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The Bbs Is One Of The Most Commonly Used Clinical Tests To Assess An Individual’s Balance And Risk Of Falling; It Is Particularly Relevant For Older People And, More Generally, Those With Neurologic Disorders Affecting Balance. The Test Epitomizes An Individual’s Ability To Maintain Balance When Performing A Set Of Standardized Static And Dynamic Tasks In A Particular Order.
The Berg Balance Test Is A 14-item Test For Assessing Balance In Older Adult Patients And Persons With Known Balance Impairment. Each Item Is Scored On A 5-point Scale;
The Highest Possible Score Is 56. Scores Range From 0. These Exercises Include Very Simple Activities, Like Sitting Or Standing Without Support, And Difficult Ones, Like Standing On One’s Legs Or Extending Reach Forward While Standing.
The Berg Balance Scale, Or The Berg Balance Test, Is A Standardized Test Of Your Balancing Abilities. You Will Be Asked To Make Small Movements While Standing, Sitting, Or Performing 14 Other Activities During The Examination. The Entire Examination Is Completed In About Twenty Minutes.
You Can Check Your Safety Balance With The Berg Balance Scale. A Clinician Scores 0 To 4 For Each Of The Following 14 Tasks. The Higher Is Your Score, The Better Is Your Balance.
This Simple, Reliable Test Is Utilized By Providers To Evaluate Functional Balance, Or The Ability To Balance Well Enough To Move Safely And Effectively Every Day. “Reliability” Means You Can Be Confident In The Consistency Of The Test Results. According To Research, Identical People May Take The Test From Several Providers And Yet Have Identical Results.
The Berg Balance Scale Was Actually Developed To Assess The Ability Of A Person To Balance, Basing On Their Scores If They Were Over 65 Or If They Have Had A Stroke. It Would Be A Difficult Thing To Get Around If There Is A Greater Chance That A Person, From One Of These Groups, May Have Balance Problems.
This Test Is Utilized To Test Patients’ Ability To Balance By A Vast Number Of Health Professionals, Such As Occupational Therapists, Clinical Exercise Physiologists, And Physical Therapists, Across A Wide Array Of Demographics.
The 1989 Berg Balance Scale Was Developed For Assessing The Risk Of Falls Along With Balance. However, Years Of Research Indicate That The Test Alone Does Not Appear To Be A Feasible Predictor Or Indicator Of Falls.
Today, The Scale Is Utilized For Health Experts To Determine Static Equilibrium In An Individual, Which Is The Ability To Maintain Upright Posture. The Berg Balance Scale Does Not Analyze Your Gait Or Body Position. Your Doctor May Include This Examination Along With Others If Their Priority Is Determining Your Risk Of Falling.
The Berg Balance Scale, Often Referred To As The Berg Balance Test, Is A Self-report Inventory For The Assessment Of Balance Impairment. It May Also Be Used To See If You Would Have To Begin Using A Wheelchair, Cane, Walker, Or Any Other Form Of Aid That Will Be Useful For You Based On The Findings Your Doctor Will Draw From The Assessment. Ask Your Provider About How Your Score Will Affect Next Steps And How To Address Any Balance Issues.
In 1989, Katherine Berg Developed The Berg Balance Scale, Which Allows The Degree Of Static And Dynamic Balance In An Elderly Subject To Be Evaluated.96 This Qualitative Test, Referred To As The Balance Balance Test (Bbs), Uses Functional Activities Such As Reaching, Bending, Transferring, And Standing In Its Assessment.
These Activities Include Most Postural Control Activities, Such As Reaching And Stooping Down To The Floor To Retrieve An Object, Standing Feet Together, Apart, Or In The Tandem Romberg Position With Eyes Open Or Closed. Each Item Is Graded 5, Where 0 Is The Lowest And 4 Is The Highest;
There Are Preset Standards For Every Grade. Zero Corresponds To The Lowest Level Of Function, And Four Represents The Highest Degree. The Total Score Ranges From 0 To 56. The Bbs Is A Reliable Measure Across And Within Tests And Has Concurrent And Construct Validity107,108.
Although It Has Been Conventional Wisdom To Use A Cutoff Score Of More Than 45 To Predict Falls In Those Who Scored Below The Cutoff, Recent Research By Muir And Berg99 Indicates That The Bbs Is More Useful In Predicting Many Falls Than Single Falls, And It Suggests A Different Scoring System Should Be Used. They Provide A Cut-off Score Of 40 To Predict Who Would Experience Multiple Falls, And The Positive Probability Ratio For That Is 5.19, With A 95% Ci Ranging From 2.29 To 11.75.
Likewise, They Give An Injurious Falls Cut-off Score, Also With A Positive Likelihood Ratio Of 3.3 And A 95% Ci Of 1.40 To 7.76. In The Shumway-cook Et Al. Model, That Used The Bbs To Predict Fall Risk, A Score Of 36 Or Below Indicated That Older People Had Almost 100% Chance Of Falling In The Next Six Months.98 The Bbs Is Less Useful In Deciding If Someone Has A Low Risk Of Falling.
Even The Best Scorers—those Getting 53 Or 54 Out Of 56—may Have Only Quite A Lot Of Confidence That They Will Not Fall Over The Next Few Months. The Bbs Is Very Useful To Assess Balance When Seated And Standing. Any Gait Metric Cannot Be Directly Measured With The Scale.
The Barometer Balance Scale Is A Widely Used Test That Rates Performance On 14 Different Activities, Including Forward Reach, Standing With Feet Together, Picking Up An Object From The Floor, And Looking Over Each Shoulder.
The Evaluation Is Based On Times Or Other Clearly Specified Criteria For The Stability Of A Person, Whereby A Rating Of 0 Corresponds To Unable/unsafe, While A Rating Of 4 Corresponds To Completely Independent/efficient/safe.
The Total Bbs Score Can Vary From 0 To 56 Points By Summing The Scores Of The 14 Different Test Items. There Is Proof Of Bbs Reactivity During Rehabilitation Therapy With Fragile Elderly Persons And With Neuromuscular Disabled Subjects.
The Timed Unilateral Stance Test And The Bbs Have Been Chosen For Outcome Measures Of Balance And Postural Control Because Of Its Wide Use, Ease Of Application And High Correlation With Function.43 Mobility And Endurance Measures Are Also Useful For Jane To Have A Comparison Of Her Performance Before And After Intervention. To Determine This, Use You Gait Speed And The Time Or Distance Before You Become Tired; See Table 20-1.
In Hindsight Maybe A Couple More Measures Would Have Been Useful To Collect More Thorough Information On Other Performance.
The National Ms Society Has Endorsed And Encouraged Long-term Use Of The Multiple Sclerosis Quality Of Life Inventory, Msqli.44 It Is A Battery Of Ten Scales That Were All Developed And Validated Independently Of One Another To Address Such Diverse Elements As Pain, Fatigue, Mental Clarity, And Social Support. It Is Also Suggested That Some Of These Life Activities May Be Improved By Atm Therapies.
Higher Bbs Scores Represent Greater Independence And Better Balancing Abilities.7 On The Other Hand, Lower Scores Indicate A Higher Risk Of Falling. Previous Studies Showed That A Patient With Less Than 45 Had A Greater Risk Of Falling.8,9
However, The Newer Study By Katherine Berg Has Discarded The Use Of The Score In The Form Of A Binary Scale, I.e., The Prediction Of Falling Risk On Less Than 45 Scores.10 The Score Should Instead Be Used Showing A Spectrum Of Balance With Probability Ratios.
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