Berg Balance Scale
| Berg Balance Scale | |
|---|---|
| Purpose | Assessment of balance in older adults |
The Berg Balance Scale (BBS) is a widely used clinical test of a person's static and dynamic balance abilities. It was developed by Katherine Berg in 1989 to assess balance in older adults and to evaluate their risk of falling. The scale is used in various settings, including hospitals, rehabilitation centers, and nursing homes.
Description[edit | edit source]
The Berg Balance Scale consists of 14 simple balance-related tasks, each of which is scored on a five-point scale ranging from 0 to 4. The tasks are designed to assess a range of balance abilities, from sitting unsupported to standing on one foot. The maximum total score is 56, with higher scores indicating better balance.
Tasks[edit | edit source]
The tasks included in the Berg Balance Scale are:
Sitting to standing Standing unsupported Sitting unsupported Standing to sitting Transfers Standing with eyes closed Standing with feet together Reaching forward with outstretched arm Retrieving object from floor Turning to look behind Turning 360 degrees Placing alternate foot on stool Standing with one foot in front Standing on one foot
Each task is scored based on the time taken to complete the task and the level of assistance required. A score of 0 indicates the inability to complete the task, while a score of 4 indicates the ability to complete the task independently and safely.
Interpretation[edit | edit source]
The total score on the Berg Balance Scale can be used to assess the risk of falling. Generally, a score of 41-56 indicates a low fall risk, 21-40 indicates a medium fall risk, and 0-20 indicates a high fall risk. However, these cut-off scores may vary depending on the population being assessed.
Clinical Use[edit | edit source]
The Berg Balance Scale is commonly used in clinical settings to:
- Assess balance in older adults
- Evaluate the effectiveness of interventions aimed at improving balance
- Monitor changes in balance over time
- Identify individuals at risk of falling
Limitations[edit | edit source]
While the Berg Balance Scale is a valuable tool, it has some limitations. It may not be sensitive enough to detect subtle balance deficits in high-functioning individuals. Additionally, it may not be suitable for individuals with severe cognitive impairments who cannot follow instructions.
Also see[edit | edit source]
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