Core Outcome Measures

• The Berg Balance test should be performed in patients who have goals in improving both sitting and standing balance.
• Elderly patients that score below a 45 on the BERG have an increased fall risk
• No assistive devices can be used on the Berg
• There is a ceiling and floor effect seen with the Berg. It will not capture the worst of the worst nor the best of the best
• The Berg is a 5-point ordinal scale
• The chair height in the Berg must be 18-20 inches and the step stool must range between 7 and 3/4 to 9 inches.
• The MDC of the Berg in stroke patients is a 6.9
• The MCID is mixed neuro patients on the BERG is a 7
• The FGA is used to assess walking balance.
• The FGA is used for patients who have goals to improve balance while walking.
• A score of less than 22 in community dwelling elderly on the FGA indicates an increased risk of falls.
• No item on the FGA can be scored greater than 2 if the patient uses an assistive device.
• Items 5,6,7 and 10 on the FGA are scored as 0 if an assistive device is used.
• The general MCID of the FGA is greater than or equal to 4.
• No assistance can be given on the FGA>
• The ABC is a self-report outcome measure that assesses perceived confidence in performing 16 different functional activities.
• Older adults who score less than 67% on the ABC have an increased risk of falling.
• The ABC may only be scored if a patient responds at least 12 times.
• The MDC for stroke patients on the ABC is 14%.
• The 10-meter walk test should be used for patients with goals to improve gait speed.
• Walking speed of less than 0.7 m/s at their own pace indicates an increased risk of hospitalization and adverse events.
• Walking speed of less than 0.4 m/s is consistent with household level ambulation.
• Walking speed of 0.4-0.8 m/s are consistent with limited community ambulation.
• Walking speed greater than 0.8 m/s is consistent with unlimited community ambulation.
• Walking speed greater than 1.0 m/s is required in most large cities to safely navigate a crosswalk 
• The faster you walk, the more likely you are to live longer.
• Devices are permitted on the 10 meter walk test.
• If the patient needs maximum assist or more than two people to assist during the 10 meter walk test, they are scored a 0.
• The MCID for stroke is 0.16 on the 10-meter walk test.
• The 6 minute walk test is indicated for patients with goals in improving endurance.
• Devices are permitted on the 6 minute walk test.
• If a patient needs maximum assist or two or more people during the 6 minute walk test, they are given a 0.
• You should not speak to the patient during the 6 minute walk test.
• Standing rest breaks are okay during the 6 minute walk test.
• Seated rest breaks are not permitted, and the test must be stopped for the 6 minute walk test.
• The MDC for acute or subacute strokes on the 6 minute walk test is 61.
• The Five-time sit to stand test should be performed if the patient has goals to improve strength.
• Time greater than 15 seconds on the five-time sit-to-stand test is consistent with increased fall risk in the elderly.
• The chair height on the sit to stand test is 17 to 18 inches.
• Patient-stated goals will assist in identifying discrepancies between actual and perceived performance.