Scoring Form For Fullerton Advanced Balance (Fab) Scale printable pdf download

Scoring Form For Fullerton Advanced Balance (Fab) Scale

California State University, Fullerton

Center for Successful Aging

Scoring Form for

Fullerton Advanced Balance (FAB) Scale

Name:

Date of Test: ____________

1. Stand with feet together and eyes closed

( ) 0 Unable to obtain the correct standing position independently

( ) 1 Able to obtain the correct standing position independently but unable to maintain the position or

keep the eyes closed for more than 10 seconds

( ) 2 Able to maintain the correct standing position with eyes closed for more than 10 seconds but

less than 30 seconds

( ) 3 Able to maintain the correct standing position with eyes closed for 30 seconds but requires close

supervision

( ) 4 Able to maintain the correct standing position safely with eyes closed for 30 seconds

2. Reach forward to retrieve an object (pencil) held at shoulder height with outstretched arm

( ) 0 Unable to reach the pencil without taking more than two steps

( ) 1 Able to reach the pencil but needs to take two steps

( ) 2 Able to reach the pencil but needs to take one step

( ) 3 Can reach the pencil without moving the feet but requires supervision

( ) 4 Can reach the pencil safely and independently without moving the feet

3. Turn 360 degrees in right and left directions

( ) 0 Needs manual assistance while turning

( ) 1 Needs close supervision or verbal cueing while turning

( ) 2 Able to turn 360 degrees but takes more than four steps in both directions

( ) 3 Able to turn 360 degrees but unable to complete in four steps or fewer in one direction

( ) 4 Able to turn 360 degrees safely taking four steps or fewer in both directions

*4. Step up onto and over a 6-inch bench

( ) 0 Unable to step up onto the bench without loss of balance or manual assistance

( ) 1 Able to step up onto the bench with leading leg, but trailing leg contacts the bench or

leg swings around the bench during the swing-through phase in both directions

( ) 2 Able to step up onto the bench with leading leg, but trailing leg contacts the bench or

swings around the bench during the swing-through phase in one direction

( ) 3 Able to correctly complete the step up and over in both directions but requires close

supervision in one or both directions

( ) 4 Able to correctly complete the step up and over in both directions safely and indepen-

dently

Revised Sept 2008 (DR)

Scoring Form For Fullerton Advanced Balance (Fab) Scale