The SPPB Score in One Minute

Three tests, 0–4 points each, one score out of 12: what the SPPB bands mean and how much change matters.

The SPPB Score in One Minute

The Short Physical Performance Battery puts balance, walking and leg strength into one score out of 12.

The short version

  • Three parts, 0–4 points each: three balance stances, a timed 4-metre walk and five chair stands.
  • The bands: 10–12 minimal limitation, 7–9 mild, 4–6 moderate, 0–3 severe.
  • Lower scores carried higher odds of death than 10–12 in 17 pooled studies: 1.50 for 7–9, 2.14 for 4–6, 3.25 for 0–3 (Pavasini et al., 2016).
  • A change of about 1 point is substantial; about half a point is small but meaningful (Perera et al., 2006).
SPPB score bands: 0–3 severe, 4–6 moderate, 7–9 mild, 10–12 minimal, with odds ratios for death of 3.25, 2.14 and 1.50 compared with 10–12
The four SPPB bands and the pooled odds of death compared with 10–12 points (Pavasini et al., 2016).

Step Doctor runs the whole battery from one phone with voice guidance and scores it with the standard cut-offs.

Read the full guide: SPPB scoring →