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Chapter 17 - Assessments
Berg Balance Scale
The Berg Balance Scale is used to objectively determine a client's ability (or inability) to safely balance
during a series of predetermined tasks. It is a 14-item question assessment with an ascending score range
from 0 to 4 for each question and takes approximately 20 minutes to complete.
Postural Sway
The Postural Sway Program Group consists of Static and Dynamic Postural Sway Programs. These
programs are designed to challenge, assess and track client's sway envelope and balance control. Sway
Envelope is the area in which a patient can move their center of gravity within their base of support.
Static Postural Sway
Client is required to maintain static balance within the Balance Point for 60 seconds.
Dynamic Postural Sway
Client is instructed to maintain postural control while moving in order to align the reticle on screen with the
target stimuli over a period of 60 seconds. Select the locations client must move towards during the activity.
Sensory
The Sensory Program Group consists of Sensory Integration Test and Romberg. These programs allow
multi-trial attempts and consist of six conditions in each program.
Sensory Integration Test
Assess Sensory contributions to postural control and involves measuring client's attempt to maintain
balance under various Sensory conditions for 30 seconds per condition. Multi-trial allows the client to
attempt the same condition up to 2 more times if client fails in the first trial.
Romberg
Test client's neurological function for balance. It challenges and assesses all senses used in balance
including proprioception, vestibular function and vision. The client is instructed to maintain balance under
various condition for 60 seconds per condition. Multi-trial allows the client to attempt the same condition
up to 3 more times if client fails in the first trial.
Functional Reach
Assess a cilent's stability and fall risk by measuring the maximum distance that a client can reach forward
while standing or sitting in a fixed position. client is instructed to stand or sit on either side of the screen,
flex the shoulder at 90 degrees and extend the arm parallel to the screen with elbow extended to mark
the starting position. Once the starting position has been marked by the Clinician on screen, the client
is instructed to lean forward as far as safely possible and the Clinician marks the ending position. The
system allows for three readings and presents an average distance reached by the client. Measurements
can be recorded in imperial (inches) or Metric (cm).
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