Miyamoto ST, Lombardi J, I, Berg KO, Ramos LR, Natour J. Brazilian version of the Berg balance scale. Braz J Med Biol Res 2004; 37(9): 1411-21. Muir SW, Berg K, Chesworth B, Speechley M. Use of the Berg Balance Scale for pre- dicting multiple falls in community-dwelling elderly people: a prospective study. Phys Ther 2008; 88(4): 449-59. The Berg Balance Scale (BBS) 5 is a hierarchically designed scale assessing functional balance with widespread use in neurological populations. Several studies claim the BBS is a reliable and valid scale also for the SCI population. 6 , 7 However, there are some important limitations. The BBS is a 14-item scale designed to measure balance of the older adult in any setting, however, preferably in a clinical setting. A ruler, two standard chairs (one with arm rests, one without), footstool or step, stopwatch or wristwatch, 15 ft. walkway are required for this scale. Scoring/Interpretation: A five-point scale, ranging from 0-4 14-item scale designed to measure balance of the older adult in a clinical setting. Equipment needed: Ruler, 2 standard chairs (one with arm rests, one without) Footstool or step, Stopwatch or wristwatch, 15 ft walkway. Completion: Time: 15-20 minutes. Scoring: A five-point ordinal scale, ranging from 0-4. “0” indicates the lowest level. . Reference work entryFirst Online: 20 September 2018DOI: 8 Downloads Synonyms 7-item BBS-3P; BBS Description The Berg Balance Scale (BBS) is a 14-item performance observation measure that assesses balance on a scale from 0 to 4 for each item, yielding a total score range of 0–56, where higher scores indicate better balance. The BBS tests both static and dynamic balance with items meant to mimic balance challenges encountered in daily life. Historical Background In 1989, Berg developed the BBS to fill the need for a quantitative balance assessment tool to screen older adults for fall risk. The BBS has subsequently become the best known clinical balance instrument. Shorter versions of the BBS, such as the seven-item BBS-3P (which also has a condensed rating scale), have also been developed and validated. Psychometric Data The high reliability, validity, and sensitivity of the BBS, including predictive validity for fall risk, are well documented in the literature. Some authors initially dichotomized the scale, using the threshold value <45 points as an... References and ReadingsAlzayer, L., Beninato, M., & Portney, L. G. (2009). The accuracy of individual berg balance scale items compared with the total berg score for classifying people with chronic stroke according to fall history. Journal of Neurologic Physical Therapy: JNPT, 33(3), 136– ScholarBerg, K., Wood-Dauphinee, S., Williams, J. I., & Gayton, D. (1989). Measuring balance in the elderly: Preliminary development of an instrument. Physiotherapy Canada, 41, 304– ScholarBerg, K., Wood-Dauphinee, S., & Williams, J. I. (1995). The balance scale: Reliability assessment with elderly residents and patients with an acute stroke. Scandinavian Journal of Rehabilitation Medicine, 27(1), 27– ScholarBlum, L., & Korner-Bitensky, N. (2008). Usefulness of the berg balance scale in stroke rehabilitation: A systematic review. Physical Therapy, 88(5), 559– ScholarChou, C. Y., Chien, C. W., Hsueh, I. P., Sheu, C. F., Wang, C. H., & Hsieh, C. L. (2006). Developing a short form of the berg balance scale for people with stroke. Physical Therapy, 86(2), 195– ScholarGervasoni, E., Jonsdottir, J., Montesano, A., & Cattaneo, D. (2016). Minimal clinically important difference of berg balance scale in people with multiple sclerosis. Archives of Physical Medicine and Rehabilitation, ScholarInternet Stroke Center. (2007). Berg balance Accessed 19 May C., Cruz, J., Olivera, A., & Marques, A. (2016). Validity, reliability, and ability to identify fall status of the berg balance scale, BESTest, Mini-BESTest, and Brief-BESTest in patients with copd. Physical Therapy, 96, 1807– ScholarMao, H., Hsueh, I., Tang, P., Sheu, C., & Hsieh, C. (2002). Analysis and comparison of the psychometric properties of three balance measures for stroke patients. Stroke, 33(4), 1022– ScholarMuir, S. W., Berg, K., Chesworth, B., & Speechley, M. (2008). Use of the berg balance scale for predicting multiple falls in community-dwelling elderly people: A prospective study. Physical Therapy, 88(4), 449– ScholarStevenson, T. J. (2001). Detecting change in patients with stroke using the berg balance scale. The Australian Journal of Physiotherapy, 47, 29– ScholarTyson, S. F., & Connell, L. A. (2009). How to measure balance in clinical practice. A systematic review of the psychometrics and clinical utility of measures of balance activity for neurological conditions. Clinical Rehabilitation, 23(9), 824– ScholarCopyright information© Springer International Publishing AG, part of Springer Nature 2018Authors and AffiliationsKari Dunning1Email of Rehabilitation SciencesUniversity of CincinnatiCincinnatiUSA Summary What it measures: Balance Target Population: People with stroke Professional Association Recommendations: StrokEDGE: Recommended in acute care settings. Highly recommended in inpatient rehabilitation, home health, skilled nursing facilities, and outpatient rehabilitation. Recommended for use in people with an acute (6 mo) stroke. This test was identified by StrokEDGE for use in functional limitation reporting.

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