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Berg Balance Scale Calculator

All 14 tasks with their 0–4 scoring, a live total out of 56, and a printable score sheet. For clinicians, trained helpers and caregivers working with a therapist.

⚠️ For clinicians and trained helpers

  • The Berg Balance Scale is meant to be given by a clinician, or by a helper who stands right beside the person the whole time.
  • Several tasks (eyes closed, turning in a circle, standing on one leg) can cause a loss of balance. Never do this test alone.
  • Stop if the person feels dizzy, has pain or can’t do a task safely. Score that task 0 and move on.
Your answers stay on your device. This tool runs only in your web browser. Nothing you enter is sent to us, saved or shared. Close the page and it’s gone.

Score all 14 tasks from 0 to 4. The total out of 56 updates as you go. When you’re done, print it or save it as a PDF. It takes about 15 to 20 minutes.

Equipment and scoring rules

14 tasks · about 15–20 minutes · no special training required.

⏱️ Stopwatch
🪑 A standard-height chair (18–20 in) with armrests
🪑 A standard-height chair (18–20 in) without armrests (or a bed)
🪞 A step or stool 7¾–9 inches high
📏 A ruler (marks at 2, 5 and 10 in / 5, 12 and 25 cm)
👟 A slipper or a shoe
  • Show or explain each task, and give the instructions as written.
  • Mark the lowest score that applies for each task.
  • Points come off for needing supervision or help, or for taking longer than the allotted time. Supervise if there is excessive sway or a safety concern.
  • No cane or walker during testing. If a task can’t be done without one, score it 0.
  • The person picks which leg to stand on (item 14) and which foot goes in front (item 13).
1. Sitting to standing

Patient is seated in a free standing, standard height chair (18-20 in) with arm rests.

Instructions: Please stand up, try not to use your hands for support.

2. Standing unsupported

Patient is standing quietly with feet shoulder width apart on a solid surface. Examiner has stopwatch in hand. If a subject is able to stand 2 minutes unsupported, score full points for sitting unsupported (item 3). Proceed to item 4.

Instructions: Please stand for 2 minutes without holding on.

3. Sitting with back unsupported

Patient is seated, back unsupported but feet supported on floor or a stool. Examiner has stopwatch in hand.

Instructions: Please sit with arms folded for 2 minutes.

4. Standing to sitting

Patient is standing quietly in front of a chair with arm rests.

Instructions: Please sit down.

5. Transfers

Arrange two chairs at approximately 90 degrees for a pivot transfer. You may use two chairs (one with arm rests and one without) or a bed and a chair with arm rests. Ensure that the patient will transfer both directions and that they will be transferring from one surface without arm rests and one surface with arm rests.

Instructions: Please transfer from this chair, with armrests, to that chair, without arm rests, and back again.

6. Standing unsupported with eyes closed

Patient is standing quietly. Examiner has stopwatch in hand.

Instructions: Please close your eyes and stand still for 10 seconds.

7. Standing unsupported with feet together

Patient is standing quietly with feet together. Examiner has stopwatch in hand. If bony or soft tissue restrictions limit standing with the feet together, instruct the patient to place the heels and toes as close together as possible.

Instructions: Place your feet together and stand without holding on.

8. Reaching forward with outstretched arm while standing

Patient is standing quietly with both arms lifted to 90 degrees of shoulder flexion with fingers extended. If a shoulder impairment limits lifting the arms symmetrically, use only the arm that can be lifted to 90 degrees easily and painlessly. Examiner holds a ruler at the end of the fingertips (if the patient cannot extend the fingers, use the metacarpophalangeal joint). Fingers do not touch the ruler during the test. Use both arms to avoid trunk rotation; if one arm is used, cue the patient to limit trunk rotation. Examiner measures how far the patient can reach in the most forward lean position, without trunk rotation or losing balance.

Instructions: Lift arm to 90 degrees. Stretch out your fingers and reach forward as far as you can.

9. Pick up object from the floor from a standing position

Patient is standing quietly. A slipper or shoe is placed in front of the patient, close to the feet; the patient should be able to bend and easily reach it (this is not a test of forward reach). Do not substitute any object shorter or taller than a slipper toe box or shoe. Examiner watches how close the patient gets to the object and makes sure the patient is not using the back of the legs against a bed or chair.

Instructions: Pick up the shoe/slipper which is placed in front of your feet.

10. Turning to look behind over left and right shoulders

Patient is standing quietly. Examiner stands in front of the patient to assess trunk rotation and weight shift, and may pick an object directly behind the patient to encourage a better twist turn.

Instructions: Turn to look directly behind you over toward the left shoulder. Repeat to the right.

11. Turn 360 degrees

Patient is standing quietly. Examiner has stopwatch in hand and times each full turn.

Instructions: Turn completely around in a full circle. Pause. Then turn a full circle in the other direction.

12. Placing alternate foot on step or stool while standing unsupported

Patient is standing quietly. Examiner places a 7ΒΎ-9 inch step stool in front of the patient (or the patient stands in front of a flight of steps), stands close by to assist if needed, and times the task.

Instructions: Place each foot alternately on the step/stool. Continue until each foot has touched the step/stool four times.

13. Standing unsupported one foot in front

Patient is standing quietly. Examiner has stopwatch in hand. Demonstrate both full tandem and the foot-ahead stance. To score 3, the forward foot must completely pass the other foot and step width should be no wider than the shoulders.

Instructions: (Demonstrate to subject.) Place one foot directly in front of the other. If you feel that you cannot place your foot directly in front, try to step far enough ahead that the heel of your forward foot is ahead of the toes of the other foot.

14. Standing on one leg

Patient is standing quietly. Examiner has stopwatch in hand. The patient may choose which leg to stand on.

Instructions: Stand on one leg as long as you can without holding on with your hands. Do not let your lifted leg touch your standing leg.

Optional: Has this person fallen in the past year?

Not part of the 56-point score. Answering it lets the result use the fall-history cutoffs from Shumway-Cook et al. (1997).

Total score
0 / 56
0 of 14 tasks scored

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.

How to read the total

These cutoffs come from the Shirley Ryan AbilityLab Rehabilitation Measures Database (studies of older adults). They are the main result this tool shows.

TotalWhat the research says
56Functional balance (Berg et al., 1992)
45–55Not flagged by the under-45 cutoff. Any lost points are still worth discussing with a physical therapist.
Under 45May be at greater risk of falling (Berg et al., 1992)
Under 40Very high fall risk: linked with an almost 100% fall risk (Shumway-Cook et al., 1997)

Fall history matters. In community-dwelling older adults, a fall in the past year plus a score under 51, or no fall and a score under 42, predicted falls (Shumway-Cook et al., 1997; 91% sensitivity, 82% specificity). Answer the optional fall question above to apply this rule.

The Shirley Ryan AbilityLab notes that no common interpretation of Berg scores exists, so a physical therapist should read the score together with the rest of the exam.

For clinicians: risk bands for tracking progress

Many clinicians also use the traditional Berg bands to show a patient’s risk improving over time. The tool shows the band as a second line under the main result. When the two seem to disagree (for example, 41–44 is in the low-risk band but under the research cutoff of 45), the research cutoff above is the headline.

TotalClinician risk band
41–56Low fall-risk band
21–40Medium fall-risk band
0–20High fall-risk band

Traditional labels: 41–56 independent, 21–40 walking with assistance, 0–20 wheelchair. Meaningful change: moving up a band, or a change of at least the minimal detectable change (MDC), shows real improvement. In older adults the MDC is about 3 to 6 points depending on the starting score: 4.6 points (score 0–24), 6.3 (25–34), 4.9 (35–44), 3.3 (45–56) (Donoghue & Stokes, 2009, via the Shirley Ryan AbilityLab).

Primary source. Shirley Ryan AbilityLab Rehabilitation Measures Database, Berg Balance Scale: cutoffs (Berg et al., 1992: 56 functional balance, <45 greater fall risk; Shumway-Cook et al., 1997: fall history and <51 or no fall history and <42 predictive of falls, <40 almost 100% fall risk), MDC (Donoghue & Stokes, 2009), equipment, 14 items and 15–20 minute administration: sralab.org/rehabilitation-measures/berg-balance-scale. Item setup, instructions and 0–4 descriptors: the instrument SRALab links, the Academy of Neurologic Physical Therapy Core Measure form Berg Balance Scale (BBS) (reprinted with permission from author Katherine Berg): sralab.org (core-measure-berg-balance-scale PDF). Clinician risk bands (0–20 / 21–40 / 41–56): traditional Berg Balance Scale score-sheet bands, e.g. Brandeis University Roybal Center form: brandeis.edu/roybal/docs/Berg-Balance-Scale_Website.pdf.

Free event

Free NO FALL PROTOCOL® Balance Screening

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.

Common Questions

What is the Berg Balance Scale?

The Berg Balance Scale is a 14-task balance test used by physical therapists. Each task, such as standing up from a chair, turning in a circle or standing on one leg, is scored from 0 to 4. The highest total is 56.

What Berg score means a fall risk?

The Shirley Ryan AbilityLab lists these cutoffs for older adults: 56 indicates functional balance, and a score under 45 means a person may be at greater risk of falling (Berg et al., 1992). A score under 40 is linked with an almost 100% fall risk. With a fall in the past year, a score under 51 predicted falls; without one, a score under 42 did (Shumway-Cook et al., 1997).

What are the 0–20, 21–40 and 41–56 Berg bands?

They are the traditional Berg risk bands: 41 to 56 low, 21 to 40 medium and 0 to 20 high fall risk. Clinicians often use them to show progress over time. This tool shows the band as a second line for clinicians; the research cutoffs (such as under 45) are the main result.

How much change in the Berg score is meaningful?

In older adults the minimal detectable change is about 3 to 6 points depending on the starting score, often around 5 points (Donoghue & Stokes, 2009). Moving up a risk band also shows meaningful improvement.

Can I do the Berg Balance Scale at home?

It is designed to be given by a clinician. Some tasks can cause a loss of balance, so it should only be done with a trained helper standing right beside the person. For a simpler home check, try the 4-Stage Balance Test or the Fall Risk Self-Check.

How long does the Berg Balance Scale take?

About 15 to 20 minutes. You need a stopwatch, two standard-height chairs (one with and one without armrests), a 7¾ to 9 inch step or stool, a ruler and a slipper or shoe.

Can I save the score sheet?

Yes. Use the Print / Save as PDF button. Nothing is stored on our website: the scores stay in your browser until you close the page.

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