- •The Berg Balance Scale (BBS), Balance Evaluation Systems Test (BESTest), Mini-BESTest, and Brief-BESTest are reliable in older people living in the community.
- •Minimal detectable change values were established for the BBS, BESTest, Mini-BESTest, and Brief-BESTest.
- •The 4 balance tests are able to differentiate between community-living older people with and without a history of falls.
- •Test selection depends on balance impairment level, purpose, and time availability.
Main Outcome Measures
List of abbreviations:ABC (Activities-Specific Balance Confidence), AUC (area under the curve), BBS (Berg Balance Scale), BESTest (Balance Evaluation Systems Test), FTSTS (Five Times Sit-to-Stand), ICC (intraclass correlation coefficient), MDC (minimal detectable change), MDC95 (minimal detectable change at the 95% confidence level)
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- Falls: fact sheet N°344.2012 (Available at:)Accessed March 18, 2016)
- Risk factors for falls among elderly persons living in the community.N Engl J Med. 1988; 319: 1701-1707
National Institute for Health and Care Excellence. Falls in older people: assessment after a fall and preventing further falls (QS86). Available at: https://www.nice.org.uk/guidance/qs86/. Accessed March 20, 2016.
- A multifactorial approach to understanding fall risk in older people.J Am Geriatr Soc. 2010; 58: 1679-1685
- Test-retest reliability and minimal detectable change on balance and ambulation tests, the 36-Item Short-Form Health Survey, and the Unified Parkinson Disease Rating Scale in people with parkinsonism.Phys Ther. 2008; 88: 733-746
- Postural control and fear of falling assessment in people with chronic obstructive pulmonary disease: a systematic review of instruments, International Classification of Functioning, Disability and Health linkage, and measurement properties.Arch Phys Med Rehabil. 2013; 94: 1784-1799.e7
- Psychometric properties of the Berg Balance Scale in a community-dwelling elderly resident population in Taiwan.J Formos Med Assoc. 2006; 105: 992-1000
- Usefulness of the Berg Balance Scale in stroke rehabilitation: a systematic review.Phys Ther. 2008; 88: 559-566
- A comparative study of physical performance measures in Parkinson's disease.Mov Disord. 2008; 23: 1897-1905
- Effect of pulmonary rehabilitation on balance in persons with chronic obstructive pulmonary disease.Arch Phys Med Rehabil. 2010; 91: 1460-1465
- Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls?.Age Ageing. 2006; 35: ii7-ii11
- The Balance Evaluation Systems Test (BESTest) to differentiate balance deficits.Phys Ther. 2009; 89: 484-498
- Functional Gait Assessment and Balance Evaluation System Test: reliability, validity, sensitivity, and specificity for identifying individuals with Parkinson disease who fall.Phys Ther. 2011; 91: 102-113
- Impairments in systems underlying control of balance in COPD.Chest. 2012; 141: 1496-1503
- Assessing balance function in patients with total knee arthroplasty.Phys Ther. 2015; 95: 1397-1407
- Reliability, validity, and minimal detectable change of Balance Evaluation Systems Test and its short versions in older cancer survivors: a pilot study.J Geriatr Phys Ther. 2016; 39: 58-63
- Increasing the clinical utility of the BESTest, mini-BESTest, and brief-BESTest: normative values in Canadian adults who are healthy and aged 50 years or older.Phys Ther. 2014; 94: 334-342
- Using psychometric techniques to improve the Balance Evaluation Systems Test: the mini-BESTest.J Rehabil Med. 2010; 42: 323-331
- Is the BESTest at its best? A suggested brief version based on interrater reliability, validity, internal consistency, and theoretical construct.Phys Ther. 2012; 92: 1197-1207
- Comparison of reliability, validity, and responsiveness of the mini-BESTest and Berg Balance Scale in patients with balance disorders.Phys Ther. 2013; 93: 158-167
- Psychometric properties of the Mini-Balance Evaluation Systems Test (Mini-BESTest) in community-dwelling individuals with chronic stroke.Phys Ther. 2013; 93: 1102-1115
- Construct validity of the BESTest, mini-BESTest and briefBESTest in adults aged 50 years and older.Gait Posture. 2015; 42: 301-305
- Rating the methodological quality in systematic reviews of studies on measurement properties: a scoring system for the COSMIN checklist.Qual Life Res. 2012; 21: 651-657
- Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies.BMJ. 2007; 335: 806-808
- Guidelines for Reporting Reliability and Agreement Studies (GRRAS) were proposed.J Clin Epidemiol. 2011; 64: 96-106
- Depression and falls among community dwelling elderly people: a search for common risk factors.J Epidemiol Community Health. 2002; 56: 631-636
- A review of balance instruments for older adults.Am J Occup Ther. 1998; 52: 666-671
- Discriminative and evaluative properties of the Activities-specific Balance Confidence (ABC) Scale.J Gerontol A Biol Sci Med Sci. 1998; 53: M287-M294
- Validation of the Portuguese version of the “Activities-specific Balance Confidence Scale.”.Revista da SPMFR. 2010; 19: 20-25
- Comparing the Fullerton Advanced Balance Scale with the Mini-BESTest and Berg Balance Scale to assess postural control in patients with Parkinson disease.Arch Phys Med Rehabil. 2015; 96: 218-225
- Utility of the Mini-BESTest, BESTest, and BESTest sections for balance assessments in individuals with Parkinson disease.J Neurol Phys Ther. 2011; 35: 90-97
- Balance in personal care home residents: a comparison of the Berg Balance Scale, the Multi-Directional Reach Test, and the Activities-specific Balance Confidence Scale.J Geriatr Phys Ther. 2005; 28: 48-53
- Analysis and comparison of the psychometric properties of three balance measures for stroke patients.Stroke. 2002; 33: 1022-1027
- The reproducibility of Berg Balance Scale and the single-leg stance in chronic stroke and the relationship between the two tests.PM R. 2012; 4: 165-170
- Comparative utility of the BESTest, mini-BESTest, and brief-BESTest for predicting falls in individuals with Parkinson disease: a cohort study.Phys Ther. 2013; 93: 542-550
- Comparing the Mini-BESTest with the Berg Balance Scale to evaluate balance disorders in Parkinson's disease.Parkinsons Dis. 2012; 2012: 375419
Heinemann A, Chen D. Rehabilitation Measures Database. Available at: http://www.rehabmeasures.org/default.aspx. Accessed April 20, 2016.
- The Five-Times-Sit-To-Stand Test: validity, reliability and detectable change in older females.Aging Clin Exp Res. 2012; 24: 339-344
- The repetitive Five-Times-Sit-To-Stand Test: its reliability in older adults.Int J Ther Rehabil. 2013; 20: 122-130
- Physical activity in the United States measured by accelerometer.Med Sci Sports Exerc. 2008; 40: 181-188
- G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences.Behav Res Methods. 2007; 39: 175-191
- Statistical power analysis for the behavioral sciences.2nd ed. Lawrence Erlbaum, Hillsdale1988
- Principles of statistics.Dover Publications, New York1979
- Sample size requirements for estimating intraclass correlations with desired precision.Stat Med. 2002; 21: 1331-1335
- Reliability of assessment tools in rehabilitation: an illustration of appropriate statistical analyses.Clin Rehabil. 1998; 12: 187-199
- Reliability of measurements.in: Fleiss J. The design and analysis of clinical experiments. 1st ed. John Wiley & Sons, New York1986
- Quantifying test-retest reliability using the intraclass correlation coefficient and the SEM.J Strength Cond Res. 2005; 19: 231-240
- Minimal detectable change of the Timed 'Up & Go' Test and the Dynamic Gait Index in people with Parkinson disease.Phys Ther. 2011; 91: 114-121
- Interobserver reproducibility of the assessment of severity of complaints, grip strength, and pressure pain threshold in patients with lateral epicondylitis.Arch Phys Med Rehabil. 2002; 83: 1145-1150
- Usefulness of some current balance tests for identifying individuals with disequilibrium due to vestibular impairments.J Vestib Res. 2008; 18: 295-303
- A randomized controlled trial of balance training during pulmonary rehabilitation for individuals with COPD.Chest. 2013; 144: 1803-1810
- Minimum detectable change of the Berg Balance Scale and Dynamic Gait Index in older persons at risk for falling.J Geriatr Phys Ther. 2011; 34: 131-137
Supported in part by Fundo Europeu de Desenvolvimento Regional through Programa Operacional Fatores de Competitividade and Fundação para a Ciência e Tecnologia (FCT) under project UID/BIM/04501/2013, and by National Funds through FCT, in the context of the projects UID/CEC/00127/2013 and Incentivo/EEI/UI0127/2014.