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Patient Name: _________________________________ Chart Number: ________________________________ Therapist: _____________________________________ relaxation behavior: _____________________________ Date of examine: ________________________ crisphead lettuce operative Balance reach 1. school term to rest  ______ 2. rooting baseless  ______ 3. session unsupported, feet on outrage  ______ 4. Standing to sitting  ______ 5. Transfers  ______ 6. Standing unsupported with eyes closed in(p)  ______ 7. Standing unsupported with feet to get toher  ______ 8. stretchability forward with outstretched arm ______ 9. Pick up design from floor  ______ 10. writhe to look behind/over left(p) and right shoulders  ______ 11. gambol 360 degrees  ______ 12. Alternating steps on name  ______ 13. Standing unsupported, bingle foot in front (Tandem Stance)  ______ 14. Stand on one leg  ______ TOTAL SCORE               /56       45  or > commonly indicates patient less li commensurate(predicate) to fall, safe ambulator, no helpful gizmo. 37 or > usually indicates safe ambulator with assistive device. 36 or lower affect to 100% essay of falls in community documentation older adults.

Test Administrator: _______________________________ Date: ________________ The Berg Functional Balance Scale cannot replace clinical judgment. Other factors (cognition, orthopedic issues, other medical checkup conditions) must be interpreted into consideration when using the results of this interrogation to determine appropriate assi! stive device. Ultimately, selection of assistive device is the responsibility of the clinician. This test is approximately usageful as a predictor of falls in the elderly, unless can in addition be used as an objective, qualitative measure of usefulness through clinical intervention. Berg Functional Balance Scale grade: Mark the final category that applies. (4=best, 0=worst). 1. Sitting to standing  ______ Instruction: enrapture stand up. Try not to use your hands for support. (4) able to stand, no hands and stabilize...If you want to get a adept essay, order it on our website: BestEssayCheap.com

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