Berg Balance Scale: Assessing Functional Balance

The Berg Balance Scale measures balance to determine fall risk in older adults. Therapists use this 14-item performance test to guide rehabilitation and track patient progress.

Berg Balance Scale clinical assessment PDF form for evaluating balance and fall risk.
BBS

Berg Balance Scale

The Berg Balance Scale is a trusted clinical test used to check a patient's static and dynamic balance. Consisting of 14 tasks, it helps therapists identify fall risks in older adults or stroke survivors. It’s an essential part of rehabilitation for tracking stability and safety.

Category

Mobility
Rehabilitation
Physical health
Movement System

Disease

Assessment
Geriatrics
Rehabilitation
Clinical Measurement

Source

(Berg et al., 1989)

Author Name

Berg, K.O., Wood-Dauphinee, S., Williams, J.I. & Maki, B. (1992)

Page Editor

Thijs Sondag

What is Berg Balance Scale

The Berg Balance Scale (BBS) is a trusted tool for checking static and dynamic balance. It’s essential for assessing fall risk in older adults. This 14-item test looks at how well patients handle everyday movements. It covers tasks like sitting to standing, standing unsupported, and reaching forward without moving feet. Clinicians score each task on a five-point scale from 0 to 4. A 0 means the patient can't do the task, while 4 shows full independence. With a top score of 56, it gives a clear picture of functional balance and helps predict if someone might take a tumble. Taking about 15 to 20 minutes, the BBS is easy to run in clinics or homes since it needs very little equipment. It’s a favourite in physiotherapy for tracking progress over time. By spotting balance issues early, healthcare pros can create better care plans to keep patients safe and mobile.

BBS Scoring

The Berg Balance Scale can be scored using one main cumulative approach. Clinicians observe performance on 14 distinct tasks, such as standing unsupported or retrieving an object from the floor. You rate each item on a five point scale from 0, meaning unable to perform, to 4, indicating full independence. These item scores are added together to get a total out of 56. Generally, a result below 45 suggests a higher risk of falls, while scores near 56 show good balance. This total helps physios decide if a patient needs walking assistance or is safe to move alone.

View scoring form

Advantages

Diagnostic accuracy

Enables precise identification of patient health status.

Outcome tracking

Measures healthcare intervention results systematically.

Reliable data

Provides consistent measurements for clinical research.

User-friendly

Simple to understand and complete for patients.

Wide applicability

Serves diverse clinical needs effectively.

20
Minutes
14
Questions

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