Poster 35 Evaluation of Correlation Between the Modified Balance Error Scoring System and the Sensory Organization Test as Measures of Postural Stability

PM&R ◽  
2011 ◽  
Vol 3 ◽  
pp. S188-S188
Author(s):  
Elena J. Jelsing ◽  
Jonathan Finnoff ◽  
John H. Hollman ◽  
Desiree J. Lanzino ◽  
Cara Prideaux ◽  
...  
Keyword(s):  
Scoring System ◽  
Postural Stability ◽  
Sensory Organization Test ◽  
Sensory Organization ◽  
Balance Error Scoring System ◽  
Balance Error

Sensitivity of the Balance Error Scoring System and the Sensory Organization Test in the Combat Environment

2016 ◽  
Vol 33 (7) ◽  
pp. 705-711 ◽  
Author(s):  
F. Jay Haran ◽  
Jill C. Slaboda ◽  
Laurie A. King ◽  
W. Geoff Wright ◽  
Daniel Houlihan ◽  
...  
Keyword(s):  
Scoring System ◽  
Sensory Organization Test ◽  
Sensory Organization ◽  
Balance Error Scoring System ◽  
Balance Error ◽  
Combat Environment

Comparing Computer-Derived and Human-Observed Scores for the Balance Error Scoring System

2016 ◽  
Vol 25 (2) ◽  
pp. 133-136 ◽  
Author(s):  
Jaclyn B. Caccese ◽  
Thomas W. Kaminski
Keyword(s):  
Athletic Training ◽  
Outcome Measures ◽  
Scoring System ◽  
Postural Stability ◽  
Correlation Coefficients ◽  
Current Standard ◽  
Interclass Correlation ◽  
Z Scores ◽  
Balance Error Scoring System ◽  
Balance Error

Context:The Balance Error Scoring System (BESS) is the current standard for assessing postural stability in concussed athletes on the sideline. However, research has questioned the objectivity and validity of the BESS, suggesting that while certain subcategories of the BESS have sufficient reliability to be used in evaluation of postural stability, the total score is not reliable, demonstrating limited interrater and intrarater reliability. Recently, a computerized BESS test was developed to automate scoring.Objective:To compare computerderived BESS scores with those taken from 3 trained human scorers.Design:Interrater reliability study.Setting:Athletic training room.Patients:NCAA Division I student athletes (53 male, 58 female; 19 ± 2 y, 168 ± 41 cm, 69 ± 4 kg).Interventions:Subjects were asked to perform the BESS while standing on the Tekscan (Boston, MA) MobileMat® BESS. The MobileMat BESS software displayed an error score at the end of each trial. Simultaneously, errors were recorded by 3 separate examiners. Errors were counted using the standard BESS scoring criteria.Main Outcome Measures:The number of BESS errors was computed for the 6 stances from the software and each of the 3 human scorers. Interclass correlation coefficients (ICCs) were used to compare errors for each stance scored by the MobileMat BESS software with each of 3 raters individually. The ICC values were converted to Fisher Z scores, averaged, and converted back into ICC values.Results:The double-leg, single-leg, and tandem-firm stances resulted in good agreement with human scorers (ICC = .999, .731, and .648). All foam stances resulted in fair agreement.Conclusions:Our results suggest that the MobileMat BESS is suitable for identifying BESS errors involving each of the 6 stances of the BESS protocol. Because the MobileMat BESS scores consistently and reliably, this system can be used with confidence by clinicians as an effective alternative to scoring the BESS.

Cleveland Clinic Postural Stability Index Norms for the Balance Error Scoring System

2018 ◽  
Vol 50 (10) ◽  
pp. 1998-2006 ◽  
Author(s):  
SUSAN M. LINDER ◽  
SARAH J. OZINGA ◽  
MANDY MILLER KOOP ◽  
TANUJIT DEY ◽  
RICHARD FIGLER ◽  
...  
Keyword(s):  
Scoring System ◽  
Postural Stability ◽  
Cleveland Clinic ◽  
Stability Index ◽  
Balance Error Scoring System ◽  
Balance Error

Quantitative assessment of postural stability using accelerometer and gyroscopic data during balance error scoring system

2013 ◽  
Vol 47 (5) ◽  
pp. e1.35-e1
Author(s):  
Jay L Alberts ◽  
Joshua R Hirsch ◽  
Richard Figler ◽  
Andrew N Russman ◽  
Robert Gray ◽  
...  
Keyword(s):  
Scoring System ◽  
Postural Stability ◽  
Quantitative Assessment ◽  
Balance Error Scoring System ◽  
Balance Error

scholarly journals The Nintendo® Wii Fit Balance Board can be used as a portable and low-cost posturography system with good agreement compared to established systems

2020 ◽  
Vol 25 (1) ◽  
Author(s):  
Ben Rohof ◽  
Marcel Betsch ◽  
Björn Rath ◽  
Markus Tingart ◽  
Valentin Quack
Keyword(s):  
Gold Standard ◽  
Scoring System ◽  
Postural Stability ◽  
Demographic Data ◽  
Sensory Organization Test ◽  
Level Of Evidence ◽  
Wii Fit ◽  
Sensory Organization ◽  
Balance Game ◽  
Balance Board

Abstract Background Almost all epidemiological studies over the past 40 years have determined that the incidence of fragility fractures is increasing. Therefore, the assessment of postural stability and monitoring any progress during balance training for geriatric patients to prevent falls are becoming more important. The Nintendo® Wii Fit Balance Board, with its integrated software and scoring system, might be a cheap and easily accessible tool for this purpose. Methods This prospective study analyzed the diagnostic value of the Wii Fit Balance Board in 41 healthy subjects using two measurements: the yoga task “tree,” which is performed in one-leg stance; and the balance game “table tilt.” Our investigation compared these tasks to two established, regularly used systems, the MFT-S3 Check and the Posturomed, by looking for correlation and agreement, using Bland–Altman plots, as well as for differences to demographic data. All measurement tools were also compared to the Sensory Organization Test—the gold standard for detecting impaired balance. Results We found a moderate correlation between the yoga exercise “tree” and the Sensory Organization Test (correlation coefficient r = 0.514, p = 0.001) as well as the MFT-S3 Check (r = 0.356–0.472, p = 0.002–0.022) and the Posturomed (r = 0.345, p = 0.027). However, results from the balance game “table tilt” did not show a significant correlation with those of the systems to which we compared it (p = 0.301–0.953). Conclusions According to the literature, the raw data from the Wii Fit Balance Board are comparable to that obtained by laboratory-grade force platforms. We have found, however, that the yoga pose “tree,” as integrated into the Nintendo® Wii Fit Balance Board with its own scoring system, also correlates with the gold-standard Sensory Organization Test. It also correlates with two frequently used diagnostic and therapeutic devices. We, therefore, conclude that the Wii Fit Balance Board is suitable for the evaluation of postural stability and may be useful in preventing falls among the geriatric population. Level of evidence 2b.

Improved postural control after computerized optokinetic therapy based on stochastic visual stimulation in patients with vestibular dysfunction

2008 ◽  
Vol 17 (2-3) ◽  
pp. 131-136
Author(s):  
Benjamin Loader ◽  
Wolfgang Gruther ◽  
Christian A. Mueller ◽  
Gerhard Neuwirth ◽  
Stefan Thurner ◽  
...  
Keyword(s):  
Postural Stability ◽  
Visual Stimulation ◽  
Vestibular Dysfunction ◽  
Composite Score ◽  
Sensory Organization Test ◽  
Control Groups ◽  
Sensory Organization ◽  
Somatosensory Input ◽  
And Control ◽  
Vestibular Asymmetry

Balance is accomplished by the congruent integration of visual, vestibular and somatosensory input and the execution of adequate control movements. With increasing age, nonlinear dynamics of central control systems become more regular. In unilateral vestibular dysfunction, sensory input to central systems is similarly less complex, because of one sided reduction of information influx. This study aimed to increase postural stability in patients with vestibular asymmetry and resulting disequilibrium by implementing a computerized visual training method relying on the principles of stochastic resonance. 24 subjects (average age 64a, 31–78a, 15 women, 9 men), with minimum 3 months of persisting disequilibrium due to vestibular dysfunction, were either treated with computerized optokinetic therapy (COKT), or solely observed. Treated patients were requested to read texts, stochastically moving in a previously defined matrix, during 10 sessions over three weeks. The Sensory Organization Test (SOT) was used for comparative posturographic measurements. COKT patients showed significant improvement in conditions 4, 6 and composite score. A significant post-therapeutic difference was seen between therapy and control groups in conditions 1, 6 and composite score. The results show a clinical benefit and we conclude COKT to be an effective rehabilitation method in patients with chronic disequilibrium.

scholarly journals P124: A new in-skates balance error scoring system for the sideline assessment of concussion in hockey players

CJEM ◽  
2018 ◽  
Vol 20 (S1) ◽  
pp. S100-S101
Author(s):  
A. Robert ◽  
M. Moroz ◽  
D. Var ◽  
J. Correa ◽  
S. Delaney
Keyword(s):  
Scoring System ◽  
Primary Outcome ◽  
Return To Play ◽  
Secondary Outcome ◽  
Balance Test ◽  
Rater Reliability ◽  
Post Exercise ◽  
Hockey Players ◽  
Balance Error Scoring System ◽  
Balance Error

Introduction: During a hockey game, athletes who are suspected of having sustained a concussion are removed from the game and evaluated. The modified balance error scoring system (MBESS) assessment, an essential part of the concussion evaluation, is performed in the dressing room, barefoot on a hard surface after equipment removal. While, players that pass the concussion assessment may re-dress and return to play, the equipment removal and re-dressing delays their return into the game. The objective of our study was to develop and evaluate a new in-skates balance error scoring system (SBESS) to reduce the delay in returning to the game. Methods: A prospective randomized single blinded study was conducted with 80 healthy university hockey players split into two groups. An at-rest group performed the SBESS assessment at rest on two separate occasions. A post-exercise group performed the test once at rest and once after exercise. The SBESS consisted of performing 4 different stances for 20 seconds each without equipment removal. The assessments were video recorded, and 3 independent reviewers scored the videos. For both the at-rest and post-exercise groups, the primary outcome measured was the number of balance errors. The secondary outcome was the number of falls. Statistics: For the primary outcome, both inter-rater and intra-rater reliability were calculated. The concordance between the SBESS and the currently used baseline pre-season balance score (MBESS) was also assessed. Results: The number of cumulative balance errors for all four stances varied between 4 and 7 for both groups without any significant exercise effect. No athletes fell. For inter-rater reliability, the intra-class correlation (ICC) was above 0.86, ranging from 0.86-0.92 for most stances except for the easiest stance, for which it was 0.66. For intra-rater reliability, the ICC ranged from 0.88 to 1 for all stances and raters. There was a lack of concordance between the SBESS and MBESS. Conclusion: The SBESS is a reliable balance test that can be safely performed in healthy athletes wearing their full equipment. The next step will be to evaluate the use of this test on concussed hockey athletes

The Relationship Between Physical Literacy Measures of Balance and the Balance Error Scoring System in Youth Sports Participants

2018 ◽  
Vol 10 (6) ◽  
pp. 270-276
Author(s):  
Hayley J. Root ◽  
Tamara C. Valovich McLeod ◽  
Eleanor Beltz ◽  
Julie Burland ◽  
Lindsay J. DiStefano
Keyword(s):  
Scoring System ◽  
Youth Sports ◽  
Physical Literacy ◽  
Balance Error Scoring System ◽  
The Relationship ◽  
Balance Error

scholarly journals Baseline profiles of auditory, vestibular, and visual functions in youth tackle football players

Concussion ◽  
2019 ◽  
Vol 4 (4) ◽  
pp. CNC66
Author(s):  
Travis White-Schwoch ◽  
Jennifer Krizman ◽  
Kristi McCracken ◽  
Jamie K Burgess ◽  
Elaine C Thompson ◽  
...  
Keyword(s):  
Scoring System ◽  
Normative Data ◽  
Football Players ◽  
Published Data ◽  
Frequency Following Response ◽  
Youth Athletes ◽  
Concussion Management ◽  
Tackle Football ◽  
Balance Error Scoring System ◽  
Balance Error

Aim: Neurosensory tests have emerged as components of sport-related concussion management. Limited normative data are available in healthy, nonconcussed youth athletes. Patients & methods/results: In 2017 and 2018, we tested 108 youth tackle football players immediately before their seasons on the frequency-following response, Balance Error Scoring System, and King-Devick test. We compared results with published data in older and/or and nonathlete populations. Performance on all tests improved with age. Frequency-following response and Balance Error Scoring System results aligned with socioeconomic status. Performance was not correlated across neurosensory domains. Conclusion: Baseline neurosensory functions in seven 14-year-old male tackle football players are consistent with previously published data. Results reinforce the need for individual baselines or demographic-specific norms and the use of multiple neurosensory measures in sport-related concussion management.

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