Berg Balance Scale
7-item BBS-3P; BBS
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.
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.
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 Readings
- Alzayer, 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), 136–143.PubMedCrossRefPubMedCentralGoogle Scholar
- Gervasoni, 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, epub.Google Scholar
- Internet Stroke Center. (2007). Berg balance scale.http://www.strokecenter.org/Trials/scales/berg.html. Accessed 19 May 2010.