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Published on: December 11, 2013
Normative data for the balance error scoring system for patients with chronic neck pain
Arisa Leungbootnak1, Rungthip Puntumetakul2, Thiwaphon Chatprem2
1Human Movement Sciences, School of Physical Therapy, Faculty of Associated Medical Science, Khon Kaen University, Khon Kaen, Thailand; School of Physical Therapy, Faculty of Associated Medical Science, Khon Kaen University, Khon Kaen, Thailand; Research Center in Back, Neck, Other Joint Pain and Human Performance (BNOJPH), Faculty of Associated Medical Science, Khon Kaen University, Khon Kaen, Thailand.
This study established Balance Error Scoring System (BESS) normative values for individuals with chronic subclinical neck pain (SNP). Balance control worsens with age in this population, highlighting the need for tailored assessments.
Area of Science:
- Biomechanics
- Neurology
- Physical Therapy
Background:
- Chronic subclinical neck pain (SNP) negatively impacts balance control.
- The Balance Error Scoring System (BESS) is a standard tool for static balance assessment.
- Normative data for BESS in chronic SNP patients are lacking.
Purpose of the Study:
- To develop normative BESS values for adults with chronic SNP.
- To stratify these normative values by age and gender.
Main Methods:
- 310 participants (20-69 years) with chronic SNP and no balance disorders were recruited.
- The Thai BESS version (BESS-TH) was used, assessing three stances on two surfaces.
- Data were stratified by age and gender.
Main Results:
- BESS scores increased with age across all participants.
- Scores for women were generally higher than for men within age groups.
- Significant age-related deterioration in balance was observed.
Conclusions:
- A normative BESS database for adults with chronic SNP was established.
- Age is a significant factor in balance decline for this population.
- Population-specific normative data are essential for accurate balance evaluation and intervention planning.

