MDCalc

Berg Balance Scale (BBS)

Assesses balance and risk for falls in older community-dwelling adults.

Equipment required for this tool:

  • Stopwatch.
  • Two standard-height chairs (one with armrests, the other without).
  • Step or footstool.
  • Ruler.
  • Shoe or slipper.

Sitting to standing

Standing unsupported

Sitting with back unsupported

Standing to sitting

Transfers

Standing unsupported with eyes closed

Standing unsupported with feet together

Reaching forward with outstretched arm while standing

Pick up object from the floor from a standing position

Turning to look behind over left and right shoulders

Turn 360 degrees

Placing alternate foot on step or stool while standing unsupported

Standing unsupported one foot in front

Standing on one leg

Result:

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Advice
  • This tool adheres to the original study's cutoff of <45 to indicate a higher risk of falls (Berg, 1989).
  • Use results to guide personalized intervention plans that focus on improving specific areas of balance.
  • Schedule regular follow-ups to reassess balance using the BBS to monitor progress and adjust treatment plans as necessary.
  • Combine BBS outcomes with other assessments (e.g., muscle strength, gait analysis) for a comprehensive approach to managing fall risk.