Correlation of the Berg Balance Scale and Smart Balance Master System for Chronic Hemiparetic Stroke

만성 편마비 뇌졸중 환자의 버그균형척도(Berg Balance Scale)와 Smart Balance Master System의 상관성

  • 송창순 (전남과학대학 작업치료과)
  • Received : 2011.10.21
  • Accepted : 2011.12.13
  • Published : 2011.12.31


The purpose of this study was to find correlation between the Berg Balance Scale which is most commonly used and the equilibrium scores from Smart Balance Master System which is used for the test of the balance ability for the patients with chronic hemiparetic stroke to predict their falling risk though examining the postural control. Twenty-two subjects who had first stroke participated in this study. Participants were measured the Berg Balance Scale and the Smart Balance Master System. The study found that there was a significant correlation between the Berg Balance Scale and the equilibrium scores from Smart Balance Master System. And there was no significant correlation at all "eye-closed and sway of surfaces" in the 6 conditions of Smart Balance Master System and there was a significant correlation with over median in the other 5 conditions. The study was uncovered that there was no meaningful correlation between the Berg Balance Scale and "eye-closed and sway of surfaces" because chronic hemiparetic stroke patients heavily relied on their vision to maintain their balance ability and the Berg Balance Scale did not properly exam it. Thus to predict their falling risk in clinical practice for the patients with chronic hemiparetic stroke, it would be more efficient ways for us to consider all the effects of sensory organs with more than one clinical evaluation method.


Berg Balance Scale;Smart Balance Master System;Stroke;Reliability;Validity


  1. H. Park, M. Kang, J Huh, "Recent epidemiological trends of stroke", J Koresurg Soc, 43(1):16-20, 2008.
  2. S. E. Lamb, et al., "Risk factors for falling in homedwelling older women with stroke: the Women's Health and Aging Study", Stroke, Feb;34(2):494-501, 2003.
  3. J. J. Eng, M. Y. C Pang, M. C Ashe, "Balance, falls, and bone health: role of exercise in reducing fracture risk after stroke", J Rehabil Res Dev. 45(2):297-313, 2008.
  4. J. W. Krakauer, "Motor learning: its relevance to stroke recovery and neurorehabilitation", Curr Opin Neurol, 19(1):84-90, 2006.
  5. A. Forster, and J. Young, "Incidence and consequences of falls due to stroke: a systematic inquiry", BMJ, 311: 83-86, 1995.
  6. V. Weerdesteyn, M. de Niet, H. J. R. van Duijuhoven, A. C. H. Geurts, "Falls in individuals with stroke", J Rehabil Res Develo, 45(8):1195-1214, 2008.
  7. D. Hyndman, A Ashburn, L. Yardley, et al., "Interference between balance, gait and cognitive task performance among people with stroke living in the community", Disabil Rehabil, 28(13-14):849-856, 2006.
  8. A. Shumway-Cook and M. H. Woollacott, "Motor control: Translating research into clinical practice", pp257-272, Lippincott Williams & Wilkins, 2011.
  9. S. F. Tyson, M. Hanley, J. Chillala, et al., "Balance disability after stroke", Phys Ther, 86(1):30-38, 2006.
  10. L. Blum, and N. Korner-Bitensky, "Usefulness of the Berg Balance Scale in stroke rehabilitation: a systematic review", Phys Ther, 88: 559-566, 2008.
  11. J. E. Harris, J. J. Eng, D. S. Marigold, et al., "Relationship of Balance and Mobility to fall incidence in people with chronic stroke", Phys Ther, 85(2):150-158, 2005.
  12. L. J. Liaw, C. L. Hsieh, S. K. Lo, H. M. Chen, "The relative and absolute reliability of two balance performance measures in chronic stroke patients", Disabil Rehabil, 30(9):656-661, 2008.
  13. K. Berg, S. L. Wood-Dauphinee, J. T. Willimans, "Measuring balance in the elderly: validation of an instrument", Can J Public Health, 83:S9-S11, 1989.
  14. P. W. Duncan, D. K. Weiner, J. Chandler, and Studenski S, "Functional reach: a new clinical measure of balance", J Gerontol, 45: M192-197, 1990.
  15. M. E. Tinetti, "Performance-oriented assessment of mobility problems in elderly patients", J Am Geriatr Soc, 34(2):119-126, 1986.
  16. C. Kwon, H. Park, "The validity of the Mini-mental State Examination-Korean for elderly", Archives of Neuro Psychiatry, 28:125-135, 1989.
  17. L. Blum, N. Korner-Bitensky, "Usefulness of the Berg balance scale in stroke rehabilitation: a systematic review", Phys Ther, 88:559-566, 2008.
  18. H. An, M.. Lee "Trunk Control after Stroke and the Relationship With Balance, Activity daily Living ; PASS, TCT, BBS, FM-B, MBI", KAOT, 16(4):31-44, 2008.
  19. R. Liston, B. J. Brouwer, "Reliability and validity of measures obtained from stroke patients using the balance master", Arch Phys Med Rehabil, 77:425-430, 1996.
  20. M. J. Faber, R. J. Bosscher, P. C. W. van Wieringen, "Clinometric properties of the performance-oriented mobility assessment", Phys Ther, 86(7)944-954, 2006.
  21. J. Jonsdottir, D. Cattaneo, "Reliability and validity of the dynamic gait index in persons with chronic stroke" Arch Phys Med Rehabi, 88(11):1410-1415, 2007.
  22. C. S. Sterke, S. L. Huisman, E. F. van Beeck, et al., "Is the Tinetti performance oriented mobility assessment (POMA) a feasible and valid predictor of short-term fall risk in nursing home residents with dementia?", Int Psychogeriat,. 22(2):254-263, 2010.

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