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Objective: Balance Grading Review

Static Sitting Dynamic Sitting


Normal Able to maintain balance Normal Able to sit unsupported & weight shift
against maximal resistance across midline maximally

Good Able to maintain balance Good Able to sit unsupported & weight shift
against moderate resistance across midline moderately

G-/F+ Able to sit unsupported and weight


G-/F+ Accepts minimal resistance
shift across midline minimally

Fair Able to sit unsupported without Fair Minimal weight shifting


balance loss and without UE ipsilateral/front, difficulty crossing
support midline
Poor+ Able to maintain with minimal Fair- Reach to ipsilateral side and unable to
assistance from individual or weight shift
chair Poor+ Able to sit unsupported with min A and
reach to ipsilateral side, unable to
Poor Unable to maintain balance – weight shift
requires mod/max support Poor Able to sit unsupported with Mod A
from individual or chair and reach ipsilateral/front – can’t cross
midline
Objective: Balance Grading Review
Static Standing Dynamic Standing
Normal Able to maintain standing balance Normal Stand independently unsupported,
against maximal resistance able to weight shift and cross
midline maximally
Good Able to maintain standing balance Good Stand independently unsupported,
against moderate resistance able to weight shift and cross
G-/F+ Able to maintain standing balance midline moderately
against minimal resistance G-/F+ Stand independently unsupported,
able to weight shift across midline
Fair Able to stand unsupported without minimally
UE support and without LOB for 1- Fair Stand independently unsupported,
2 min weight shift, and reach ipsilaterally,
Fair- Requires Min A or UE support in LOB when crossing midline
order to stand without LOB
Poor+ Able to stand with Min A and reach
Poor+ Requires Mod A and UE support to ipsilaterally, unable to weight shift
maintain standing without balance
loss Poor Able to stand with Mod A and
Poor Requires Max A and UE support to minimally reach ipsilaterally, unable
maintain standing balance without to cross midline
loss
Movement Functional Range of Motion Measurement (in Normal Range of Motion
degrees) Measurement (in degrees)
Hip flexion Gait on level surfaces: 30 120
Ascending stairs: 47-66
Descending stairs: 45
Sitting in average chair: 112
Squatting: 115
Donning socks: 120
Knee flexion Gait on level surfaces: 63 135
Ascend stairs: 93-105
Descend stairs: 87-107
Rise from chair: 90
Sit in chair: 93
Tie shoes: 106
Lift object from floor: 117
Ankle dorsiflexion Gait on level surfaces: 10 20 (from neutral)
Ascending stairs: 14-27
Descending stairs: 21-36
Ankle Gait on level surfaces: 15 50 (from neutral)
plantarflexion Ascending stairs: 25-30
Descending stairs: 24-31
Shoulder flexion Reaching into high shelf: 148 180

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