Balance evaluation systems test subjects should be tested with flat heeled shoes or shoes and socks off. Berg balance scale berg k, wooddauphinee s, williams ji, gayton d. Several authors have looked at balance in the aging population. The berg balance scale bbs was developed in 1989 to provide clinicians with a standardized measurement tool to assess balance in elderly individuals. Evidence based practice tools for home health rehabilitation. Relationships among the y balance test, berg balance scale. Reliability assessment for elderly residents and patients with an acute stroke. Berg balance scale an overview sciencedirect topics. The pediatric balance scale was designed to require minimal use of specialized equipment. The berg balance scale is composed of a 14item objective measure designed to assess static balance and fall risk in adult populations. It assesses static and dynamic components of sitting and standing activities in multiple planes.
The berg balance scale bbs is a 14item objective measure that assesses static balance and fall risk in adults. The berg balance scale bbs was developed by katherine berg in 1989 to. Ub and lb exercises with resistance quadriceps, bicepstriceps, hip abductorsadductors. Write the total for each exam date in the space on page 2. This study compared the psychometric properties of 3 clinical balance measures, the berg balance scale bbs, the balance subscale of the fuglmeyer test fmb, and the postural assessment scale.
Bbs versus bestest berg balance scale balance evaluation systems test acronym bbs bestest purpose 14 item objective measure designed to assess static balance and fall risk in adults. It was developed to measure balance among older people with impairment in balance function by assessing the performance of functional tasks. The berg balance scale bbs was developed by katherine berg in 1989 to measure balance ability static and dynamic among older adults. The berg balance scale is the name of a clinical test which determines the static and balance abilities of the participant. Berg balance measure test name berg balance measure category balance equipment need stop watch, chair bed, step for toe taps and small. To measure testretest and interrater reliability of the berg balance scale bbs in communitydwelling adults with mild to moderate alzheimer disease ad. Tasks progress in difficulty and include functional activities related to balance while reaching, bending, transferring, and standing. Equipment required for testing are a stopwatch or watch with a second hand, and a ruler.
When scoring, please record the lowest response category that applies for each item. Pdf on may 1, 2019, wenlong tang and others published estimating berg balance scale and mini balance evaluation system test scores. Test retest reliability and minimal detectable change on balance and ambulation tests, the 36 item short form health survey, and the unified parkinson disease rating scale in people with parkinsonism. Testanleitung manual ausfuhrlich notierten anweisungen an. I take exception, however, to the authors suggestion that the balance scale was designed to identify fallers and nonfallers. The berg is a validated balance assessment which has been shown to be a reliable predictor of fall risk. Interpretation of individual test item results on the berg balance scale bbs item possible impairment recommended exercise 1. Using the berg balance scale to distinguish balance. Total balance score 16 total gait score 12 total test score 28 interpretation. It is a valid instrument used for evaluation of the effectiveness of interventions and for quantitative descriptions of function in clinical practice and research. Poor judgment will adversely influence the performance and the scoring.
The berg balance scale, timed upandgo test, sixminute walk test, and gross motor function measure88 were used to assess balance as well as the determination of. Maintain your balance while attempting the task, but you can choose which leg to stand on or how far to reach. Berg functional balance scale adapted from berg, k. Pdf estimating berg balance scale and mini balance evaluation. Evidence based practice tools for home health rehabilitation november 2014. Click export csv or ris to download the entire page or use the checkboxes to select a subset of records to download. Equipment required for testing is a stopwatch or watch with a second hand, and a ruler or. Short form berg balance test day 1 day 2 sitting to standing 2 4 standing unsupported eyes closed 2 2 reach forward with outstretched arm 2 4. During the cultural adaptation process, 4 occupational therapists and 36 physical therapists of unifespepm, who were unaware of the scale, were also selected to apply the instrument to another person, since the scale requires an interpretation by the therapist in.
Stretch out your fingers and reach forward as far as you can. Brazilian version of the berg balance scale were excluded from the study. Performance based measure of balance with 14 tasks. Fingers should not touch the ruler while reaching forward. There are already many ways of measuring balance, but none are suitable for use in the clinical. Brunel balance assessment 2 introduction development of the bba the brunel balance assessment bba is designed to assess functional balance for people with a wide range of abilities and has been tested specifically for use poststroke. Measuring tape mounted on wall for functional reach test. Reliability of the berg balance scale as a clinical. The following is a complete list of items required for administration of this tool. This evaluates functional balance during everyday situations using scores to evaluate different populations, 22, 23 such as elderly 24, stroke 24, 25 patients, and people with severe intellectual and visual disabilities. Fatigue analog scale test name fatigue analog scale category chronic or cancer related fatigue. Health care professionals will often administer the berg balance scale test prior prescribing treatment for elderly individuals or patients with a history in conditions such as parkinsons disease, cardiovascular disease. Determining the intertester and intratester reliability of the pediatric balance scale for normal developing children. The berg balance scale is used to objectively determine a patients ability or inability to safely balance during a series of predetermined tasks.
Page 2 if a subject is able to stand 2 minutes unsupported, score full points for sitting unsupported. Modified clinical test of sensory interaction and balance. The purpose of this study was to investigate the ability of the y balance test ybt and lower limb strength to discriminate between females in 2 age groups, the relationship between ybt distance and the berg balance scale bbs, and the degree to which performance on ybt distance is related to lower limb strength in middleaged and older females. Computerized dynamic posturography cdp dynamic gait index. Examiner places a ruler at the end of fingertips when arm is at 90 degrees.
When scoring item 14, if subjects gait speed slows more than 10% between the tug without and. University of missouri, school of health professions, department of physical therapy. The bbs is a 14 item scale that challenges individuals balance in a variety of functional positions. Berg balance scale patients last name first name mi hicn provider name lifecare of florida provider no 104545 onset date soc date primary diagnosises treatment diagnosises general instructions please demonstrate each task andor give instruction as written. Unsubscribe from fall prevention center of excellence. Results for berg balance scale 1 10 of 418 sorted by relevance date. Berg balance scale versus balance evaluation systems test. Berg balance scale exercise with parkinsons disease. This is a 14item scale used to assess balance in elderly patients and predict fall risk. Berg balance scale bbs spinal cord injury research. There was a significant correlation between the berg balance scale and timed up and go test r0.
The elderly population to which the scale addresses to includes conditions such as stroke, traumatic and acquired brain injury, spinal cord injury, multiple sclerosis, osteoarthritis, parkinsons disease or vestibular dysfunction. Standardized tests and measures for balance berg balance scale. Ruler, 2 standard chairs one with arm rests, one without footstool or step, stopwatch or wristwatch, 15 ft walkway. The berg balance scale score of healthy people aged 70 years and older can be estimated by the formula. Scherfer e1, bohls c2, freiberger e3, heise kf4, hogan d5. Children of varying ages apply their understanding of this relationship to predict the movement of the arms of a balance scale. Active learning get away from your computer and lets try kinesthetic learning. It is a 14 item list with each item consisting of a fivepoint ordinal scale ranging from 0 to 4, with 0 indicating the lowest level of function and 4 the highest level of function and takes approximately 20 minutes to complete.