Assessment Overview

Purpose: Target and identify 6 different balance control systems so that specific rehabilitation approaches can be designed for different balance deficits

Equipment: Stopwatch, foam, incline ramp, 9 inch box, standard chair

ICF Category: Activity

Details: The test has a maximum score of 28 points. The higher the score achieved, the better the person's functional balance. Clinically, a score of <20/28 indicates that the individual is at an increased risk to fall.

Assessment Handout

Assessment Psychometrics

Neuro PT EDGE highly recommends (4/4) the use of this outcome measure for individuals with Hoehn and Yahr stages I-IV. It is not recommended (1/4) for individuals with a disability level of V on the Hoehn and Yahr scale because the functional level is too low to perform this test. Students should learn to administer this tool, and this tool has been validated for use in research studies. The psychometric properties available for this test when used with the PD population are reported in the list below.

• Concurrent Validity:

  • Excellent with Berg Balance Scale (r=0.79)

  • Excellent with the BESTest (r=0.96)

  • Adequate with the Activity Specific Balance Confidence Scale (r=0.66)

  • Excellent with 5xSTS (r=-0.71)

• Cutoff Score: <20/32 or 63%; *used with a total score of 32 instead of 28* ; <19.5/28

• Interrater Reliability: Excellent, ICC=0.91

• MDC: 3.8 points

• Predictive Validity: Significant predictor of recurrent falls using multivariate logistic regression

• SEM: 6.16% or 1.99 points

• Test-retest: Excellent, ICC=0.92

Instructional Video

Application Videos