Balance Evaluation Systems Test: BESTest (Horak, et al. 2009)
The original BESTest contains 36 performance test items that are categorized into 6 underlying systems that may contribute to balance impairment:
Horak FB, Wrisley DM, Frank J. (2009). The Balance Evaluation Systems Test (BESTest) to Differentiate Balance Deficits. Phys Ther. 89(5):484-498.
Hass CJ, Bloem BR, Okun MS. (2008). Pushing or pulling to predict falls in Parkinson disease? Nature clinical practice neurology 4(10):530-531
Mini-BESTest (Franchignoni, et al. 2012)
This shortened version of the original BESTest has selected test items from 4 balance systems (anticipatory, reactive postural control, sensory orientation, dynamic gait) of the original 6 balance system categories. The instructions are the same.
In an April 2013 Letter to the Editor in PT Journal, King and Horak clarified an error in the scoring of the Mini-BESTest as proposed by Franchignoni et al. in 2012. King and Horak state that the total possible score should be 28 (not 32) from 14 items (not 16). A rationale is given, and an Appendix with instructions and a scoring form is included.
King L, Horak FB. (2013). Letter to the editor: On the Mini-BESTest: scoring and the reporting of total scores. Phys Ther. 93:571–575.
Franchignoni F, Horak F, Godi M, Nardone A, Giordano A. (2010). Using psychometric techniques to improve the Balance Evaluation Systems Test: the mini-BESTest. J Rehabil Med. 42(4):323-31.
Brief-BESTest (Padgett, et al. 2012)
shortened version of the original BESTest has selected one test item
from each of the original 6 balance systems. There are a total of 8
test items (since 2 of them are performed bilaterally).
Instructions and scoring (ordinal, 0-3) are given as an appendix in the research article by Padgett. However the scoring form is not in the public domain, and requires permission from the author.
Padgett PK, Jacobs JV, Kasser SL. (2012). Is the BESTest at its best? A suggeste brief version based on interrater reliability, validity, internal consistency and theoretical construct. Phys Ther. 92(9):1197-1207.
Norms for the 3 versions (health older adults):
S, Winship B, Herridge L, Agha T, Brooks D, Beauchamp MK, Sibley KM.
G-codes (recommended tests
are listed on pages 6-7) Section
on Geriatrics Recommended Outcome Measures for Medicare Functional
Updated August 15, 2014