MiniBst

Question 1

Mini BestTest

• Items #
• Scoring

Answer 1

14 items
scored 0-2
some items scored bilaterally

Items 1-3: Anticipatory Balance
Items 4-6: Reactive postural Control
Items 7-9: Sensory Orientation
Items 10-14: Dynamic Gait

Question 2

MiniBesttest Items 
Items 1-3: 
Items 4-6:
Items 7-9: 
Items 10-14:

Answer 2

Items 1-3: Anticipatory Balance
Items 4-6: Reactive postural Control
Items 7-9: Sensory Orientation
Items 10-14: Dynamic Gait

Question 3

MiniBest Grade For Falls risk

Answer 3

19/28 Falls risk

Question 4

MiniBest

PRO/CON

Answer 4

CON: limited ceiling effect

PRO
good choice for balance deficits in minimally disabled

can be used as screen and to identify specific impairments

Question 5

1. Sit to stand

Answer 5

Examiner Instructions: Note the initiation of the movement, and the use
of hands on the arms of the chair or their thighs or thrusts arms forward.

Patient: Cross arms across your chest. Try not to use your hands unless
you must. Do not let your legs lean against the back of the chair when
you stand. Please stand up now.

Question 6

2. Rise to toes

Answer 6

Examiner Instructions: Allow the patient to try it twice. Record the best score. (If you suspect that subject is using less than their full height, ask
them to rise up while holding the examiners’ hands.) Make sure subjects
look at a non–moving target 4–12 feet away.

Patient: Place your feet shoulder width apart. Place your hands on your
hips. Try to rise as high as you can onto your toes. I will count out loud
to 3 seconds. Try to hold this pose for at least 3 seconds. Look straight
ahead. Rise now

Question 7

3. Stand on one leg

Answer 7

Examiner Instructions: Allow the patient two attempts and record
the best. Record the number of seconds they can hold posture up to a
maximum of 30 seconds. Stop timing when subject moves their hand off
hips or puts a foot down. Make sure subjects look at a non–moving target
4–12 feet ahead. Repeat other side.

Patient: Look straight ahead. Keep your hands on your hips. Bend one
leg behind you. Do not touch your raised leg on your other leg. Stay
standing on one leg as long as you can. Look straight ahead. Lift now

Question 8

4. Compensatory stepping correction – forward

Answer 8

Examiner Instructions: Stand in front to the side of patient with one hand
on each shoulder and ask them to push forward. (Make sure there is room
for them to step forward.) Require them to lean until their shoulders
and hips are in front of their toes. The test must elicit a step. NOTE: Be
prepared to catch patient.
Patient: Stand with your feet shoulder width apart, arms at your sides.
Lean forward against my hands beyond your forward limits. When I let
go, do whatever is necessary, including taking a step, to avoid a fall.

Question 9

5. Compensatory stepping correction – backward

Answer 9

Examiner Instructions: Stand in back to the side of the patient with one
hand on each scapula and ask them to lean backward. (Make sure there
is room for them to step backward.) Require them to lean until their
shoulders and hips are in back of their heels. After you feel their body
weight in your hands, very suddenly release your support. Test must
elicit a step. NOTE: Be prepared to catch patient
Patient: Stand with your feet shoulder width apart, arms down at your
sides. Lean backward against my hands beyond your backward limits.
When I let go, do whatever is necessary, including taking a step, to avoid
a fall.

Question 10

6. Compensatory stepping correction – lateral

Answer 10

Examiner Instructions: Stand behind the patient, place one hand on either
the right (or left) side of the pelvis, and ask them to lean their whole
body into your hand. Require them to lean until the midline of pelvis is
over the right (or left) foot and then suddenly release your hold. NOTE:
Be prepared to catch patient.
Patient: Stand with your feet together, arms down at your sides
Lean into my hand beyond your sidew

Question 11

7. Stance eyes open – firm surface

Answer 11

Examiner Instructions: Record the time the patient was able to stand with
feet together up to a maximum of 30 seconds. Make sure subjects look at
non-moving target 4–12 feet away.
Patient: Place your hands on your hips. Place your feet together until
almost touc

Question 12

8. Stance eyes closed – foam surface

Answer 12

Examiner Instructions: Use medium density Temper® foam, 4 inches
thick. Assist subject in stepping onto foam. Tell patient to “Close Eyes”.
Record the time the patient was able to stand in each condition to a
maximum of 30 seconds. Have the subject step of the foam between
trials.
Patient: Place your hands on your hips. Place your feet together until
almost touching. Stay as stable as pos

Question 13

9. Incline – eyes closed

Answer 13

Examiner Instructions: Aid the patient onto the ramp. Once the patient
closes their eyes, begin timing and record and average both times. Note
if sway is greater than when standing on firm, level surface with eyes
closed (Item 7) or if there is poor alignment to vertical.
Patient: Please stand on the incline ramp with your toes toward the top.
Place your feet shoulder width apart and y

Question 14

10. Change in speed

Answer 14

Examiner Instructions: Allow the patient to take 3–5 steps at their normal
speed, and then say “fast”, after 3–5 fast steps once say “slow”. Allow
3–5 slow steps before they stop walking.
Patient: Begin walking at your normal speed, when I tell y

Question 15

11. Walk with head turns – horizontal

Answer 15

Examiner Instructions: Allow the patient to reach their normal speed,
and give the commands “right, left” every 3–5 steps. Score if you see
a problem in either direction. If patient has severe cervical restrictions
allow combined head and trunk movements.
Patient: Begin walking at your normal speed, when I say “right”, turn
your head and look to the right. When I say “left” turn your head a

Question 16

12. Walk with pivot turns

Answer 16

Examiner Instructions: Demonstrate a pivot turn. Once the patient is
walking at normal speed, say “turn and stop”. Count the steps from turn”
until the subject is stable. Imbalance may be indicated by wide stance
width, extra stepping or trunk motion.
Patient: Begin walking at your normal speed. When I tell you to “turn
and stop”, turn as quickly as you can to face the opposite direction and
stop. After the turn, your feet should be close together.

Question 17

13. Step over obstacles

Answer 17

Examiner Instructions: Place the box (9” / 22.9 cm height) 10 feet away
from where the patient will begin walking. Use a stopwatch to time gait
duration to calculate average velocity by dividing the number of seconds
into 20 feet.
Patient: Begin walking at your normal speed. When you come to the
shoe boxes (9” / 22.9 cm height), step over them, not around them and
keep walking.

Question 18

14. Timed Get up & Go (TUG) and Cognitive Get up & Go with Dual Task

Answer 18

Examiner Instructions: Use the TUG score to determine the effects of
dual tasking.
TUG: Have the patient sit with their back against the chair. Time the
patient from the time you say “Go” until they return to sitting in chair.
Stop timing when the patient’s buttocks hit the chair bottom. The chair
should be firm with arms to push from if necessary.
TUG with Dual Task: While sitting, determine how fast and accurately
the patient can count backwards by 3 seconds from a number between
90–100. Then, ask them to count from a different number and after a few
numbers say “Go”. Time the patient from the time you say “Go” until
they return to the sitting position. Score dual task as affecting walking if
speed slows >10% from TUG &/or new signs of imbalance.

Patient:
TUG: When I say “Go”, stand up from chair, walk at your normal speed
across the tape on the floor; turn around, and come back to sit in the
chair. Continue counting backwards the entire time.
TUG with Dual Task: Count backwards by 3 seconds starting at _____.
When I say “Go”, stand up from chair, walk at your normal speed across
the tape on the floor, turn around, and come back

Question 19

Items 1-3:

Answer 19

Anticipatory Balance

Question 20

Items 4-6

Answer 20

Reactive postural control

Question 21

Items 7-9:

Answer 21

Sensory orientation

Question 22

Items 10-14:

Answer 22

Dynamic Gait