Skip Navigation LinksHome > January/March 2011 - Volume 34 - Issue 1 > Usefulness of the Berg Balance Scale to Predict Falls in the...
Journal of Geriatric Physical Therapy:
doi: 10.1097/JPT.0b013e3181ff2b0e
Systematic Review

Usefulness of the Berg Balance Scale to Predict Falls in the Elderly

Neuls, Patrick D. PT, DPT1; Clark, Tammie L. PT, DPT2; Van Heuklon, Nicole C. PT, DPT3; Proctor, Joy E. PT4; Kilker, Barbra J. PT, DPT5; Bieber, Mallory E. PT6; Donlan, Alice V. PT, DPT, MBA7; Carr-Jules, Suchitha A. PT, DPT8; Neidel, William H. PT, DPT9; Newton, Roberta A. PT, PhD5

Collapse Box

Abstract

Objective: The purpose of this systematic review was to complete a comprehensive search and review of the literature to determine the ability of the Berg Balance Scale (BBS) to predict falls in the elderly with and without pathology. Specifically, the cutoff score that is most predictive of falls in the older adults and the sensitivity and specificity of the BBS in predicting falls.

Methods: A search of English-language–based literature with relevant search terms using the OVID, CINAHL, PubMed, and MEDLINE search engines from 1985 to March 2009.

Results: Nine studies warranted inclusion in this systematic review after evaluation for article objectives, inclusion criteria, and scoring 5 or more out of 10 on the Physiotherapy Evidence Database scale. Five studies addressed the elderly population ( = 65 years) without pathology. The remaining 4 studies addressed elderly participants with neurological disorders. All 9 studies reported sensitivity and specificity of the BBS in predicting falls. Sensitivity and specificity results varied greatly depending on the cutoff score and the author's objectives. Eight of the 9 studies recommended specific cutoff scores.

Discussion and Conclusion: The BBS alone is not useful for predicting falls in the older adults with and without pathological conditions. Given the varied recommended cutoff scores and psychometric values, clinicians should use the BBS in conjunction with other tests/measures considering unique patient factors to quantify the chances of falls in the older adults. This study recommends research to formulate a scoring algorithm that can further enhance the clinician's ability to predict falls in the older adults.

Copyright © 2011 the Section on Geriatrics of the American Physical Therapy Association

You currently do not have access to this article.

You may need to:

Note: If your society membership provides for full-access to this article, you may need to login on your society’s web site first.

Login

Article Tools

Share

Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.