BESS Instruction Video

 

 

Checklist

* Level, hard surface (floor)
* Blue SportGait foam balance pad
* A quiet, distraction-free room
* Patient must remove their shoes, roll up their pant legs and remove ankle taping.
* A spotter to assist the patient should they become unstable during the test (you may act as the spotter, if necessary).
* Volume turned up on the Surface

* SportGait Sensors placed appropriately on the patient, turned on, lit emblem facing up.

* Sensors are on and connected to the Surface hotspot.


Scoring

Each of the 20-second trials is scored by counting the errors accumulated by the patient. The examiner will begin counting errors only after the individual has assumed the proper testing positions.

An error is credited to the patient when any of the following occur:

* Moving the hands off of the iliac crest
* Opening the eyes
* Stepping, stumbling, or falling
* Abduction or flexion of the hip beyond 30 degrees
* Lifting the forefoot or heel off of the testing surface
* Remaining out of the proper testing position for longer than 5 continuous seconds

If the patient makes multiple errors within a 5 second period, without returning to the proper position for at least one second, this would count as 1 error.

If the patient makes multiple errors for more than 5 seconds, this would count as 2 errors.
The maximum total number of errors for a single position is 10.

If your patient is completely unable to obtain the proper testing position, they are assigned the highest possible score (10) for that position.

If you are worried about the patient’s ability to safely perform a position, you may skip the position and move on to the next one.  Do not leave any score for any positions that you skip.


Test

Again, the BESS consists of three 20-second tests each involving a different stance, first performed on a hard surface floor and then the same three tests repeated on a foam surface.

We recommend having a “spotter” for safety reasons.  If necessary, you can set the surface down and act as a spotter for the patient.

Remember to stand in front of the patient so you can see if their eyes open.

DO NOT look at the timer on the Surface during the 20-seconds that the patient is performing the test.  Your attention should be completely on them during this time.  Simply make sure that the Surface sound is on full volume so you will hear the beep when the 20 seconds are up.


Stances

Double Leg Stance: 

Instruct the patient as follows:

“Please stand with your hands on your hips, eyes closed and feet together. I will time you as you attempt to hold this position for 20 seconds. Our spotter will stand nearby to assist you in the event you lose your balance. Are you ready?”

Press the START button when the patient is in the correct starting position with their eyes closed.

Your patient should attempt to maintain stability in this position for the entire 20 seconds. Keep a mental count of the number of errors.

At the end of the 20-second time period, enter the number of errors. In the event of a false start, press the stop button and the reset button to start the test again. You must repeat the instructions for this position before starting.

 

Single Leg Stance: 

For the next position please instruct the patient as follows:

“Please stand on your non-dominant foot and raise your dominant leg in the air, with your hip flexion at 30 degrees and your knee flexed to approximately 45 degrees. Place your hands on your hips, eyes closed. I will time you as you attempt to hold this position for 20 seconds. Our spotter will stand nearby to assist you in the event you lose your balance. Are you ready?” 

Press the START button when the patient is in the correct starting position with their eyes closed.

The patient should do their best to hold this position for the entire 20 seconds. Keep a mental count of the number of errors.

At the end of the 20-second time period, enter the number of errors. In the event of a false start, press the stop button and the reset button to start the test again. You must repeat the instructions for this position before starting.

 

Tandem Stance: 

We recommended that before conducting this next test, you need to turn the Blue Foam SportGait Pad on a diagonal so that the patient’s feet can fit properly on the mat. Shot of a pair of hands adjusting the foam pad. 

“Please stand heel-to-toe with your non-dominant foot in the back, and your weight evenly distributed across both feet. Place your hands on your hips, eyes closed and feet together. I will time you as you attempt to hold this position for 20 seconds. Our spotter will stand nearby to assist you in the event you lose your balance. Are you ready?” 

Press the START button when your patient is in the correct starting position with their eyes closed.

The patient should do their best to hold this position for the entire 20 secs. Keep a mental count of the number of errors.

At the end of the 20-second time period, enter the number of errors. In the event of a false start, press the STOP button and the reset button to start the test again. You must repeat the instructions for this position before starting.

YOU WILL BE TESTING THESE STANCES ON BARE FLOOR AND ON THE BALANCE PAD INCLUDED IN YOUR KIT. THIS MAKES  A TOTAL OF 6 BALANCE TESTS.


Preview of Test Page