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Updated: Feb 5, 2026

Author Spotlight: Developing Low-Tech Balance Assessment Methods for Broad-Spectrum Healthcare Applications
Published on: September 1, 2023
Variability of the modified Balance Error Scoring System at baseline using objective and subjective balance measures
Amaal J Starling1,1, Danielle F Leong2,2, Jamie M Bogle3,3
1Department of Neurology, Mayo Clinic Arizona, 5777 E Mayo Blvd, Phoenix, AZ 85054, USA.
Aim:
To investigate preseason modified Balance Error Scoring System (mBESS) performance in a collegiate football cohort; to compare scores to an objective mobile balance measurement tool.
Materials & Methods:
Eighty-two athletes completed simultaneous balance testing using mBESS and the King-Devick Balance Test, an objective balance measurement tool. Errors on mBESS and objective measurements in the double-leg, single-leg (SS) and tandem stances were compared.
Results:
Mean mBESS error score was 7.23 ± 4.65. The SS accounted for 74% of errors and 21% of athletes demonstrated the maximum error score. There was no significant correlation between mBESS score and objective balance score.
Conclusion:
The high variability and large number of errors in the SS raises concerns over the utility of the SS in identifying suspected concussion.
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