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Normative data for the modified balance error scoring system in adults.

Grant L Iverson1, Michael S Koehle

  • 1University of British Columbia & Copeman Healthcare Centre, Vancouver, BC, Canada. giverson@mail.ubc.ca

Brain Injury
|March 12, 2013
PubMed
Summary

This study establishes normative data for the Modified Balance Error Scoring System (M-BESS) in adults. Performance on this balance test declines with age and is affected by obesity, particularly in women.

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Area of Science:

  • Neurology
  • Biomechanics
  • Gerontology

Background:

  • Head trauma can significantly impact balance and postural stability.
  • The Modified Balance Error Scoring System (M-BESS) is a valuable bedside tool for assessing balance recovery.
  • Standardized normative data are crucial for accurate interpretation of M-BESS results in clinical settings.

Purpose of the Study:

  • To develop preliminary normative data for the M-BESS in a diverse adult population.
  • To establish a reference frame for M-BESS performance across different age groups and sexes.
  • To aid in monitoring balance recovery following head trauma and in neurological conditions.

Main Methods:

  • 1234 adults aged 20-69 were assessed using the M-BESS.
  • Participants were screened for medical, neurological, and lower extremity conditions affecting balance.

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  • Data collection occurred during comprehensive preventive health screenings.

    • Main Results:

    • M-BESS performance showed a significant decline with increasing age.
    • No significant sex-based differences were observed in overall M-BESS performance.
    • Obesity was associated with poorer M-BESS scores, more pronounced in women than men.

    Conclusions:

    • Preliminary normative data for the M-BESS in adults are presented, stratified by age and sex.
    • These data serve as a critical reference for evaluating balance in adults with traumatic brain injuries and neurological disorders.
    • Age and obesity are key demographic factors influencing M-BESS performance in adults.