The Activities-Specific Balance Confidence (ABC) Scale is a survey for patients to record levels of confidence in a variety of activities. The Haas Balance Book is a collection of over 100 exercises to improve balance. Based on results of the ABC Scale, exercises can be selected (from the book or elsewhere) that target survey items with a low score. Exercises that more closely simulate the low-scoring items have a higher potential for a positive training benefit/outcome. For example, if patient scored low on Item 2 (going up and down stairs), exercises can be chosen that require motions similar to going up and down stairs (Exercises 52, 57, 74, & 82 from the book). The crosswalk below references exercises from Haas Balance Book to items on the ABC Scale:
Each item on the ABC Scale asks "how certain are you that you will not lose your balance or become unsteady when…" performing the activities listed below (ITEMS 1-16). Corresponding exercises from the Haas Balance Book are listed below each item:
ITEM 1: Walking around the house
Exercise 40: Standard Gait
Exercise 41: Gait – Side Steps
Exercise 43: Gait – Cross-Over Steps
Exercise 44: Gait - High Steps
Exercise 48: Gait + Head Movements (Turns or Tilts)
Exercise 51: Gait Over Obstacles
Exercise 52: Gait On Obstacles
Exercise 53: Gait Around Obstacles
Exercise 60: Pivoting Drills
Exercise 78: Randomized Turning
Exercise 81: Randomized Gait – Forward/Backward
ITEM 2: Going up and down stairs
Exercise 52: Gait On Obstacles
Exercise 57: Stepping On/Off Obstacles
Exercise 74: Randomized Stepping On/Off Obstacles
Exercise 82: Randomized Gait + Uneven Surfaces
ITEMS 3-5: Picking up a slipper from the floor, Reaching at eye level, & Reaching for something while standing on you tiptoes
Exercise 7: Weight Shifting – Forward & Back
Exercise 8: Weight Shifting – Hip Swivels
Exercise 9: Ankle Strategy
Exercise 10: Hip Strategy
Exercise 12: Standing + Reaching Up
Exercise 13: Standing + Reaching Overhead
Exercise 14: Standing + Far Reach
Exercise 71: Randomized Reaching
Exercise 88: Placing Games
Exercise 89: Scrambler
Exercise 90: Unscrambler
Exercise 91: Match Maker
Exercise 92: Line Up
Exercise 93: Simon – Upper Extremity
Exercise 95: Cashier
Exercise 96: Copy Cat
Exercise 97: Chasing the Pin
ITEM 6: Standing on a chair to reach for something
Same exercises as ITEMS 3-5
Exercise 16: Feet Together
ITEM 7: Sweeping the floor
Exercise 5: Weight Shifting - Lateral
Exercise 6: Weight Shifting - Rotations
Exercise 7: Weight Shifting – Forward & Back
Exercise 60: Pivoting Drills
Exercise 78: Randomized Turning
ITEM 8: Walking outside to a nearby car
Same exercises as ITEMS 3-5
Exercise 45: Gait on Soft Surfaces
Exercise 47: Gait on Slope
Exercise 48: Gait + Head Movements (Turns or Tilts)
ITEM 9: Getting in/out of car
Exercise 26: Sit-Stands
Exercise 72: Randomized Sit-Stands
ITEM 10: Walking across a parking lot
Same as Item 8
ITEM 11: Walking up and down a ramp
Exercise 47: Gait on Slope
ITEM 12 & 13: Walking in a crowded mall, Being bumped while walking in a crowd
Exercise 64: Manual Perturbations
Exercise 65: Hand Pull-Release Perturbations
Exercise 66: Pulley Perturbations
Exercise 67: Elastic Band Perturbations
Exercise 68: Rocker Board Perturbations
Exercise 69: Holding Unstable Object
ITEMS 14-16: Using an escalator while holding the rail, Using an escalator while not holding the rail, and Walking on icy sidewalks
No corresponding exercises in Haas Balance Book for these items.
Other Crosswalks:
Crosswalk #1: Berg Balance Scale & Haas Balance Book
Crosswalk #2: Dynamic Gait Index and Haas Balance Book
Crosswalk #3: Tinetti Performance Assessment and Haas Balance Book