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The Activities-Specific Balance Confidence (ABC) Scale, Exercises of Physical Medicine and Rehabilitation (PM&R)

The ABC is an 11-point scale and ratings should consist of whole numbers (0-100) for each item. Total the ratings (possible range = 0 – 1600) and divide by 16 to get each subject’s ABC score

Typology: Exercises

2019/2020

Uploaded on 05/26/2024

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The Activities-Specific Balance Confidence (ABC) Scale
Patient Name: _________________________________ DOB: ___________ Date: ______________
For each of the following activities, please indicate your level of self-confidence by choosing a
corresponding number from the following rating scale:
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
No confidence ----------------------------------------------------------------------- Completely confident
“How confident are you that you will not lose your balance or become unsteady when you…
1. Walk around the house? ______%
2. Walk up or down stairs? ______%
3. Bend over and pick up a slipper (or item) from the front of a closet floor _____%
4. Reach for a small can off a shelf at eye level? _____%
5. Stand on your tiptoes and reach for something above your head? _____%
6. Stand on a chair and reach for something? _____%
7. Sweep the floor? _____%
8. Walk outside the house to a car parked in the driveway? _____%
9. Get into or out of a car? _____%
10. Walk across a parking lot to the mall (store)? _____%
11. Walk up or down a ramp? _____%
12. Walk in a crowded mall where people rapidly walk past you? _____%
13. Are bumped into by people as you walk through the mall? _____%
14. Step onto or off an escalator while you are holding onto a railing? _____%
15. Step onto or off an escalator while holding onto parcels such that you cannot
hold onto the railing? _____%
16. Walk outside on icy sidewalks? _____%
Instructions for Scoring:
The ABC is an 11-point scale and ratings should consist of whole numbers (0-100) for each item. Total the ratings
(possible range = 0 1600) and divide by 16 to get each subject’s ABC score.
Total Score: _______________________

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The Activities-Specific Balance Confidence (ABC) Scale

Patient Name: _________________________________ DOB: ___________ Date: ______________

For each of the following activities, please indicate your level of self-confidence by choosing a corresponding number from the following rating scale:

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% No confidence ----------------------------------------------------------------------- Completely confident

“How confident are you that you will not lose your balance or become unsteady when you…

  1. Walk around the house? ______%
  2. Walk up or down stairs? ______%
  3. Bend over and pick up a slipper (or item) from the front of a closet floor _____%
  4. Reach for a small can off a shelf at eye level? _____%
  5. Stand on your tiptoes and reach for something above your head? _____%
  6. Stand on a chair and reach for something? _____%
  7. Sweep the floor? _____%
  8. Walk outside the house to a car parked in the driveway? _____%
  9. Get into or out of a car? _____%
  10. Walk across a parking lot to the mall (store)? _____%
  11. Walk up or down a ramp? _____%
  12. Walk in a crowded mall where people rapidly walk past you? _____%
  13. Are bumped into by people as you walk through the mall? _____%
  14. Step onto or off an escalator while you are holding onto a railing? _____%
  15. Step onto or off an escalator while holding onto parcels such that you cannot hold onto the railing? _____%
  16. Walk outside on icy sidewalks? _____% Instructions for Scoring: The ABC is an 11-point scale and ratings should consist of whole numbers (0-100) for each item. Total the ratings (possible range = 0 – 1600) and divide by 16 to get each subject’s ABC score.

Total Score: _______________________