Berg balance scale bbs interpretation of individual item scores item possible impairments recommended exercises 6. 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. Hello, in this article you can get information about 7 item short form version berg balance scale. A comparison of clinical and laboratory measures of postural balance in an elderly population. Each item is scored on an ordinal scale ranging from 0 to 4 0 unable, 4 normal with a total score ranging from 0 to 56 points. Berg balance scale bbs journal of neurologic physical therapy. Berg k, maki b, williams ji, holliday p, wooddauphinee s. Interpretability of change scores in measures of balance in.
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. Pdf the concurrent validity of the 7item bbs 3p with other. The berg balance scale is composed of a 14item objective measure designed to assess static balance and fall risk in adult populations. The 14item bbs20 is a commonly used measure of balance in older adults. 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 ps. Balance evaluation systems test subjects should be tested with flat heeled shoes or shoes and socks off. The berg balance scale short form is a performancebased measure of. This is a 14item scale used to assess balance in elderly patients and predict fall risk. Reliability assessment for elderly residents and patients with an acute stroke.
The minimal mobility requirement for testing is independent walking over 20m without gait aids. Berg balance scale modified including instructions tinetti mobility tool rowland universal dementia assessment scale rudas care home falls. Place your feet together and stand without holding on. Lysack, in handbook of assessment in clinical gerontology second edition, 2010. Interrater reliability of the berg balance scale when used. Pdf developing a short form of the berg balance scale for. To examine whether the berg balance scale bbs score on admission and after 1 month can be used to predict the functional independence measure fim walking level 6 or 7 modified independent and independent gait respectively after 3 months and to determine the optimal bbs cut. The subjects scores on the 6item bbs, 6item bbs3p, 7item bbs. Standing unsupported with feet together patient is standing quietly with feet together examiner has stopwatch in hand instructions. Ub and lb exercises with resistance quadriceps, bicepstriceps, hip abductorsadductors. The wberg balance scale consists of 14 items, each corresponding to a balance related task. Use of the berg balance scale to predict independent gait. Gale encyclopedia of nursing and allied health dictionary. Comparison of the original and reduced versions of the berg.
The activitiesspecific balance confidence abc scale administration. Comparison of the berg balance scale and the minibestest for. The 14 item bbs20 is a commonly used measure of balance in older adults. The purpose of short form berg balance scale is to assess the static and dynamic balance and fall risk in adult and geriatric populations. Discrete physical tasks, such as changes in body position, reaching, stair tapping, and standing on one leg, are evaluated on a scale from 0 unableunsafe to 4 independentsafe. The berg balance scale is used to objectively determine a patients ability or inability to safely balance during a series of predetermined tasks. If subject requires physical assistance to perform an item score the lowest category 0 for that item. Interpretability of change scores in measures of balance. The items in the berg balance scale calculator can be found as well in the below area with instructions on how to perform each task. The berg balance scale is used to objectively determine a patients ability or inability to. Interrater reliability of the berg balance scale when used by. Pdf the concurrent validity of the 7item bbs 3p with.
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 abc can be selfadministered or administered via personal or telephone interview. As a functional balance test, the bbs addresses to the following populations. Patients are allowed 1 practice trial for each item. Short form berg balance scale 3 point rehabmeasures database. If subject must use an assistive device for an item, score that item one. The berg balance scale tests nonvestibular balance and.
Total the ratings possible range 0 1600 and divide by 16. The accuracy of individual berg balance scale items compared with the total berg score for classifying people with chronic stroke according to fall history. The berg balance scale bbs was developed in 1989 to provide clinicians with a standardized measurement tool to assess balance in elderly individuals. The bbs is one of the earliest performancebased measures developed to assess balance status and falls risk in older adults. The bbs is one of the earliest performancebased measures developed to assess balance status and falls risk in older adults moreland et al.
The berg balance scale 5 is a 14 item test to evaluate functional balance. The berg balance scale bbs is a 14item objective measure that assesses static balance and fall risk in adults. Semantic scholar extracted view of the concurrent validity of the 7item bbs 3p with other clinical measures of balance in a sample of elderly communitydwelling adults by sinead considine. The berg balance scale is designed to provide a functional measure of balance performance.
Larger typeset should be used for selfadministration, while an enlarged version of the rating scale on. 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. Subjects and methods a total of 226 subjects with stroke participated in this prospective study at 14 days. Comments and critique the berg balance scale is a commonly used performancebased scale for examining.
The activitiesspecific balance confidence abc scale. Further study is needed to look at responsiveness of this scale in intervention trials with older adults and patients with arthritis. Comparison of the original and reduced versions of the. It is a valid instrument used for evaluation of the effectiveness of interventions and for quantitative descriptions of function in clinical practice and research.
Pdf developing a short form of the berg balance scale. The aim of this study was to investigate the concurrent validity of the 3level 7item berg balance scale 7item bbs3p with other clinical measures of balance in a sample of elderly communitydwelling adults. The berg balance scale 5 is a 14item test to evaluate functional balance. Berg balance scale, total hip arthroplasty, total knee. A change of 4 points is needed to be 95% confident that true change has occurred if a patient scores within 4556 initially, 5 points if they score within 3544, 7 points if they score within 2534 and, finally, 5 points if their initial score is within 024 on the berg balance scale. 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. The wberg balance scale consists of 14 items, each corresponding to a balancerelated task. 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. The berg balance scale short form is a performancebased measure of balance during specific movement tasks. Berg balance scaledefinitionthe berg balance scale is an a performancebased assessment tool that is used to evaluate standing balance during functional activities. Berg balance scale fourteen item performancebased test. 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. Interrater reliability of the berg balance scale when used by clinicians of various experience levels to assess people with lower limb amputations christopher k. Visual dependency andor fear of falling verbally emphasize use of surface cues.
The concurrent validity of the 7item bbs 3p with other. Larger typeset should be used for selfadministration, while an enlarged version of the rating scale on an index card will facilitate inperson interviews. The bbs is a 14 item scale that challenges individuals balance in a variety of functional positions. Physical performance test ppt modified 9 item brown m. Developing a short form of the berg balance scale for people with. 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. Ruler, 2 standard chairs one with arm rests, one without footstool or step, stopwatch or wristwatch, 15 ft walkway completion. Number of test items o the bbs consists of 14 functional balance items that focus on the ability to maintain a position and perform postural adjustments to complete functional movements. The bbs tests both static and dynamic balance with items meant to mimic balance challenges encountered in daily life.
If subject must use an assistive device for an item, score that item one category lower. The 14 item scale includes static and dynamic activities with various degrees of difficulty and different mobility requirements. Developed to determine the fall risk and the balance of the older adult. Berg balance scale an overview sciencedirect topics.
Each item is scored on an ordinal scale ranging from 0 to 4 0 unable, 4 normal with a. Interpretation of individual test item results on the berg balance scale bbs item possible impairment recommended exercise 1. The aim of this study was to investigate the concurrent validity of the 3level 7 item berg balance scale 7 item bbs3p with other clinical measures of balance in a sample of elderly communitydwelling adults. Discrete physical tasks, such as changes in body position, reaching, stair tapping, and standing on one leg, are evaluated on a scale from 0 unableunsafe to 4. Yardstick one standard chair with arm rests one standard chair without arm rests footstoolstep stopwatch or wristwatch 15 foot walkway reliability.