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4-stage balance test

How steady is your balance when you stand? In this test you try to hold each of four increasingly difficult positions for 10 seconds. The US Centers for Disease Control and Prevention (CDC) uses it to assess fall risk in older adults: not being able to hold the tandem stand in stage three for 10 seconds indicates an increased risk of falling. Try it with someone beside you, using the stopwatch below.

Last updated: 18 October 2026

4 positionsEach harder than the one before
10 secondsHow long to hold each position
Stage 3Not holding the tandem stand for 10 seconds is a sign of fall risk
Eyes openWithout a walking stick or walker

Measure yourself

Try it with the timer

Stand next to a wall or worktop, with the other person close enough to catch you if needed. Once you are in position and steady, start the timer.

Stage 1

Side-by-side stand

Stand with your feet side by side, touching each other.

–Side-by-side
–Semi-tandem
–Tandem
–One foot
0.0seconds

Ready

Get into position and start once you feel steady.

Your results are not sent anywhere.

How to do it

  1. Side-by-side stand: Stand with your feet side by side, touching each other.
  2. Semi-tandem stand: Move one foot slightly forwards so that its instep touches the big toe of the other foot.
  3. Tandem stand: Put one foot directly in front of the other, so that the heel of the front foot touches the toes of the back foot.
  4. One-foot stand: Stand on one foot.

If you can hold a position for 10 seconds, move on to the next; if you cannot, the test ends there.

Doing it safely

  • Have someone stand beside you; at first they can hold your arm to help you get into position.
  • Do not use a walking stick or walker, and keep your eyes open.
  • You may move your arms and body; do not move your feet.
  • Do the test next to a wall or worktop; if you feel dizzy, hold on straight away.

Improve your balance

Four exercises at home

For detailed advice, see the fall prevention guide; to check your fall risk with a questionnaire, see the fall risk check.

Heel-to-toe walking

Heel-to-toe walking

Walk along the counter or a wall, keeping one hand ready to steady yourself. With each step, place the heel of your front foot just in front of the toes of your back foot, and keep your eyes looking ahead. Follow a straight line, as if walking a tightrope.

10–15 steps, 2–3 rounds
Standing on one leg

Standing on one leg

Stand upright in front of the kitchen counter, holding on lightly with one or both hands. Lift one foot off the floor by bending the knee back, and keep your balance. As it gets easier, hold on with one hand, then with just your fingertips.

10–15 seconds, 3–5 times on each foot
Heel raises holding the counter

Heel raises

Stand tall, holding lightly onto a worktop. Rise up onto your toes, then lower slowly. When it gets easy, try it on one foot.

10–15 reps, 2–3 sets
Sit-to-stand from a chair

Sit-to-stand from a chair

The test itself is its best exercise. On a sturdy chair without armrests, with your arms crossed over your chest, stand up and sit down at a controlled pace. If this is too hard, start by pushing up with your arms or by using a higher chair.

8–12 repetitions, 2–3 sets, 2–3 days a week

Frequently asked questions

Why does the tandem stand matter so much?

The US Centers for Disease Control and Prevention (CDC) states that older adults who cannot hold the tandem stand (one foot directly in front of the other) for at least 10 seconds are at increased risk of falling. In that case, referral to a physiotherapist for balance and walking exercises, or to a proven fall prevention programme such as tai chi, is recommended.

What happens if I move my feet?

If your feet move or you have to hold on to something, the timer stops for that stage and the test ends. You may move your arms and body; only your feet need to stay in place.

I couldn’t pass the one-foot stage. Is that a problem?

Standing on one foot is the hardest of the four. To compare with others your age, see our 10-second balance test page.

Sources

  1. Centers for Disease Control and Prevention (STEADI). Assessment: The 4-Stage Balance Test. 2017.

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