SRC: Balance, postural control, and gait testing score sheet

Modified BESS	Error score	Double-leg stance	......... of 10
		Tandem stance	......... of 10
		Single-leg stance	......... of 10 (adults only)
		Total errors	......... of 30
BESS on foam	Error score	Double-leg stance	......... of 10
		Tandem stance	......... of 10
		Single-leg stance	......... of 10 (adults only)
		Total errors	......... of 30
Romberg	Normal	Abnormal	Not done
Gait	Normal	Abnormal	Not done
Dynamic gait assessment (0 = severe impairment; 1 = moderate; 2 = mild; 3 = normal)

Gait test	Description	Result	Signs/symptoms
Tandem gait eyes open (forward and backward)	Patient walks 5 steps forward and backward, heel to toe, while looking straight ahead.	Normal	Fall/unstable
		Abnormal	Overstep
			Dizziness/nausea
			Other:
Tandem gait eyes closed (forward and backward)	Patient walks 5 steps forward and backward, heel to toe, with eyes closed.	Normal	Fall/unstable
		Abnormal	Overstep
			Dizziness/nausea
			Other:
Tandem stance	Patient stops walking and stands for 20 seconds in a heel-to-toe stance with hands on hips and eyes closed.	Normal	Fall/unstable
		Abnormal	Dizziness/nausea
			Other:
Tandem gait forward with cognitive distraction: (1) spelling 5-letter word backwards, (2) subtracting by 6 or 7 seconds from a randomly presented 2-digit number, or (3) reverse month recitation, starting from a randomly chosen month.
Normal		Fall/unstable
Abnormal		Dizziness/nausea
Not done		Other:

SRC: sports-related concussion; BESS: Balance Error Scoring System.

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