BESTest (Balance Evaluation System Test) Différentes échelles connues: Berg, Dynamic Gait Index, TUG test, Functional reach test, Unipodal test, Modifié CTSIB ( Foam and Dome) Ajouts : Double tâche Réponses posturales: pas compensatoires Alignement postural : plan frontal, plan incliné Force musculaire a/n hanches, chevilles S’asseoir au sol et revenir à la position debout Incliner et redresser

BESTest (Balance Evaluation System Test) 6 catégories: Contraintes biomécaniques Limites de stabilité et Verticalité Ajustements posturaux anticipés Réponses posturales Orientation sensorielle Stabilité à la marche 36 items – 45 à 60 minutes pour compléter Abigail LL (2011) Phys Ther - « FGA et BESTest sont fiables et valides pour évaluer l’équilibre des Parkinsoniens. » - « BESTest est le test le plus sensitif pour identifier les chuteurs » Abigail LL, Crowner BE, Earhart GM Funtional Gait Assessment and Balance Evaluation System Test: Reliability, Validity, Sensitivity and Specificity for Identifying Individuals With Parkinson’s Disease Who Fall. Phys Ther, Vol 91, No 1, 102-113.

Balance Evaluation – Systems Test MINI BESTest MINI BESTest- of DYNAMIC BALANCE Balance Evaluation – Systems Test Copyright 2009 Subjects should be tested with flat-heeled shoes OR shoes and socks off. If subject must use an assistive device for an item, score that item one category lower. If subject requires physical assistance to perform an item, score the lowest category (0) for that item. 1. SIT TO STAND 2. RISE TO TOES 3. STAND ON ONE LEG 4. COMPENSATORY STEPPING CORRECTION- FORWARD 5. COMPENSATORY STEPPING CORRECTION- BACKWARD 6. COMPENSATORY STEPPING CORRECTION- LATERAL 7. EYES OPEN, FIRM SURFACE (FEET TOGETHER) 8. EYES CLOSED, FOAM SURFACE (FEET TOGETHER) 9. INCLINE- EYES CLOSED 10. CHANGE IN GAIT SPEED 11. WALK WITH HEAD TURNS – HORIZONTAL 12. WALK WITH PIVOT TURNS 13. STEP OVER OBSTACLES 14. TIMED UP & GO (ITUG) WITH DUAL TASK TUG: ________sec; Dual Task TUG _______ sec ORIGINAL REPORT: USING PSYCHOMETRIC TECHNIQUES TO IMPROVE THE BALANCE EVALUATION SYSTEMS TEST: THE MINI-BESTEST Franco Franchignoni, MD', Fay Horak, PT, PhO2, Marco Godi, PT3, Antonio Nardone, MO3 and Andrea Giordano, PhO5 J Rehabil Med 2010; 42: 323-331