Dynamic Balance Grading

Normal

Accepts maximal challenges, no loss of balance, and no external support. Can shift weight easily out of base of support in all directions including well beyond arm’s length.

Good+

Maintains balance against maximal challenges and no external support. Reaches well beyond the base of support in multiple directions without external support.

Good

Maintains balance against moderate challenges and no external support. Reaches beyond arm’s length or toward moderately distant objects without losing balance.

Good-

Maintains balance against minimal challenges and no external support. Reaches for nearby objects while shifting weight slightly toward the limits of stability.

Fair+

Maintains balance against minimal challenges with support. Uses a stable support surface or AD and reaches a short distance beyond the base of support.

Fair

Maintains balance and no challenges with support. Reaches for objects within the base of support.

Fair-

Minimal assist to maintain balance. Reaches with minimal assistance but demonstrates impaired postural control.

Poor+

Requires moderate assistance to maintain balance with reaching limited by difficulty maintaining postural stability.

Poor

Requires maximal assistance to maintain balance and prevent loss of balance during minimal reaching movements.

Zero

Unable to maintain balance, requires total assist. Cannot maintain the position during reaching without total physical assistance.