The subjects n 519 were derived from the participants in a multifactorial fall prevention intervention conducted in pori, finland. Berg balance test definition of berg balance test by. Apr, 2017 bbs versus bestest berg balance scale balance evaluation systems test description 14 items total scores 56 points item level scores range from 04 determined by ability to perform the assessed activity. Berg balance scale an overview sciencedirect topics. 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. The patient should be able to bend and easily reach the slipper. The berg balance scale bbs was developed in 1989 to provide clinicians with a standardized measurement tool to assess balance in elderly individuals. The minimal mobility requirement for testing is independent walking over 20m without gait aids.
The berg is a validated balance assessment which has been shown to be a reliable predictor of fall risk. The aim of this study was to investigate if the 7item berg balance scale bbs 3point, which is a short form of the bbs. To the editor i had mixed feelings after reading bogle thorbahn and newtons article, use of the berg balance test to predict falls in elderly persons. The combination of two tests, berg balance scale and gait speed, yielded the highest sensitivity of 91% and the highest specificity of 70% when a subject tested positive on. Mdc95 for the berg are consistently 37 points with the 7 occurring in residents of extended care facilities. Berg balance scale with instructions sitting to standing instructions. The berg balance scale short form is a performancebased measure of balance during specific movement tasks. Developing a short form of the berg balance scale for people. Subjects and methods a total of 226 subjects with stroke participated in this prospective study at 14 days. To evaluate functional balance performance, all participants completed the berg balance scale bbs 28 which consists of 14 subitems of functional balance. The bbs is one of the earliest performancebased measures developed to assess balance status and falls risk in. Short berg balance scale, bbs9, as a predictor of fall.
When scoring item 14, if subjects gait speed slows more than 10% between the tug. This may have occurred because that study involved a longer time period between the 2 tests. May 01, 2008 the bbs is a 14item scale that quantitatively assesses balance and risk for falls in older communitydwelling adults through direct observation of their performance. Berg balance scale versus balance evaluation systems test. Pdf concurrent validity of the sevenitem bbs3p with other. Pdf developing a short form of the berg balance scale. To improve the utility of the berg balance scale bbs, the aim of this study was to develop a short form of the bbs sfbbs that was psychometrically similar including test reliability, validity, and responsiveness to the original bbs for people. Pdf the concurrent validity of the 7item bbs 3p with other. Comparison of the original and reduced versions of the. The combination of two tests, berg balance scale and gait speed, yielded the highest sensitivity of 91% and the highest specificity of 70% when a subject tested positive on at least one test. To reduce their risk of falling, you might consider referring them to physical therapy for gait and balance exercises, or refer them to an evidencebased fall prevention program, such as tai chi.
During their inpatient rehabilitation stay, participants completed fist, berg balance scale bbs, functional independence measure fim assessments both at admission and discharge. Pdf the concurrent validity of the 7item bbs 3p with. Ub and lb exercises with resistance quadriceps, bicepstriceps, hip abductorsadductors. Interpretation of individual test item results on the berg balance scale bbs item possible impairment recommended exercise 1. To measure balance impairment in older adults through a performance. At the beginning of the test, the assessor should explain the tasks to be given and make sure the subject understands that the main aim is to maintain balance throughout the tasks. The bbs is one of the earliest performancebased measures developed to assess balance status and falls risk in older adults moreland et al. If subject requires physical assistance to perform. Reliability assessment for elderly residents and patients with an acute stroke. Physical performance test ppt modified 9 item brown m. Bbs versus bestest berg balance scale balance evaluation systems test description 14 items total scores 56 points item level scores range from 04 determined by ability to perform the assessed activity.
Mdc95 for the berg are consistently 3 7 points with the 7 occurring in residents of extended care facilities. Measuring tape mounted on wall for functional reach test. The bbs tests both static and dynamic balance with items meant to mimic balance challenges encountered in daily life. The therapist asks the patient to perform each item on the test with a specific set of directions and then records the score of how the patient performed. Each item has a 3point score, ranging from 04 0, 2. Click export csv or ris to download the entire page or use the checkboxes to. The berg, originally designed for use in the frail elderly, is a 14item. Results for berg balance scale 1 10 of 418 sorted by relevance date. Sep 11, 2014 the berg balance scale is composed of a 14 item objective measure designed to assess static balance and fall risk in adult populations.
The wberg balance scale consists of 14 items, each corresponding to a balance related task. Short form berg balance scale 3 point rehabmeasures database. Lysack, in handbook of assessment in clinical gerontology second edition, 2010. If subject requires physical assistance to perform an item score the lowest category 0 for that item. Each item in the berg balance test is represented by a five point ordinal scale ranging from 0 to 4 points, therefore the maximum obtainable score is 56. Testretest reliability and minimal detectable change on balance and ambulation tests, the 36item shortform health survey, and the unified parkinson disease rating scale in people. The 7 item bbs3p, compared with the original bbs, is simpler and faster to complete in either a clinical or a research setting and is recommended. The fist showed excellent concurrent validity with the reference balance test, the berg balance scale bbs and good concurrent validity with the activity based.
Subjects and methods a total of 226 subjects with stroke participated in this prospective. Comparison of the original and reduced versions of the berg. Pick up object from the floor from a standing position patient is standing quietly a slipper or shoe is placed in front of the patient, close to the patients feet. The purpose of short form berg balance scale is to assess the static and dynamic balance and fall risk in adult and geriatric populations. Yardstick one standard chair with arm rests one standard chair without arm rests footstoolstep stopwatch or wristwatch 15 foot walkway reliability. Developed to determine the fall risk and the balance of the older adult. If subject must use an assistive device for an item, score that item one category lower. The 4stage balance test an older adult who cannot hold the tandem stand for at least 10 seconds is at increased risk of falling. Berg k, maki b, williams ji, holliday p, wooddauphinee s. It assesses static and dynamic components of sitting and standing activities in multiple planes.
Balance evaluation systems test subjects should be tested with flat heeled shoes or shoes and socks off. The berg balance scale bbs is a 14item objective measure that assesses static balance and fall risk in adults. Physiotherapy research and older people prop group, stokes ek. The minimum detectable change of the berg balance scale in elderly people. The berg balance scale is used to objectively determine a patients ability or inability to safely balance during a series of predetermined tasks. Berg balance scale fourteen item performancebased test. To evaluate functional balance performance, all participants completed the berg balance scale bbs 28 which consists of 14 subitems of functional balance test, and each scores 04 with a total. The aim of this study was to assess the adequacy of the short, 9item berg balance scale bbs9 to predict fall risk among the communitydwelling aged. The bbs is a 14 item scale that challenges individuals balance in a variety of functional positions. Developing a short form of the berg balance scale for people with stroke. The berg balance scale summary the berg balance scale was developed in 1989 to measure balance in the elderly. Receiver operating characteristic roc analysis was used to determine the cut.
Pdf developing a short form of the berg balance scale for. Le concept dequilibre serait donc bien couvert par les items proposes. Patients are allowed 1 practice trial for each item. 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. It is a 14 item list with each item consisting of a five point ordinal scale ranging from 0 to 4, with 0. Comparing the minibestest with the berg balance scale to. The berg balance scale is used to objectively determine a patients ability or inability to safely balance.
The berg balance scale bbs is a 14item performance observation measure that assesses balance on a scale from 0 to 4 for each item, yielding a total score range of 056, where higher scores indicate better balance. The berg balance scale tests nonvestibular balance and. The 7 item bbs3p was found to be psychometrically similar to the original bbs. Ruler, 2 standard chairs one with arm rests, one without footstool or step, stopwatch or wristwatch, 15 ft walkway completion. Background and purpose to improve the utility of the berg balance scale bbs, the aim of this study was to develop a short form of the bbs sfbbs that was psychometrically similar including test reliability, validity, and responsiveness to the original bbs for people with stroke. This is not a test for forward reach or limits of stability. Postural instability and balance deficits are one of the most debilitating impairments associated with chronic neurological disease, such as parkinsons disease pd. A comparison of clinical and laboratory measures of postural balance in an elderly population. Ruler, 2 standard chairs one with arm rests, one without footstool or step, stopwatch or wristwatch, 15 ft walkway. The wberg balance scale consists of 14 items, each corresponding to a balancerelated task. Standardized tests and measures for balance berg balance scale.