Berg Balance Scale Assessment Quiz
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Questions and Answers

What is the maximum score for a participant who can stand without using their hands and stabilizes independently?

  • 1
  • 5
  • 3
  • 4 (correct)

    • During the standing on one leg task, what is the requirement for the lifted leg?

  • It must be held in a bent position.
  • It must remain in contact with the standing leg.
  • It cannot touch the standing leg at any time. (correct)
  • It can touch the ground for balance.

    • For scoring purposes, what happens if a subject is unable to stand unsupported for 2 minutes?

  • They may get half points for sitting unsupported.
  • They qualify for alternative scoring methods.
  • They receive a full score for sitting unsupported.
  • They score zero points for both sitting and standing unsupported. (correct)

    • What would be a possible score for an individual who needs minimal aid to stand?

    <p>1 (B)</p> Signup and view all the answers

    How is the overall score calculated for the assessments mentioned?

    <p>By summing the scores from all items. (D)</p> Signup and view all the answers

    What is the primary purpose of the examiner standing close to the patient during the alternate foot placement test?

    <p>To ensure patient safety by providing assistance if needed (A)</p> Signup and view all the answers

    In the standing unsupported test, what is the minimum duration for which the patient must hold their position?

    <p>2 minutes (D)</p> Signup and view all the answers

    What is a critical instruction given during the sitting to standing test?

    <p>Try not to use your hands for support (D)</p> Signup and view all the answers

    How is the execution of the 360-degree turn assessed?

    <p>By measuring the time taken to complete the turn (B)</p> Signup and view all the answers

    Which item requires the patient to close their eyes while maintaining balance?

    <p>Standing with eyes closed (B)</p> Signup and view all the answers

    What does the reaching forward test require from the patient during the execution?

    <p>Lift their arm to 90 degrees without any body movement (B)</p> Signup and view all the answers

    What is the expected behavior from the patient during the standing on one leg test?

    <p>To remain still without moving either leg (C)</p> Signup and view all the answers

    During what task is a stool height of 7¾ - 9 inches specifically mentioned?

    <p>Placing alternate foot on step or stool while standing unsupported (B)</p> Signup and view all the answers

    What is the main objective when measuring the forward reach of a patient?

    <p>To gauge the patient's balance without trunk rotation (D)</p> Signup and view all the answers

    Which method is used to ensure the patient does not rely on their legs to assist in picking up an object from the floor?

    <p>Positioning the object directly at the feet (B)</p> Signup and view all the answers

    When instructing a patient to turn and look over their shoulders, what is emphasized for proper assessment?

    <p>Trunk rotation and weight shift (B)</p> Signup and view all the answers

    What is the purpose of asking a patient to turn completely around in a full circle?

    <p>To measure the time taken for movement (C)</p> Signup and view all the answers

    What is indicated by assessing how well a patient can alternate placing their feet on a step or stool while standing unsupported?

    <p>Balance and coordination (A)</p> Signup and view all the answers

    Which cueing strategy might be necessary for a patient who is using one arm during the forward reach?

    <p>Verbal cues to limit trunk rotation (B)</p> Signup and view all the answers

    What action should the examiner take to enhance a patient's twist turn when looking behind them?

    <p>Hold an object for them to focus on (C)</p> Signup and view all the answers

    Which factor is crucial during the assessment of the forward reach to ensure accuracy?

    <p>Trunk rotation must be limited (C)</p> Signup and view all the answers

    What is the appropriate action if an assistive device is utilized during a balance test?

    <p>Exclude the score from the data analysis. (D)</p> Signup and view all the answers

    When using a hospital bed or mat table during the BBS, what height should be preserved?

    <p>18-20 inches (A)</p> Signup and view all the answers

    If a patient cannot attain the start position in the test, what should they be instructed to do?

    <p>Place heels and toes as close together as possible. (C)</p> Signup and view all the answers

    What is the guideline regarding using objects shorter or taller than a slipper during the test?

    <p>Do not substitute with objects shorter or taller than a slipper. (C)</p> Signup and view all the answers

    In a scenario where trunk rotation is limited post-surgery, what score should the patient receive?

    <p>Score 0 for inability to rotate. (D)</p> Signup and view all the answers

    What is the maximum height for a step or stool recommended for testing?

    <p>9 inches (A), 7¾ inches (C)</p> Signup and view all the answers

    Which leg position is important when assessing single-leg stance?

    <p>Leg positioning does not matter. (A)</p> Signup and view all the answers

    What should be done if the patient has hemiparesis during the test?

    <p>Use the intact arm but avoid trunk rotation. (C)</p> Signup and view all the answers

    When a patient has unilateral impairment, which limb should be tested during the single leg stance (SLS)?

    <p>The involved limb (A)</p> Signup and view all the answers

    What should a tester do if a patient cannot hold full tandem stance?

    <p>Provide a demonstration of an alternate position (A)</p> Signup and view all the answers

    What is the primary purpose of demonstrating the tandem stance and foot-ahead stance to a patient?

    <p>To ensure the patient understands the required postures (A)</p> Signup and view all the answers

    Which statement is true regarding scoring for item 13 if the patient loses balance in tandem stance?

    <p>The tester may need to adjust the scoring based on patient attempts (A)</p> Signup and view all the answers

    If a patient is recommended to take a forward step with the uninvolved limb, which stance are they likely undergoing?

    <p>Tandem stance with the uninvolved limb (A)</p> Signup and view all the answers

    Which alternative position is suggested if the patient cannot achieve the tandem stance?

    <p>Foot-ahead stance (D)</p> Signup and view all the answers

    In assessing balance, what is considered crucial for ensuring accurate scoring?

    <p>Providing clear instructions and demonstrations (C)</p> Signup and view all the answers

    What must a tester consider if a patient is unable to hold the tandem stance?

    <p>The option for alternate positions and additional support (A)</p> Signup and view all the answers

    What is the highest score for standing unsupported for 2 minutes?

    <p>4 (C)</p> Signup and view all the answers

    Which of the following indicates the least ability to stand unsupported with eyes closed?

    <p>needs help to keep from falling (B)</p> Signup and view all the answers

    What is the ability level for someone who can sit unsupported for 10 seconds?

    <p>1 (C)</p> Signup and view all the answers

    What does a score of 4 represent when picking up an object from the floor?

    <p>Can pick up the slipper safely and easily (C)</p> Signup and view all the answers

    What is the criterion for a score of 2 in the standing on one leg assessment?

    <p>Able to lift leg and hold ≥3 seconds (D)</p> Signup and view all the answers

    How long should a participant be able to sit unsupported to attain the highest score of 4?

    <p>2 minutes (A)</p> Signup and view all the answers

    Which assessment measure corresponds with needing supervision to control descent while sitting?

    <p>3 (A)</p> Signup and view all the answers

    What is necessary for someone to achieve a score of 1 on the transfers assessment?

    <p>Requires one person assist (B)</p> Signup and view all the answers

    What does a score of 3 indicate when assessing the ability to turn 360 degrees?

    <p>Able to turn safely one side only (D)</p> Signup and view all the answers

    What signifies a score of 0 when reaching forward with an outstretched arm while standing?

    <p>Loses balance and requires support (B)</p> Signup and view all the answers

    Which score corresponds to the ability to turn sideways while maintaining balance?

    <p>2 (B)</p> Signup and view all the answers

    What indicates the greatest level of independence in 'standing unsupported with feet together'?

    <p>Stands independently for 1 minute (C)</p> Signup and view all the answers

    What's the least possible score for placing alternate foot on a step stool while standing unsupported?

    <p>0 (A)</p> Signup and view all the answers

    What is the minimum number of times this measure should be administered to track change effectively?

    <p>Two times (C)</p> Signup and view all the answers

    Study Notes

    Core Measure: Berg Balance Scale (BBS)

    • The BBS is a clinician-rated scale for assessing sitting and standing balance, both static and dynamic.
    • The scale consists of 14 functional balance items.
    • Each item is scored on a 5-point ordinal scale (0-4).
    • A score of 0 indicates inability to complete the task, and 4 indicates successful completion.
    • Items are scored based on time, independence, and supervision needed.
    • Supervision may be needed if excessive sway or safety concerns arise.

    Equipment

    • Stopwatch
    • Standard height chair (18-20 inches) with armrests
    • Standard height chair (18-20 inches) without armrests
    • Step stool (7¼-9 inch)
    • Ruler
    • Slippers or shoes

    Time

    • New clinician: Less than 20 minutes
    • Experienced clinician: Less than 20 minutes

    Cost

    • Equipment only

    Logistics/Setup

    • Item 1: Sitting to Standing
      • Patient sits in a standard height chair with armrests (18-20 inches).
    • Item 2: Standing Unsupported
      • Patient stands with feet shoulder-width apart on a solid surface.
    • Item 3: Sitting with Back Unsupported
      • Patient sits with back unsupported, feet supported on the floor or a stool.
    • Item 4: Standing to Sitting
      • Patient stands in front of a chair with armrests.
    • Item 5: Transfers
      • Two chairs (one with armrests, one without) or a bed and chair are used for pivot transfers.

    Additional Items (Page 2)

    • Item 6: Standing Unsupported with Eyes Closed
    • Item 7: Standing Unsupported with Feet Together
    • Item 8: Reaching Forward with Outstretched Arm While Standing
    • Item 9: Picking Up Object From the Floor From a Standing Position
    • Item 10: Turning to Look Behind
    • Item 11: Turning 360 Degrees
    • Item 12: Placing Alternate Foot on Step or Stool While Standing Unsupported
    • Item 13: Standing Unsupported One Foot in Front
    • Item 14: Standing on One Leg

    Logistics - Administration (Page 3)

    • Detailed instructions for each item, including specific instructions (e.g., time limits, support allowed).
    • Includes variations (e.g., how to handle patients who cannot stand; assistive devices; different seating).

    Logistics - Scoring (Page 4,5)

    • Scoring criteria for each item, including scoring for success or failure, time limits, and need for supervision.

    Additional Recommendations (Page 6)

    • Frequency of administration:
      • At least two times, preferably at admission and discharge; preferably, more test administrations if feasible between these periods under identical conditions.
    • Consistency:
      • Review annual basis to ensure consistency within and amongst raters using this tool.

    Common Questions and Variations (Page 7,8)

    • Addressing potential issues and variations in administering the test to different patient populations.

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    Related Documents

    Berg Balance Scale Protocol PDF

    Description

    This quiz evaluates your understanding of the Berg Balance Scale (BBS), a critical tool for assessing patients' balance abilities. It covers the scoring system, equipment needed, and logistics of administering the test. Perfect for clinicians wanting to ensure they follow best practices in balance assessment.

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