Crosswalk #4: Activities-Specific Balance Confidence Scale and Haas Balance Book

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