Scoring Form For Fullerton Advanced Balance (Fab) Scale (Page 2 of 3) in pdf

Scoring Form For Fullerton Advanced Balance (Fab) Scale Page 2

California State University, Fullerton

Center for Successful Aging

*5. Tandem walk

( ) 0 Unable to complete 10 steps independently

( ) 1 Able to complete the 10 steps with more than five interruptions

( ) 2 Able to complete the 10 steps with three to five interruptions

( ) 3 Able to complete the 10 steps with one to two interruptions

( ) 4 Able to complete the 10 steps independently and with no interruptions

*6. Stand on one leg

( ) 0 Unable to try or needs assistance to prevent falling

( ) 1 Able to lift leg independently but unable to maintain position for more than 5 seconds

( ) 2 Able to lift leg independently and maintain position for more than 5 but less than 12

seconds

( ) 3 Able to lift leg independently and maintain position for 12 or more seconds but less

than 20 seconds

( ) 4 Able to lift leg independently and maintain position for the full 20 seconds

*7. Stand on foam with eyes closed

( ) 0 Unable to step onto foam or maintain standing position independently with eyes open

( ) 1 Able to step onto foam independently and maintain standing position but unable or

unwilling to close eyes

( ) 2 Able to step onto foam independently and maintain standing position with eyes closed

for 10 seconds or less

( ) 3 Able to step onto foam independently and maintain standing position with eyes closed

for more than 10 seconds but less than 20 seconds

( ) 4 Able to step onto foam independently and maintain standing position with eyes closed

for 20 seconds

Do not introduce test item #8 if test item #4 was not performed safely and/or it is

contraindicated to perform this test item (review test administration instructions for

contraindications). Score a zero and move to next test item.

8. Two-footed jump

( ) 0 Unwilling or unable to attempt or attempts to initiate two-footed jump, but one or both

feet do not leave the floor

( ) 1 Able to initiate two-footed jump, but one foot either leaves the floor or lands before the

other

( ) 2 Able to perform two-footed jump, but unable to jump farther than the length of their

own feet

( ) 3 Able to perform two-footed jump and achieve a distance greater than the length of

their own feet

( ) 4 Able to perform two-footed jump and achieve a distance greater than twice the length

of their own feet

Revised Sept 2008 (DR)

Scoring Form For Fullerton Advanced Balance (Fab) Scale Page 2