Static/Dynamic Sitting Balance Grading

Static Sitting Balance Grades

• Normal Static Sitting: Maintains balance against maximal resistance.
• Good Static Sitting: Maintains balance against moderate resistance.
• Good-/Fair+ Static Sitting: Accepts minimal resistance when maintaining balance.
• Fair Static Sitting: Sits unsupported without loss of balance (LOB) and without upper extremity (UE) support, no resistance.
• Poor+ Static Sitting: Maintains sitting position with minimal assistance from an individual or chair.
• Poor Static Sitting: Unable to maintain balance, requires moderate to maximal support from an individual or chair.

Dynamic Sitting Balance Grades

• Normal Dynamic Sitting: Sits unsupported and shifts weight across the midline maximally.
• Good Dynamic Sitting: Sits unsupported and shifts weight across the midline moderately.
• Good-/Fair+ Dynamic Sitting: Sits unsupported and shifts weight across the midline minimally.
• Fair Dynamic Sitting: Minimal weight shifting ipsilateral/front, struggles to cross midline.
• Fair- Dynamic Sitting: Reaches to the ipsilateral side but cannot shift weight.
• Poor+ Dynamic Sitting: Sits unsupported with minimal assistance, reaches to the ipsilateral side, unable to shift weight.
• Poor Dynamic Sitting: Sits unsupported with moderate assistance, reaches ipsilateral/front, cannot cross midline.

Static Standing Balance Grades

• Normal Static Standing: Maintains standing balance against maximal resistance.
• Good Static Standing: Maintains standing balance against moderate resistance.
• Good-/Fair+ Static Standing: Maintains standing balance against minimal resistance.
• Fair Static Standing: Stands unsupported without UE support for 1-2 minutes, no LOB.
• Fair- Static Standing: Requires minimal assistance or UE support to stand without LOB.
• Poor+ Static Standing: Requires moderate assistance and UE support to maintain standing without LOB.
• Poor Static Standing: Requires maximal assistance and UE support to maintain standing balance without loss.

Dynamic Standing Balance Grades

• Normal Dynamic Standing: Stands independently and is able to shift weight and cross the midline maximally.
• Good Dynamic Standing: Stands independently while able to shift weight and cross the midline moderately.
• Good-/Fair+ Dynamic Standing: Stands independently and shifts weight across midline minimally.
• Fair Dynamic Standing: Stands independently, shifts weight, reaches ipsilaterally, but loses balance when crossing midline.
• Poor+ Dynamic Standing: Stands with minimal assistance, reaches ipsilaterally, unable to shift weight.
• Poor Dynamic Standing: Stands with moderate assistance, reaches ipsilaterally minimally, unable to cross midline.