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Berg Balance Scale
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About Berg Balance Scale
Scale Name
Berg Balance Scale
Author Details
Katherine Berg et al.
Translation Availability
English
Background/Description
The Berg Balance Scale (BBS) is a widely used clinical tool designed to evaluate an individual’s static and dynamic balance. It is primarily utilized in the elderly population and those with neurological or musculoskeletal impairments. The scale assesses a person’s ability to perform everyday functional tasks that require balance.
Developed by Katherine Berg and her colleagues, the BBS consists of 14 tasks that measure balance performance in various positions and movements. It provides valuable insight into a person’s fall risk, making it an essential instrument in rehabilitation and clinical settings.
Administration, Scoring and Interpretation
- Preparation:
- Use a stable chair, stopwatch, and measuring tape.
- Ensure the test area is safe and free from obstacles.
- Task Instructions:
- Perform each of the 14 tasks, which include sitting, standing, transferring, reaching, turning, and picking up objects.
- Clearly explain and demonstrate each task before the participant begins.
- Timing and Safety:
- Use a stopwatch for tasks requiring timed performance.
- Stand close to the participant for safety during challenging tasks.
Reliability and Validity
- Reliability:
- Excellent inter-rater reliability (ICC > 0.98) and test-retest reliability (ICC > 0.97).
- Validity:
- Correlates strongly with other balance measures, such as the Timed “Up and Go” test and the Functional Reach Test.
- Effectively predicts fall risk in elderly and clinical populations.
Available Versions
14-Items
Reference
Berg, K., Wood-Dauphine, S., Williams, J. I., & Gayton, D. (1989). Measuring balance in the elderly: preliminary development of an instrument. Physiotherapy Canada, 41(6), 304-311.
Important Link
Scale File:
Frequently Asked Questions
Q1: Who can benefit from the Berg Balance Scale?
The BBS is beneficial for elderly individuals, stroke patients, and those with neurological or musculoskeletal conditions affecting balance.
Q2: How long does it take to administer the BBS?
The BBS typically takes 15–20 minutes to administer.
Q3: Can assistive devices be used during the test?
Yes, participants may use assistive devices, but it should be documented during scoring.
Q4: What are the limitations of the BBS?
The BBS may have a ceiling effect in highly functional individuals and does not assess gait or advanced dynamic movements.
Q5: Is the BBS suitable for all age groups?
While primarily used for older adults, the BBS can also assess balance in younger individuals with specific conditions.
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