Developing a short form of the berg balance scale for people. Chou cy1, chien cw, hsueh ip, sheu cf, wang ch, hsieh cl. Subjects and methods a total of 30 elderly people in a nursing facility in y city, south korea, participated in this study. Use of a short version of the activitiesspecific balance confidence scale in multiple sclerosis tyler a. Berg balance scale continued reaching forward with outstretched arm while standing instructions. Purpose the purpose of this study was to investigate the reliability and validity of the short form berg balance scale sfbbs for acute cerebrovascular disorder patients. The short form of the bbs includes 7 activities rather than 14, and the scoring. The berg is a validated balance assessment which has been shown to be a reliable predictor of fall risk. Pdf testretest reliability of short form of berg balance scale in. Comparison of the original and reduced versions of the berg.
The berg balance scale bbs is a 56point scale that evaluates 14 tasks. 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. This is a 14item scale used to assess balance in elderly patients and predict fall risk. Berg balance scale fourteen item performancebased test. Developing a short form of the berg balance scale for people with. A prospective study of the responsiveness of the original. Ub and lb exercises with resistance quadriceps, bicepstriceps, hip abductorsadductors. The purpose of short form berg balance scale is to assess the static and dynamic balance and fall risk in adult and geriatric populations. 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 activitiesspecific balance confidence abc scale.
The berg balance scale is used to objectively determine a patients ability or inability to safely balance during a series of predetermined tasks. Examiner places a ruler at the end of fingertips when arm is at 90 degrees. Reliability assessment for elderly residents and patients with an acute stroke. Sep 29, 2014 famous physical therapists bob schrupp and brad heineck demonstrate how to correctly perform the berg balance scale or the berg balance test. Total the ratings possible range 0 1600 and divide by 16 to get each subjects abc score. 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.
Subject should be tested with flatheeled shoes or shoes and socks off. Pdf developing a short form of the berg balance scale for. Mao et al5 further compared the reliability, validity, and responsiveness of the pass with 2 balance scales i. The abc is an 11point scale and ratings should consist of whole numbers 0100 for each item. The berg balance scale grades execution on 14 different tasks, utilizing a scale of five points ranging from 0 to 4. Short physical performance battery protocol and score sheet. Sep 30, 2015 purpose the purpose of this study was to examine the intra and interrater reliabilities of the short form berg balance scale in institutionalized elderly people. The minimum detectable change of the berg balance scale in elderly people. An ordinal scale of balance that is sensitive to change berg et al. Short physical performance battery sppb single limb stance. The service is for veterans, former rcmp members, their families, and caregivers and is provided at no cost.
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. Johnson berg balance scale general description purpose. Total the ratings possible range 0 1600 and divide by 16. When scoring, please record the lowest response category that applies for each item. Research report developing a short form of the berg balance scale for people with stroke background and purpose. 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. Nprs, fim, moca, short fesi, timed up and go tug, short berg balance scale 3point sf bbs3p, patient specific functional scale psfs inhomeoutpatient care. Ruler, 2 standard chairs one with arm rests, one without footstool or step, stopwatch or wristwatch, 15 ft walkway. Applicability of standardized physical fitness tests in. Does not heavily rely on the somatic symptoms of depression, making the bdi suitable for.
Please demonstrate each task andor give instructions as written. Bestest balance evaluation sytems test and 2 modified versions. Physiotherapy research and older people prop group, stokes ek. Demonstrate now i want you to try to stand with the side of the heel of one foot touching the big toe of the other foot for about 10 seconds. The berg balance scale bbs was developed by katherine berg in 1989 to measure balance ability static and dynamic among older adults. Pdf falls and fallinduced injuries in elderly people are a serious public health concern in contemporary societies with aging populations. The berg balance scale summary the berg balance scale was developed in 1989 to measure balance in the elderly. Such an inconsistency in scoring criteria could lead. Short form berg balance scale 3 point rehabmeasures database. Comparison of the original and reduced versions of the. Use of a short version of the activitiesspecific balance. Pdf reliability and validity of the short form berg. 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. Interpretation of individual test item results on the berg balance scale bbs item possible impairment recommended exercise 1.
Developing a short form of the berg balance scale for people with stroke. Stretch out your fingers and reach forward as far as you can. Gross motor function measure, modified ashworth scale, posture analysis, berg balance scale, sitting balance, 9 holed peg, sit and reach, proagility, anticipation time, curlup, modified curlup, lateral stepup, hand grip, medicine ball throw, pull up and 6 minute walk tests were used for evaluation. It assesses static and dynamic components of sitting and standing activities in multiple planes. Second, the bbs consists of 14 fivelevel items with scoring criteria varying from item to item. 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. Use of the berg balance scale for predicting multiple falls. This video includes instructions on how to perform the functional reach assessment. Apr 01, 2008 the berg balance scale bbs was developed as a clinical measure of functional balance specifically in older people. Usefulness of the berg balance scale to predict falls in the elderly. The vac assistance service can provide you with psychological support. The bbs tests both static and dynamic balance with items meant to mimic balance challenges encountered in daily life.
Subjects and methods a total of 226 subjects with stroke participated in this prospective study at 14 days. 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. Yardstick, 2 standard chairs one with arm rests, one without, footstool or step, stopwatch or wristwatch, 15 ft walkway. Berg balance scale bbs overview the bbs is a widely used, clinician rated scale used to assess sitting and standing, static and dynamic balance. The berg balance scale short form is a performancebased measure of balance during specific movement tasks. Patients were assessed with the berg balance scale at 14, 30 and 90 days post stroke by an occupational therapist. Berg balance scale exercise with parkinsons disease. University of missouri, school of health professions, department of physical therapy.
Multiple sclerosis ms is a neurologic disease that results in balance and mobility impairments that are associated with elevated fall risk. Berg, 19891 14 people with balance impairment range. Developing a short form of the postural assessment scale. Short berg balance scale correlation to static and. The intra and interrater reliabilities of the short form. Developing a short form of the berg balance scale for. Jun 19, 20 concurrent validity of the berg balance scale and the dynamic gait index in people with vestibular dysfunction.
Pdf developing a short form of the berg balance scale for people. Request pdf developing a short form of the berg balance scale for people with stroke to improve the utility of the berg balance scale bbs. Testretest reliability and minimal detectable change on balance and ambulation tests, the 36item short form health survey, and the unified parkinson disease rating scale in people with parkinsonism. The short form berg scale offers a comparable estimate of balance related performance to the original berg balance scale yet is easier for the healthcare provider and patient to complete. Gale encyclopedia of nursing and allied health dictionary. Number of test items the bbs consists of 14 functional balance items that focus on the ability to maintain a position and perform postural adjustments to complete. Usefulness of the berg balance scale to predict falls in. Concurrent validity of the berg balance scale and the dynamic gait index in people with vestibular dysfunction. Katherine berg developed this test to assess the level of function and balance in various patient populations. Measures of adult general performance tests the berg balance scale, dynamic gait index dgi, gait velocity, physical performance test ppt, timed chair stand test, timed up and go, and tinetti performanceoriented mobility assessment poma karen w. University of missouri, school of health professions. Berg balance scale an overview sciencedirect topics.
Berg balance scale with instructions sitting to standing instructions. 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 scaledefinitionthe berg balance scale is an a performancebased assessment tool that is used to evaluate standing balance during functional activities. The berg balance scale bbs was developed by katherine berg in 1989 to. Oct 04, 2019 standardized tests and measures for balance berg balance scale. Validation of a short orientationmemory concentration test of.
Developed to determine the fall risk and the balance of the older adult. Developing a short form of the berg balance scale for people with stroke background and purpose. Aug 04, 20 this feature is not available right now. A reliable and reproducible method of measuring spasticity. When scoring item 14, if subjects gait speed slows more than 10% between the tug. Pdf developing a short form of the berg balance scale. Fingers should not touch the ruler while reaching forward. 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. Below the form there is in depth information about the items in the assessments, their application instructions and the score interpretation. 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. Suggested applications were comparing balance between groups of people, describing balance in an individual, monitoring status over time, and evaluating treatment effectiveness. The berg balance scale is also available in a short form version. The berg balance scale, a wellknown measure for assessing an elderly persons balance function,11 is generally considered to be the gold standard of balance measures. Berg balance scale, total hip arthroplasty, total knee arthroplasty.
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