The BBA assesses functional balance for people with a wide range of abilities, specifically for use post-stroke. It is suitable for use in the clinical setting. Can be used hospital bedside, treatment area, or client’s home.
12
10 minutes
Initially reviewed by Katie Hays, PT, DPT and the TBI EDGE taskforce of the Neurology Section of the APTA in 5/2012.
Recommendations for use of the instrument from the Neurology Section of the American Physical Therapy Association’s Multiple Sclerosis Taskforce (MSEDGE), Parkinson’s Taskforce (PD EDGE), Spinal Cord Injury Taskforce (PD EDGE), Stroke Taskforce (StrokEDGE), Traumatic Brain Injury Taskforce (TBI EDGE), and Vestibular Taskforce (Vestibular EDGE) are listed below. These recommendations were developed by a panel of research and clinical experts using a modified Delphi process.
For detailed information about how recommendations were made, please visit: http://www.neuropt.org/go/healthcare-professionals/neurology-section-outcome-measures-recommendations
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Abbreviations: |
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HR |
Highly Recommend |
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R |
Recommend |
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LS / UR |
Reasonable to use, but limited study in target group / Unable to Recommend |
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NR |
Not Recommended |
Recommendations for use based on acuity level of the patient:
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Acute (CVA < 2 months post) (SCI < 1 month post) (Vestibular < 6 weeks post) |
Subacute (CVA 2 to 6 months) (SCI 3 to 6 months) |
Chronic (> 6 months) |
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StrokEDGE |
UR |
UR |
UR |
Recommendations based on level of care in which the assessment is taken:
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Acute Care |
Inpatient Rehabilitation |
Skilled Nursing Facility |
Outpatient Rehabilitation |
Home Health |
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StrokEDGE |
UR |
UR |
UR |
UR |
UR |
|
TBI EDGE |
LS |
LS |
LS |
LS |
LS |
Recommendations for use based on ambulatory status after brain injury:
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Completely Independent |
Mildly dependant |
Moderately Dependent |
Severely Dependent |
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TBI EDGE |
NR |
LS |
LS |
LS |
Recommendations for entry-level physical therapy education and use in research:
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Students should learn to administer this tool? (Y/N) |
Students should be exposed to tool? (Y/N) |
Appropriate for use in intervention research studies? (Y/N) |
Is additional research warranted for this tool (Y/N) |
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StrokEDGE |
No |
No |
No |
Not reported |
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TBI EDGE |
No |
No |
No |
Not reported |
New tool, all psychometric testing performed by same group, so it is unknown how reproducible the results are.
Do you see an error or have a suggestion for this instrument summary? Please e-mail us!
Stroke: (Tyson and DeSouza, 2004; n=92, broken down into 3 groups for reliability (n=37), scalability (n=80), and validity testing (n=55; mean age=67.4(12.84) years; median time since stroke=9 weeks)
Chronic Stroke: (Tyson and DeSouza, 2004)
Chronic Stroke: (Tyson and DeSouza, 2004)
Chronic Stroke: (Tyson and DeSouza, 2004)
Chronic Stroke: (Tyson and DeSouza, 2004)
Acute Stroke: (Tyson et al, 2007; n=102 participants, mean age 70.7(12.6) years; mean time since stroke 21 (5) days; 75 participants completed 3 month follow-up)
Chronic Stroke: (Tyson and DeSouza, 2004)
Pollock, C., Eng, J., et al. (2011). "Clinical measurement of walking balance in people post stroke: a systematic review." Clinical Rehabilitation 25(8): 693-708. Find it on PubMed
Tyson, S. F. and Connell, L. A. (2009). "How to measure balance in clinical practice. A systematic review of the psychometrics and clinical utility of measures of balance activity for neurological conditions." Clinical Rehabilitation 23(9): 824-840. Find it on PubMed
Tyson, S. F. and DeSouza, L. H. (2004). "Development of the Brunel Balance Assessment: a new measure of balance disability post stroke." Clinical Rehabilitation 18(7): 801-810. Find it on PubMed
Tyson, S. F., Hanley, M., et al. (2007). "The relationship between balance, disability, and recovery after stroke: predictive validity of the brunel balance assessment." Neurorehabilitation & Neural Repair 21(4): 341-346. Find it on PubMed
We have reviewed more than 500 instruments for use with a number of diagnoses including stroke, spinal cord injury and traumatic brain injury among several others.