Podcast
Questions and Answers
What is the maximum score a participant can achieve on the Berg Balance Scale?
What is the maximum score a participant can achieve on the Berg Balance Scale?
- 14
- 56 (correct)
- 4
- 20
What does a score of 0 indicate in the Berg Balance Scale?
What does a score of 0 indicate in the Berg Balance Scale?
- Requires supervision for safety
- Complete task with minimal assistance
- Complete task independently within the time limit
- Inability to complete the task entirely (correct)
How many functional balance items are included in the Berg Balance Scale?
How many functional balance items are included in the Berg Balance Scale?
- 16
- 12
- 14 (correct)
- 10
Which of the following factors could lead to a deduction of points on the Berg Balance Scale?
Which of the following factors could lead to a deduction of points on the Berg Balance Scale?
What type of balance does the Berg Balance Scale assess?
What type of balance does the Berg Balance Scale assess?
What is the scale type used for scoring each item in the Berg Balance Scale?
What is the scale type used for scoring each item in the Berg Balance Scale?
When is supervision required according to the Berg Balance Scale scoring criteria?
When is supervision required according to the Berg Balance Scale scoring criteria?
Why is it recommended to administer the Berg Balance Scale a minimum of two times?
Why is it recommended to administer the Berg Balance Scale a minimum of two times?
If a patient cannot stand, what should be done regarding the BBS evaluation?
If a patient cannot stand, what should be done regarding the BBS evaluation?
What is the primary purpose of establishing consistency among raters of the Berg Balance Scale annually?
What is the primary purpose of establishing consistency among raters of the Berg Balance Scale annually?
What should be used if no shoe or slipper is available for the Berg Balance Scale assessment?
What should be used if no shoe or slipper is available for the Berg Balance Scale assessment?
What is the maximum time allowed for both new and experienced clinicians to complete the assessment?
What is the maximum time allowed for both new and experienced clinicians to complete the assessment?
For the 'Standing unsupported' item, what position must the patient be in while being assessed?
For the 'Standing unsupported' item, what position must the patient be in while being assessed?
Which equipment is necessary for the assessment of 'Sitting to standing'?
Which equipment is necessary for the assessment of 'Sitting to standing'?
What scoring indicates that a patient needs minimal aid to stand or stabilize?
What scoring indicates that a patient needs minimal aid to stand or stabilize?
What equipment is mentioned as part of the assessment but is not directly related to the population being tested?
What equipment is mentioned as part of the assessment but is not directly related to the population being tested?
How is the scoring determined for the 'Standing unsupported' test?
How is the scoring determined for the 'Standing unsupported' test?
If a patient stands independently using hands for support, what score would they receive?
If a patient stands independently using hands for support, what score would they receive?
What is considered essential equipment that measures time during the assessment?
What is considered essential equipment that measures time during the assessment?
Which of the following scores implies that a patient is able to stand without using hands and stabilizes independently?
Which of the following scores implies that a patient is able to stand without using hands and stabilizes independently?
What is the maximum score a patient can receive for transferring from a chair with armrests to one without armrests?
What is the maximum score a patient can receive for transferring from a chair with armrests to one without armrests?
How long must a patient stand with eyes closed to achieve the highest score?
How long must a patient stand with eyes closed to achieve the highest score?
What does a score of 2 indicate for standing unsupported with feet together?
What does a score of 2 indicate for standing unsupported with feet together?
What assistance is needed for a patient who receives a score of 0 in transferring between chairs?
What assistance is needed for a patient who receives a score of 0 in transferring between chairs?
If a patient stands with feet together but requires support to remain upright after 15 seconds, what score do they receive?
If a patient stands with feet together but requires support to remain upright after 15 seconds, what score do they receive?
Which of the following actions represents the highest level of performance in reaching forward with an outstretched arm while standing?
Which of the following actions represents the highest level of performance in reaching forward with an outstretched arm while standing?
For which score does a patient need verbal cueing and/or supervision to complete a task while standing unsupported?
For which score does a patient need verbal cueing and/or supervision to complete a task while standing unsupported?
What is the significance of scoring a 3 during the chair transfer exercise?
What is the significance of scoring a 3 during the chair transfer exercise?
In the standing unsupported with eyes closed task, what score indicates that the patient stays safely but cannot keep their eyes closed for 3 seconds?
In the standing unsupported with eyes closed task, what score indicates that the patient stays safely but cannot keep their eyes closed for 3 seconds?
Which score reflects the ability to perform a task without any form of assistance or supervision?
Which score reflects the ability to perform a task without any form of assistance or supervision?
What is the maximum score a patient can achieve if they stand independently and complete 8 steps in exactly 20 seconds?
What is the maximum score a patient can achieve if they stand independently and complete 8 steps in exactly 20 seconds?
If a patient requires minimal assist and can complete more than 2 steps, what score would they receive?
If a patient requires minimal assist and can complete more than 2 steps, what score would they receive?
How many steps must a patient complete without assistance to achieve a score of 2?
How many steps must a patient complete without assistance to achieve a score of 2?
What is the primary activity involved in the Berg Balance Scale based on the provided content?
What is the primary activity involved in the Berg Balance Scale based on the provided content?
What scoring category would a patient fall into if they can complete 8 steps but take longer than 20 seconds?
What scoring category would a patient fall into if they can complete 8 steps but take longer than 20 seconds?
What is the role of the examiner during the task?
What is the role of the examiner during the task?
What must the patient do in item 13 of the Berg Balance Scale?
What must the patient do in item 13 of the Berg Balance Scale?
Which score indicates a patient is unable to try the task and requires assistance to prevent falling?
Which score indicates a patient is unable to try the task and requires assistance to prevent falling?
What is the minimum number of steps a patient must complete to receive any score?
What is the minimum number of steps a patient must complete to receive any score?
What is the objective of examining a patient's ability to stand unsupported with one foot in front of the other?
What is the objective of examining a patient's ability to stand unsupported with one foot in front of the other?
Flashcards
Berg Balance Scale (BBS)
Berg Balance Scale (BBS)
A scale assessing balance in sitting and standing positions, both static and dynamic.
Number of items in BBS
Number of items in BBS
14 functional balance items.
Scoring scale for BBS
Scoring scale for BBS
5-point ordinal scale (0-4), 0=cannot complete, 4 = complete with criterion.
Supervision in BBS
Supervision in BBS
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Scoring for supervision in BBS
Scoring for supervision in BBS
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BBS scoring criteria
BBS scoring criteria
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Functional balance items
Functional balance items
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Sitting to Standing Test
Sitting to Standing Test
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Standing Unsupported
Standing Unsupported
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Scoring - Sitting to Standing (Item 1)
Scoring - Sitting to Standing (Item 1)
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Equipment - Stopwatch
Equipment - Stopwatch
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Equipment - Chair (18-20 inches)
Equipment - Chair (18-20 inches)
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Equipment - Step Stool (7¾ - 9 inches)
Equipment - Step Stool (7¾ - 9 inches)
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Time Limit (Clinician - New)
Time Limit (Clinician - New)
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Time Limit (Clinician - Experienced)
Time Limit (Clinician - Experienced)
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Cost of Equipment
Cost of Equipment
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Chair Transfer Scoring
Chair Transfer Scoring
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Chair Transfer Score 4
Chair Transfer Score 4
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Chair Transfer Score 1
Chair Transfer Score 1
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Standing Unsupported (Eyes Closed)
Standing Unsupported (Eyes Closed)
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Standing Unsupported Score 4
Standing Unsupported Score 4
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Standing Unsupported Score 0
Standing Unsupported Score 0
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Standing with Feet Together
Standing with Feet Together
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Standing with Feet Score 4
Standing with Feet Score 4
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Standing with Feet Score 0
Standing with Feet Score 0
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Reaching Forward (Standing)
Reaching Forward (Standing)
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BBS scoring: Level 4
BBS scoring: Level 4
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BBS scoring: Level 0
BBS scoring: Level 0
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BBS: When to administer?
BBS: When to administer?
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BBS: Item 9 variation
BBS: Item 9 variation
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BBS: Consistency in scoring
BBS: Consistency in scoring
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Standing unsupported one foot
Standing unsupported one foot
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8 steps in 20 seconds
8 steps in 20 seconds
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Step/stool repetitions
Step/stool repetitions
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Scoring 4
Scoring 4
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Scoring 3
Scoring 3
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Scoring 2
Scoring 2
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Scoring 1
Scoring 1
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Scoring 0
Scoring 0
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Patient standing quietly
Patient standing quietly
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Study Notes
Overview of the Berg Balance Scale (BBS)
- The BBS is a clinician-rated scale used to evaluate sitting and standing balance, both static and dynamic.
- It consists of 14 functional balance items assessing the ability to maintain positions and perform postural adjustments to complete functional movements.
- Scoring is on a 5-point ordinal scale (0-4). 0 indicates inability to complete the task, 4 indicates successful completion of the task criteria.
- Scoring considers time, independence, or supervision needed to complete the tasks. Points are deducted for required assistance or exceeding allotted times.
Scoring Details
- Each item is scored relative to the time, level of independence, or supervision needed for performance.
- Points are deducted for supervision, assistance, or longer-than-allowed task times.
- The lowest applicable category is used for the assessment.
- Supervision is required for excessive sway or safety concerns.
Equipment Needed
- Stopwatch
- Standard height chair (18-20 inches) with armrests
- Standard height chair (18-20 inches) without armrests
- Step or stool (average height: 7 3/4 - 9 inches)
- Ruler
- Slipper or shoe
Time Considerations
- New clinicians: < 20 minutes
- Experienced clinicians: < 20 minutes
Item-by-Item Descriptions
Item 1: Sitting to Standing
- Patient sits in a standard height chair with armrests.
- Instructions: Stand up, avoid using hands for support.
- Scoring:
- 4: Stand without hands, independent stabilization
- 3: Stand independently using hands
- 2: Stand using hands after several attempts.
- 1: Need minimal aid to stand or stabilize
- 0: Moderate/maximal assistance needed to stand.
Item 2: Standing Unsupported
- Patient stands with feet shoulder-width apart on a solid surface.
- Instructions: Stand for 2 minutes without support.
- Scoring:
- 4: Stand safely for 2 minutes.
- 3: Stand for 2 minutes with supervision
- 2: Stand unsupported for 30 seconds.
- 1: Needs multiple tries to stand for 30 seconds unsupported.
- 0: Unable to stand for 30 seconds unsupported.
Item 3: Sitting with Back Unsupported
- Patient sits with back unsupported, feet supported on the floor or a stool.
- Instructions: Sit with arms folded for 2 minutes.
- Scoring:
- 4: Sit safely and securely for 2 minutes
- 3: Sit for 2 minutes under supervision
- 2: Sit for 30 seconds.
- 1: Sit for 10 seconds.
- 0: Unable to sit without support for 10 seconds.
- (Other items (4-14) are described similarly, details are not explicitly repeated)*
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