CDE Detailed Report
Subdomain Name: Physical Function
CRF: welcome
Displaying 1 - 12 of 12
| CDE ID | CDE Name | Variable Name | Definition | Short Description | Question Text | Permissible Values | Description | Data Type | Disease Specific Instructions | Disease Specific Reference | Population | Classification (e.g., Core) | Version Number | Version Date | CRF Name (CRF Module / Guidance) | Subdomain Name | Domain Name | Size | Input Restrictions | Min Value | Max Value | Measurement Type | External Id Loinc | External Id Snomed | External Id caDSR | External Id CDISC |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C20801 | Balance Error Scoring System (BESS) - Tandem stance foam surface error count | BESSTandemStncFoamSrfcErrorCt | Number of errors during tandem stance with non-dominant foot in back on foam surface, as part of Balance Error Scoring System (BESS) | Number of errors during tandem stance with non-dominant foot in back on foam surface, as part of Balance Error Scoring System (BESS | Tandem stance foam surface error (Optional) | Numeric Values |
Option: For further assessment, the same 3 stances can be performed on a surface of medium density foam (e.g., approximately 50 cmX40 cmX 6cm) |
Bell et al. Systematic Review of the Balance Error Scoring System, Sports Health. 2011 May; 3(3): 287-295.doi: 10.1177/1941738111403122. http://www.carolinashealthcare.org/documents/carolinasrehab/bess_manual_.pdf | Adult;Pediatric | Supplemental | 1.00 | 2015-05-21 08:51:27.0 | Balance Error Scoring System Modified (BESS-Modified) | Physical Function | Outcomes and End Points |
Free-Form Entry |
0 | 10 | ||||||||
| C20802 | Balance Error Scoring System (BESS) - Foam surface total error count | BESSTotalFoamErrorCt | Total number of errors while on foam surface, as part of Balance Error Scoring System (BESS) | Total number of errors while on foam surface, as part of Balance Error Scoring System (BESS | Total Score: Foam surface total error (Optional) | Numeric Values |
Option: For further assessment, the same 3 stances can be performed on a surface of medium density foam (e.g., approximately 50 cmX40 cmX 6cm) |
Bell et al. Systematic Review of the Balance Error Scoring System, Sports Health. 2011 May; 3(3): 287-295.doi: 10.1177/1941738111403122. http://www.carolinashealthcare.org/documents/carolinasrehab/bess_manual_.pdf | Adult;Pediatric | Supplemental | 1.00 | 2015-05-21 08:51:27.0 | Balance Error Scoring System Modified (BESS-Modified) | Physical Function | Outcomes and End Points |
Free-Form Entry |
0 | 30 | ||||||||
| C20803 | Balance Error Scoring System (BESS) - Both firm foam surface total error count | BESSTotalErrorCt | Total number of errors for both firm and foam surface, as part of Balance Error Scoring System (BESS) | Total number of errors for both firm and foam surface, as part of Balance Error Scoring System (BESS | B.E.S.S. Total: Firm and foam surfaces total error (Optional) | Numeric Values |
Option: For further assessment, the same 3 stances can be performed on a surface of medium density foam (e.g., approximately 50 cmX40 cmX 6cm) |
Bell et al. Systematic Review of the Balance Error Scoring System, Sports Health. 2011 May; 3(3): 287-295.doi: 10.1177/1941738111403122. http://www.carolinashealthcare.org/documents/carolinasrehab/bess_manual_.pdf | Adult;Pediatric | Supplemental | 1.00 | 2015-05-21 08:51:27.0 | Balance Error Scoring System Modified (BESS-Modified) | Physical Function | Outcomes and End Points |
Free-Form Entry |
0 | 60 | ||||||||
| C20804 | Balance Error Scoring System (BESS) - Foot tested anatomic site | BESSFootTestAnatSite | Anatomic site of non-dominant foot tested, as part of Balance Error Scoring System (BESS) | Anatomic site of non-dominant foot tested, as part of Balance Error Scoring System (BESS | Which foot was tested (i.e., which is the non-dominant foot) | Left;Right | Left;Right | Alphanumeric | Bell et al. Systematic Review of the Balance Error Scoring System, Sports Health. 2011 May; 3(3): 287-295.doi: 10.1177/1941738111403122. http://www.carolinashealthcare.org/documents/carolinasrehab/bess_manual_.pdf | Adult;Pediatric | Supplemental | 1.00 | 2015-05-21 08:51:27.0 | Balance Error Scoring System Modified (BESS-Modified) | Physical Function | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C21564 | Ground surface type | GroundSurfTyp | The type of ground surface | The type of ground surfac | Testing surface (hard floor, field, etc.) | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2015-07-28 11:23:36.0 | Balance Error Scoring System Modified (BESS-Modified) | Physical Function | Outcomes and End Points | 255 |
Free-Form Entry |
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| C20795 | Balance Error Scoring System (BESS) - Double leg stance firm surface error count | BESSDblLegFirmErrorCt | Number of errors during double leg stance with feet together on firm surface, as part of Balance Error Scoring System (BESS) | Number of errors during double leg stance with feet together on firm surface, as part of Balance Error Scoring System (BESS | Double leg stance first surface error | Numeric Values |
"The first stance is standing with your feet together with your hands on your hips and with your eyes closed. You should try to maintain stability in that position for 20 seconds. I will be counting the number of times you move out of this position. I will start timing when you are set and have closed your eyes." Please take your shoes off, roll up your pant legs above ankle (if applicable), and remove any ankle taping (if applicable). This test will consist of 6 - twenty second tests with three different stances on two different surfaces. I will describe the stances as we go along. Standing on a firm surface with feet side by side (touching), hands on the hips and eyes closed. |
Bell et al. Systematic Review of the Balance Error Scoring System, Sports Health. 2011 May; 3(3): 287-295.doi: 10.1177/1941738111403122. http://www.carolinashealthcare.org/documents/carolinasrehab/bess_manual_.pdf | Adult;Pediatric | Supplemental | 1.00 | 2015-05-21 08:51:27.0 | Balance Error Scoring System Modified (BESS-Modified) | Physical Function | Outcomes and End Points |
Free-Form Entry |
0 | 10 | ||||||||
| C21566 | Footwear use type | FootwearUseTyp | The type related to footwear used | The type related to footwear use | Footwear (shoes, barefoot, braces, tape, etc.) | Alphanumeric | Adult | Supplemental | 1.00 | 2015-07-28 11:30:40.0 | Balance Error Scoring System Modified (BESS-Modified) | Physical Function | Outcomes and End Points | 255 |
Free-Form Entry |
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| C20796 | Balance Error Scoring System (BESS) - Single leg stance firm surface error count | BESSSglLegFirmErrorCt | Number of errors during single leg stance with non-dominant foot tested on firm surface, as part of Balance Error Scoring System (BESS) | Number of errors during single leg stance with non-dominant foot tested on firm surface, as part of Balance Error Scoring System (BESS | Single leg stance first surface error | Numeric Values |
"If you were to kick a ball, which foot would you use? [This will be the dominant foot] Now Standing on a firm surface on the non-dominant foot (opposite leg of the preferred kicking leg), the hip is flexed to approximately 30 degrees and knee flexed to approximately 45 degrees. Hands are on the hips and eyes closed. |
Bell et al. Systematic Review of the Balance Error Scoring System, Sports Health. 2011 May; 3(3): 287-295.doi: 10.1177/1941738111403122. http://www.carolinashealthcare.org/documents/carolinasrehab/bess_manual_.pdf | Adult;Pediatric | Supplemental | 1.00 | 2015-05-21 08:51:27.0 | Balance Error Scoring System Modified (BESS-Modified) | Physical Function | Outcomes and End Points |
Free-Form Entry |
0 | 10 | ||||||||
| C20797 | Balance Error Scoring System (BESS) - Tandem stance firm surface error count | BESSTandemFirmErrorCt | Number of errors during tandem stance with non-dominant foot in back on firm surface, as part of Balance Error Scoring System (BESS) | Number of errors during tandem stance with non-dominant foot in back on firm surface, as part of Balance Error Scoring System (BESS | Tandem stance first surface errors | Numeric Values |
"Now stand heel-to-toe with your non-dominant foot in back. Your weight should be evenly distributed across both feet. Again, you should try to maintain stability for 20 seconds with Standing heel to toe on a firm surface with the non-dominate foot in the back. Heel of the dominant foot should be touching the toe of the non-dominant foot. Hands are on the hips and their eyes are closed. |
Bell et al. Systematic Review of the Balance Error Scoring System, Sports Health. 2011 May; 3(3): 287-295.doi: 10.1177/1941738111403122. http://www.carolinashealthcare.org/documents/carolinasrehab/bess_manual_.pdf | Adult;Pediatric | Supplemental | 1.00 | 2015-05-21 08:51:27.0 | Balance Error Scoring System Modified (BESS-Modified) | Physical Function | Outcomes and End Points |
Free-Form Entry |
0 | 10 | ||||||||
| C20798 | Balance Error Scoring System (BESS) - Firm surface total error count | BESSTotalFirmErrorCt | Total number of errors while on firm surface, as part of Balance Error Scoring System (BESS) | Total number of errors while on firm surface, as part of Balance Error Scoring System (BESS | Total Score: First surface total error (Optional) | Numeric Values |
An error is credited to the subject when any of the following occur: 1) moving the hands off of the iliac crests; 2) opening the eyes; 3) step stumble or fall; 4) abduction or flexion of the hip beyond 30; 5) lifting the forefoot or heel off of the testing surface; 6) remaining out of the proper testing position for greater than 5 seconds. The maximum total number of errors for any single condition is 10. |
Bell et al. Systematic Review of the Balance Error Scoring System, Sports Health. 2011 May; 3(3): 287-295.doi: 10.1177/1941738111403122. http://www.carolinashealthcare.org/documents/carolinasrehab/bess_manual_.pdf | Adult;Pediatric | Supplemental | 1.00 | 2015-05-21 08:51:27.0 | Balance Error Scoring System Modified (BESS-Modified) | Physical Function | Outcomes and End Points |
Free-Form Entry |
0 | 30 | ||||||||
| C20799 | Balance Error Scoring System (BESS) - Double leg stance foam surface error count | BESSDblLegFoamErrorCt | Number of errors during double leg stance with feet together on foam surface, as part of Balance Error Scoring System (BESS) | Number of errors during double leg stance with feet together on foam surface, as part of Balance Error Scoring System (BESS | Double leg stance foam surface errors (Optional) | Numeric Values |
Option: For further assessment, the same 3 stances can be performed on a surface of medium density foam (e.g., approximately 50 cmX40 cmX 6cm) |
Bell et al. Systematic Review of the Balance Error Scoring System, Sports Health. 2011 May; 3(3): 287-295.doi: 10.1177/1941738111403122. http://www.carolinashealthcare.org/documents/carolinasrehab/bess_manual_.pdf | Adult;Pediatric | Supplemental | 1.00 | 2015-05-21 08:51:27.0 | Balance Error Scoring System Modified (BESS-Modified) | Physical Function | Outcomes and End Points |
Free-Form Entry |
0 | 10 | ||||||||
| C20800 | Balance Error Scoring System (BESS) - Single leg stance foam surface error count | BESSSglLegFoamErrorCt | Number of errors during single leg stance with non-dominant foot tested on foam surface, as part of Balance Error Scoring System (BESS) | Number of errors during single leg stance with non-dominant foot tested on foam surface, as part of Balance Error Scoring System (BESS | Single leg stance foam surface errors (Optional) | Numeric Values |
Option: For further assessment, the same 3 stances can be performed on a surface of medium density foam (e.g., approximately 50 cmX40 cmX 6cm) |
Bell et al. Systematic Review of the Balance Error Scoring System, Sports Health. 2011 May; 3(3): 287-295.doi: 10.1177/1941738111403122. http://www.carolinashealthcare.org/documents/carolinasrehab/bess_manual_.pdf | Adult;Pediatric | Supplemental | 1.00 | 2015-05-21 08:51:27.0 | Balance Error Scoring System Modified (BESS-Modified) | Physical Function | Outcomes and End Points |
Free-Form Entry |
0 | 10 |
