Berg balance scale berg k, wooddauphinee s, williams ji, gayton d. Timed get up and go test measures dynamic balance and mobility. A score of 0 represents the most impairment, while a score of 2 represents independence. Reliability assessment for elderly residents and patients with an acute stroke. For these reasons, three reduced versions of the womac have. Short form berg balance scale 3 point rehabmeasures database. Standardized tests and measures for balance berg balance scale. Developing a short form of the berg balance scale for people with stroke. Ruler, 2 standard chairs one with arm rests, one without footstool or step, stopwatch or wristwatch, 15 ft walkway. Berg balance scale bbs par kim wanseo bbsaccessible pdf.
If a subject is able to stand 2 minutes unsupported, score full points for sitting unsupported. Comparison of reliability, validity, and responsiveness of the mini. Results for berg balance scale 1 10 of 418 sorted by relevance date. The following is a complete list of items required for administration of this tool. The bbs tests both static and dynamic balance with items meant to mimic balance challenges encountered in daily life. The reproducibility of berg balance scale and the singleleg stance in chronic stroke and the relationship between the two tests. Evaluating a patients dexterity and balance with placing a small object into a box from ground level d. Chou cy1, chien cw, hsueh ip, sheu cf, wang ch, hsieh cl. Berg balance scale berg the berg is a 14item test designed to measure the balance of older adults by assessing their performance of specific functional tasks.
Berg k, maki b, williams ji, holliday p, wooddauphinee s. Developing a short form of the berg balance scale for. Geriatric depression scale gds medical outcomes study short form sf36 minimental state evaluation mmse performancebased measures 30s sit to stand berg balance scale bbs dynamic gait index dgi 5 times sittostand time 5tsts 1 time sittostand time otsts fullerton advanced balance scale fab. The subjects n 519 were derived from the participants in a multifactorial fall prevention intervention conducted in pori, finland. Scoring of the tinetti assessment tool is done on a three point ordinal scale with a range of 0 to 2. To create a shorter version of the berg balance scale bbs and to assess correlations between short bbs and static and dynamic aspects of balance among communitydwelling aged with a selfreported history of falling. Balance berg balance test, functional mobility timed up and go, proprioception joint position sense, muscle strength backleg dynamometer, flexibility sit and reach and fear of falling visual analogue scale were assessed as risk factors for falls. Measures performanceoriented mobility assessment poma both static and dynamic balance using tasks testing balance and gait. This is a 14item scale used to assess balance in elderly patients and predict fall risk. Developing a short form of the berg balance scale for people. Oct 04, 2019 standardized tests and measures for balance berg balance scale.
The relationship between risk factors for falling and the. Interpretation of individual test item results on the berg balance scale bbs item possible impairment recommended exercise 1. However, some documents suggest that the higher scoring systems do not always. Step up onto and over a 6inch bench 0 unable to step up onto the bench without loss of balance or manual assistance 1 able to step up onto the bench with leading leg, but trailing leg contacts the bench or. The short form of the bbs is a 7 item measure of balance during specific tasks such as reaching forward and standing from sitting, which can be. 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. All items are rated on a 4 point ordinal scale ranging from 0 no movement possible to 3 normal performance of the task.
The berg balance scale bbs is a 56 point scale that evaluates 14 tasks. The individual scores are then combined to form three measures. What is the estimated direct cost of falls in the elderly. Ub and lb exercises with resistance quadriceps, bicepstriceps, hip abductorsadductors. It assesses static and dynamic components of sitting and standing activities in multiple planes. The berg balance scale is used to objectively determine a patients ability or inability to safely balance during a series of predetermined tasks.
Subject should be tested with flatheeled shoes or shoes and socks off. Total balance score 16 total gait score 12 total test score 28 interpretation. A comparison of clinical and laboratory measures of postural balance in an elderly population. Short berg balance scale, bbs9, as a predictor of fall. The quality of life was measured by short form12 sf12. 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. Receiver operating characteristic roc analysis was used to determine the cutoff score for bbs9 range 0. Below the form there is in depth information about the items in the assessments, their application instructions and the score interpretation. 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. Berg balance scale, total hip arthroplasty, total knee arthroplasty. Berg balance scale static and dynamic balance abilities using functional tasks commonlyperformed in everyday life.
It is a valid instrument used for evaluation of the effectiveness of interventions and for quantitative descriptions of function in clinical practice and research. Each task is scored from 04, for a maximum of 56 points. This c group with which short forms of the berg balance scale were tested. Comparison of the original and reduced versions of the. It is a 14 item list with each item consisting of a five point 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. Results for berg balance scale 1 10 of 418 sorted by relevance date click export csv or ris to download the entire page or use the checkboxes to select a subset of records to download. In 2004, a rasch analysis was done on the berg, suggesting the need for changes in the scaling of most items. The berg is a validated balance assessment which has been shown to be a reliable predictor of fall risk.
Open access protocol rehabilitation for balance impairment in. Temper foam also called tfoam tm 4 inches thick, medium density t41 firmness rating, chair without arm rests or wheels, incline ramp, stopwatch, a box 9 height and a 3 meter distance measured out and marked on the floor with tape from chair. Berg balance scale the berg balance scale bbs was developed to measure balance among older people with impairment in balance function by assessing the performance of functional tasks. 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. The berg balance scale bbs provides a quantitative assessment of balance in older. The inter and intraobserver reliability of the berg balance scale was 0. Aug 26, 2005 balance berg balance test, functional mobility timed up and go, proprioception joint position sense, muscle strength backleg dynamometer, flexibility sit and reach and fear of falling visual analogue scale were assessed as risk factors for falls. Berg functional balance scale adapted from berg, k. Caligari, pt, posture and movement laboratory, division of. Highest possible score 56 score of berg balance scale calculator this berg balance scale calculator is used to evaluate and monitor balance in elderly frail patients and to predict fall risk with static and dynamic activities. Highest possible score 56 score of with instructions sitting to standing instructions.
However, the 7item berg balance scale 3 point 7item bbs3p, which is a. Evaluating the time a patient takes to rise out of a chair, walk 10 feet, turn around, walk back, and sit back down 3. If you feel that you cannot place your foot directly in front, try to step far enough ahead that the heel of your forward foot is ahead of the toes of the other foot. The quality of life was measured by short form 12 sf12. 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. To compare the original and reduced versions of the berg balance scale bbs and the western ontario and mcmaster universities osteoarthritis index womac, as completed by patients following total hip arthroplasty tha or total knee arthroplasty tka, with respect to their potential utility in clinical and research settings. The pediatric balance scale was designed to require minimal use of specialized equipment. Berg balance scale with instructions sitting to standing instructions. The purpose of short form berg balance scale is to assess the static and dynamic balance and fall risk in adult and geriatric populations. The berg balance scale short form is a performancebased measure of balance during specific movement tasks.
The aim of this study was to investigate if the 7item berg balance scale bbs 3point, which is a short form of the bbs. The berg balance scale bbs9 is one of the most widely used tools. Jan 20, 2011 the original version of the womac consists of 24 separate questions distributed among three subscales. Katherine berg developed this test to assess the level of function and balance in various patient populations. Ruler, 2 standard chairs one with arm rests, one without footstool or step, stopwatch or wristwatch, 15 ft walkway completion. 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.
Concurrent validity of the sevenitem bbs3p with other clinical. Berg balance scale an overview sciencedirect topics. The short form of the fullerton advanced balance scale includes only the 4 sections with asterisks. These tests are straightforward to administer and less timeintensive. Comparison of the original and reduced versions of the berg. Although participants aged around 70 years had very close to normal berg balance scale scores, there was a significant decline in balance with age at a rate of 0. Developing a short form of the berg balance scale for people with stroke background and purpose. Comparing the minibestest with the berg balance scale to. Pdf concurrent validity of the sevenitem bbs3p with other.
Click export csv or ris to download the entire page or use the checkboxes to select a subset of records to download. Pdf developing a short form of the berg balance scale for people. The minimum detectable change of the berg balance scale in elderly people. Open access protocol rehabilitation for balance impairment. A balance measure that is deemed useful in a clinical setting must be both psychometrically sound and not lengthy to administer. Stopwatch, pencil, yardstick, 6inch high bench, tape, foam pads for standing, metronome. Berg balance scale exercise with parkinsons disease.