Balance Evaluation Systems Test

Current clinical balance assessment tools do not determine the underlying constraints on a balance disorder. The BESTest is a new clinical balance assessment tool that is unique in allowing clinicians to determine the type of balance problems in patients. The BESTest combines both original tasks and tasks/items taken from the literature to create a systematic, theoretical framework for identifying the underlying constraints of a balance disorder.

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Push and Release test diagram

Rather than just assuming that “balance” is one system, the BESTest breaks down control of balance into six distinct parts based on different systems underlying control of balance: I. Biomechanics, II. Stability Limits, III. Automatic Postural Responses, IV. Anticipatory Postural Adjustments, V. Sensory Orientation, and VI. Dynamic Balance During Gait. The BESTest has excellent inter-rate reliability and validity. The BESTest allows the clinician to document balance disorders and improvement with therapy, thereby increasing third party payer reimbursement. This is an educational DVD that teaches clinicians how to accurately administer and score the BESTest. Video examples of patients with balance disorders performing the tests are provided so clinicians can improve their balance testing skills.

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