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. 2009 Feb;4(1):21–28.

Table 2.

Step Down Test (20 cm/8 in box) Scoring Criteria

Arm Strategy
    If subject used an arm strategy in an attempt to recover balance
1 point
Trunk Movement:
    Trunk lean to side
1 point
Pelvis Plane:
    If pelvis rotated or elevated one side compared with the other
1 point
Knee Position:
    Knee deviates medially and tibial tuberosity crossed an imaginary vertical line over either;
        the 2nd toe 1 point
        medial border of the foot 2 points
Maintain steady unilateral stance:
    Stepped down on the non-tested side, or if test limb became unsteady (i.e. wavered from side to side on the tested side) 1 point

Movement Quality: Good: 0-1 points; Medium: 2-3 points; Poor: 4-6 points