What is the cut-off score for the Berg Balance Scale?

A score of 45 or below is the traditional cut-off for identifying individuals at an increased risk of falling. Scores between 0-20 indicate high fall risk, 21-40 medium risk, and 41-56 low risk.

How long does it take to administer the BBS?

Typically, the Berg Balance Scale takes 15–20 minutes to complete in a clinical setting across all 14 functional tasks.

GERI-STABILITY PROTOCOL

Berg Balance Scale Pro

Comprehensive 14-Task Fall Risk Stratification

Select scores for all 14 tasks
to generate Risk Dial

CHARTING NOTE

Supervision required during administration.

Scoring Interpretation

41-56
Low Risk

21-40
Medium Risk

0-20
High Risk

Clinical Application of the BBS

The Berg Balance Scale (BBS) is considered the gold standard for functional balance assessment in the elderly. It is highly effective at predicting the requirement for assistive devices and identifying patients who would benefit from a formal fall-prevention program.

The 14 Functional Tasks

The test evaluates both static and dynamic balance through tasks including:

• Standing to Sitting / Sitting to Standing
• Standing unsupported with eyes closed
• 360-degree turn
• Reaching forward with outstretched arm
• Placing alternate foot on stool

Expert FAQs

What is the MDC for the Berg Balance Scale?

The Minimal Detectable Change (MDC) is approximately 4 to 6 points. A change within this range is necessary to be 95% confident that real clinical change has occurred.

Can the BBS predict stroke recovery?

Yes, it is frequently used in post-stroke rehabilitation to monitor the recovery of postural control and determine discharge readiness for independent living.

Clinical Bibliography

1. Berg K, Wood-Dauphinee S, Williams JI. The Balance Scale: reliability and validity. Physiother Can. 1989;41:304–311.
2. Donoghue D. Psychometric properties of the Berg Balance Scale. Archives of Physical Medicine and Rehab. 2009.

Dr. Nikhil Mahajan, PT

MPT-Ortho | Clinical Reviewer

Audited for adherence to geriatric rehabilitation safety standards.

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