The Mini-BESTest is a shorten version of the BESTest (Balance Evaluation Systems Test). It is a 14-item test with a maximum score of 28. This test includes the following:
SIT TO STAND
Goal: Patient can stand up from a chair without the use of hands and is able to stabilize independently.
RISE TO TOES
Goal: Patient can stand on toes and stabilize for 3 seconds at maximum height.
STAND ON ONE LEG
Goal: Patient stands on one leg for as long as they can while looking straight ahead.
REACTIVE POSTURAL CONTROL:
COMPENSATORY STEPPING CORRECTION – FORWARD While standing with feet shoulder width apart, arms at sides, the patient leans forward against the tester’s hands beyond their forward limits. When tester lets go, the patient does whatever is needed, including taking a step, to avoid a fall
Goal: The patient takes a single, large step and recovers independently (a second realignment step is allowed)
COMPENSATORY STEPPING CORRECTION –BACKWARD Patient stands with feet shoulder width apart and arms at sides, then leans backward against tester’s hands beyond backward limits. When tester lets go, patient does whatever is necessary, including taking a step, to avoid a fall
Goal: Patient recovers independently with one single, large step
COMPENSATORY STEPPING CORRECTION – LATERAL
Patient stands with feet together and arms at sides. Patient will lean into testers hands beyond their sideways limit. When tester lets go, patient does whatever is necessary, including taking a step, to avoid a fall. Repeat test on opposite side
Goal: Patient Recovers independently (in both directions) with 1 step (a crossover or lateral step is OK)
STANCE (FEET TOGETHER); EYES OPEN, FIRM SURFACE
Patient places hands on hips and places feet together until almost touching.
Goal: Looking straight ahead, patient remains as stable and still as possible until tester says stop
STANCE (FEET TOGETHER); EYES CLOSED, FOAM SURFACE
Patient steps onto the foam surface, places hands on hips, and places feet together until almost touching. Tester starts timing when patient closes their eyes.
Goal: Patient remains as stable and still as possible until tester says stop.
INCLINE – EYES CLOSED
Patient steps onto an incline ramp and stands on the incline ramp with toes pointing towards the top. Patient places feet shoulder width apart and puts arms down to their sides. Tester starts timing when patient closes their eyes.
Goal: Patient stands independently for 30 seconds and aligns with gravity
CHANGE IN GAIT SPEED
Patient begins walking at their normal speed. When tester cues to walk fast, the patient walks as fast as they can. When tester cues to walk slow, the patient walks very slowly.
Goal: The patient is able to significantly change walking speeds without imbalance
WALK WITH HEAD TURNS – HORIZONTAL
Patient begins walking at their normal speed. When tester says right, the patient turns their head and looks to the right. When tester says left, the patient turns their head and looks to the left. The patient will try to walk in a straight line during this exercise
Goal: Patient is able to perform head turns with no change in gait speed while demonstrating good balance
WALK WITH PIVOT TURNS
Patient begins walking at their normal speed. When tester cues to turn and stop, the patient turns as quickly as possible, faces the opposite direction, and stops. After the turn, the patient’s feet should be close together
Goal: Patient turns with feet close and FAST (less than 3 steps) and with good balance
STEP OVER OBSTACLES
Patient begins walking at their normal speed. When they get to the box, they step over it, not around it, and keep walking
Goal: Patient is able to step over box with minimal change of gait speed and with good balance
TIMED UP & GO (TUG TEST) WITH DUAL TASK [3 METER WALK]
A piece of tape is placed 3 meters in front of a chair. When tester says GO, the patient will stand up from the chair and walk at their normal speed just beyond the tape on the floor. They then turn around and come back to sit in the chair. When performing TUG with Dual Task, tester will cue patient to count backwards by threes starting at _. When tester says GO, the patient stands up from the chair, walks at their normal speed just beyond the tape on the floor, turns around, and walks back to sit in the chair. The patient is to continue counting backwards the entire time
Goal: Patient is able to demonstrate no noticeable change in sitting, standing, or walking while counting backwards when compared to TUG test without Dual Task.