem stand for at least 10 seconds is at increased risk of falling To reduce their risk of falling, you might consider referring them to physical therapy for gait and balance exercises, or refer them to an evidence-based fall prevention program, such as Tai Chi
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2017
Stopping Elderly Accidents,
Deaths & Injuries
Centers for Disease
Control and Prevention
National Center for Injury
Prevention and Control
ASSESSMENT
Purpose:
To assess static balance
Equipment:
A stopwatch
Directions:
There are four standing positions that
get progressively harder to maintain. You should describe and demonstrate each position to the patient. Then, stand next to the patient, hold their arm, and help them assume the correct position. When the patient is steady, let go, and time how long they can maintain the position, but remain ready to assist the patient if they should lose their balance. If the patient can hold a position for 10 seconds without moving their feet or needing support, go on to the next position.If not,
STOP the test.
Patients should not use an assistive device (cane or walker) and they should keep their eyes open.The 4-Stage
Balance Test
An older adult who cannot hold the tandem stand for at least 10 seconds is at increased risk of falling. To reduce their risk of falling, you might consider referring them to physical therapy for gait and balance exercises, or refer them to an evidence-based fall prevention program, such as Tai Chi. 2017Stopping Elderly Accidents,
Deaths & Injuries
Centers for Disease
Control and Prevention
National Center for Injury
Prevention and Control
Stand with your feet side-by-side.
Time: _________ seconds
Place the instep of one foot so it is touching
the big toe of the other foot.Time: _________ seconds
Tandem stand: Place one foot in front of the
other, heel touching toe.Time: _________ seconds
Stand on one foot.Time: _________ seconds
I'm going to show you four positions.
Try to stand in each position for 10 seconds.
You can hold your arms out, or move your body to help keep your balance, but don't move your feet.For each position I will say,
"Ready, begin." Then, I will start timing. After 10 seconds, I will say, "Stop."ASSESSMENT CONTINUED
The 4-Stage
Balance Test
Instructions to the patient:
CDC's STEADI tools and resources can help you screen, assess, and intervene to reduce your patient's fall risk.