Four standing positions, 10 seconds each, guided step by step with a timer. Do it with a helper beside you.
The 4-Stage Balance Test has four standing positions that get harder. You try to hold each one for 10 seconds. The CDC uses it to check standing balance.
Stand with your feet side by side, touching or close together.
This is a screening, not a diagnosis. It can point out a possible fall risk, but it can’t tell you for sure whether you will fall, or why. Only a licensed health care provider who examines you can do that. If you are worried about your balance, talk with your doctor or a physical therapist.
Source. Positions, instructions and cutoff from the CDC STEADI assessment The 4-Stage Balance Test: “An older adult who cannot hold the tandem stand for at least 10 seconds is at increased risk of falling.” cdc.gov/steadi/media/pdfs/STEADI-Assessment-4Stage-508.pdf. The Shirley Ryan AbilityLab Rehabilitation Measures Database has no entry for the 4-Stage Balance Test, so the CDC STEADI version and cutoff are used. Foot drawings are simple illustrations made for this page. Use of CDC materials does not imply CDC endorsement of Holsman Physical Therapy.
Next step: A Holsman physical therapist can check your balance in person and build a plan to help you stay steady. Book a free balance screening or call 1-855-465-7626.
Monday, Nov 16 – Friday, Nov 20, 2026 at all 17 Holsman clinics
A physical therapist checks your balance with the Berg Balance Scale, Timed Up and Go and 4-Stage Balance Test. It takes about 20 minutes. It’s free, and you don’t need insurance or a referral.
Our NO FALL PROTOCOL® assessment uses the same tests physical therapists use worldwide, and you leave with a plan. 17 clinics in North Jersey, the Bronx and Brooklyn, plus in-home visits.
The CDC says an older adult who cannot hold the tandem stand (one foot directly in front of the other, heel touching toe) for at least 10 seconds is at increased risk of falling.
Yes. You can hold your arms out or move your body to keep your balance, but don’t move your feet or hold onto anything. Keep your eyes open and don’t use a cane or walker.
No. Have a helper stand right next to you, ready to steady you. Stop if you feel dizzy or unsafe.
Talk with your doctor and ask about physical therapy for balance and walking. The CDC suggests physical therapy for gait and balance exercises, or an evidence-based program such as Tai Chi.
No. The test runs only in your web browser, and nothing is sent or stored.
Physical therapists at 17 locations across NJ & NYC. Same-week appointments available.
📞 Call 1-855-465-7626