Activities-Specific Balance Confidence Scale

Original Editor - Your name will be added here if you created the original content for this page.

Top Contributors - Rucha Gadgil, Lauren Lopez, Kim Jackson and Lucinda hampton  

Objective[edit | edit source]

Activities-specific balance confidence (ABC) scale is a structured questionnaire that measures an individual’s confidence during ambulatory activities without falling or experiencing a sense of unsteadiness. It was developed in 1995 by Powell and Myers, and consists of 16 questions gauging the individual's confidence while doing activities.

Intended Population[edit | edit source]

The ABC scale is reported to be an accurate measure to identify individuals with a fall risk in populations of stroke, multiple sclerosis, Parkinson's, vestibular disorders, in elderly, and in other neurological conditions that can affect balance.

Method of Use[edit | edit source]

  • Its a 16-item questionnaire where patients' rate their confidence while doing activities.
  • Scoring from 0-100 (0 is no confidence and 100 is full confidence)
  • Paper survey, 5-10 mins for administration.
  • No Training required.
  • Permission needs to be obtained before use from the authors.

Questionnaire[edit | edit source]

The ABC Scale has 16 questions that require the patient to rate his/her confidence that he/she will not lose balance or become unsteady while performing the following activities:

  1. Walking around the house
  2. Walking up or down stairs
  3. Bending over to pick up a slipper from the front of a closet floor
  4. Reaching for a small can off a shelf at eye level
  5. Standing on tiptoes and reaching for something above his/her head
  6. Standing on a chair to reach for something
  7. Sweeping the floor
  8. Walking outside the house to a car parked in the driveway
  9. Getting into or out of a car
  10. Walking across a parking lot to the mall
  11. Walking up or down a ramp
  12. Walking in a crowded mall where people rapidly walk past
  13. Being bumped into people as they walk through the mall
  14. Stepping on to or off an escalator while holding onto a railing
  15. Stepping onto or off an escalator while holding onto parcels (so that they are not able to hold the railing)
  16. Walking outside on icy sidewalks

Versions[edit | edit source]

Apart from the 16-item questionnaire, there are two other versions of the scale:

  1. The short ABC scale:
  2. ABC-6 : https://statepi.jhsph.edu/wihs/wordpress/wp-content/uploads/2016/04/ABC6-1015.pdf

Evidence[edit | edit source]

Reliability[edit | edit source]

Validity[edit | edit source]

Responsiveness[edit | edit source]

Miscellaneous[edit | edit source]

German

Chinese

Shortened version of ABC

Stroke

LLA

Links[edit | edit source]

References[edit | edit source]