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Summary: The Balance Error Scoring System

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Postural stability, or one’s ability to maintain balance, generally improves from birth to adulthood, and then declines with age. Exceptions to normal balance occur from health problems such as autism, inner ear dysfunction and nerve disorders such as Parkinson’s disease. Some injuries are known to decrease balance, including concussions / traumatic brain injury and high-altitude sickness.
The Balance Error Scoring System (BESS) was developed by researchers and clinicians at the University of North Carolina’s Sports Medicine Research Laboratory in Chapel Hill, NC, and is a part of the Standardized Assessment of Concussion, 3rd edition, endorsed by the 2013 Concussion in Sport Group, an international collection of experts in concussions (Br J Sports Med 2013 47:259), and used worldwide in the evaluation of concussions occurring in sports. BESS has been validated for use in evaluating the effect of concussions on balance, as well as studied in cases of high-altitude sickness. The results of BESS testing can be used by healthcare providers in assessing an affected individual’s recovery and rehabilitation progress.
The BESS testing is a portable test that assesses static postural stability. The balance-testing consists of testing balance with three stances on two different surfaces – both on firm ground and then on a moderate-density …show more content…
These errors include moving the hands off the hips, opening the eyes, a step, stumble or fall, abduction (moving hip out) or flexion (lifting hip forward) of the hip beyond 30˚, lifting the forefoot or heel off of the testing surface, or remaining out of the proper testing position for more than 5 seconds. The maximum total number of errors for each single stance / surface test is 10, and the error scores for each stance / surface are added together for the total BESS score, up to a maximum of 60. If a subject commits multiple errors simultaneously, only one error is

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