CDE Detailed Report

Disease: Sport Related Concussion
Sub-Domain: Neuromotor Function
CRF: Balance Error Scoring System (BESS)

Displaying 1 - 10 of 10
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 / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
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). N/A 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 (BESS) Neuromotor Function Outcomes and End Points

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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). N/A Left;Right;Unknown Left;Right;Unknown Alphanumeric

If you were to kick a ball, which foot would you use? [This will be the dominant foot].

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 (BESS) Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

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). The first stance is standing with your feet together like this [administrator demonstrates two-legged stance]
You will be standing with your hands on your hips with your eyes closed. You should try to maintain stability in th position for entire 20 seconds. I will be counting thnumber of times you move out of this position. For example: if you take your hands off your hips, open your eyes, take a step, lift your toes or your heels. If you do move out of the testing stance, simply open your eyes, regain your balance, get back into the testing position as quickly as possible, and close your eyes again.
There will be a person positioned by you to help get into the testing stance and to help if you lose your balance.
Put your feet together, put your hands on your hips and when you close your eyes the testing time will begin. [Start timer when subject closes their eyes]
Numeric Values

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 (BESS) Neuromotor Function Outcomes and End Points

Free-Form Entry

0 10
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). If you were to kick a ball, which foot would you use? [This will be the dominant foot]
Now stand on your non-dominant foot.
[Before continuing the test assess the position of the dominant leg as such: the dominant leg should be held in approximately 30 degrees of hip flexion and 45 degrees of knee flexion]
Again, you should try to maintain stability for 20 seconds with your eyes closed. I will be counting the number of times you move out of this position.
Place your hands on your hips. When you close your eyes the testing time will begin. [Start timer when subject closes their eyes]
Numeric Values

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 (BESS) Neuromotor 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). 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 your eyes closed. I will be counting the number of times you move out of this position.
Place your hands on your hips. When you close your eyes the testing time will begin. [Start timer when subject closes their eyes]
Numeric Values

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 (BESS) Neuromotor 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). N/A 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 (BESS) Neuromotor 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). The first stance is standing with your feet together like this [administrator demonstrates two-legged stance]
You will be standing with your hands on your hips with your eyes closed. You should try to maintain in stability in that position for entire 20 seconds. I will be counting the number of times you move out of this position. For example: if you take your hands off your hips, open your eyes, take a step, lift your toes or your heels. If you do move out of the testing stance, simply open your eyes, regain your balance, get back into the testing position as quickly as possible, and close your eyes again.
There will be a person positioned by you to help you get into the testing stance and to help if you lose your balance.
Put your feet together, put your hands on your hips and when you close your eyes the testing time will begin. [Start timer when subject closes their eyes]
Numeric Values

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/foam 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 (BESS) Neuromotor 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). If you were to kick a ball, which foot would you use? [This will be the dominant foot]
Now stand on your non-dominant foot.
[Before continuing the test assess the position of the dominant leg as such: the dominant leg should be held in approximately 30 degrees of hip flexion and 45 degrees of knee flexion]
Again, you should try to maintain stability for 20 seconds with your eyes closed. I will be counting the number of times you move out of this position.
Place your hands on your hips. When you close your eyes the testing time will begin. [Start timer when subject closes their eyes]
Numeric Values

Standing on a foam 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 (BESS) Neuromotor Function Outcomes and End Points

Free-Form Entry

0 10
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). 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 your eyes closed. I will be counting the number of times you move out of this position.
Place your hands on your hips. When you close your eyes the testing time will begin. [Start timer when subject closes their eyes]
Numeric Values

Standing heel to toe on a foam 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 (BESS) Neuromotor 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). N/A 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 (BESS) Neuromotor Function Outcomes and End Points

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0 30
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