Balance Error Scoring System (BESS)

Balance Error Scoring System (Riemann & Guskiewicz 1999): error counts (max 10 each) across 6 stances totaling 0-60.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Double-leg, firm
3
Single-leg, firm
3
Tandem, firm
3
Double-leg, foam
3
Single-leg, foam
3
Tandem, foam
3

Result: BESS 18 errors — higher = worse postural stability.

The tool opens with these values already filled in. Replace them with your own.

What the result means

0-60
Error counts (max 10) across 6 stances on firm/foam surfaces, eyes closed. Higher = worse postural stability (concussion assessment). A performance measure, not a diagnosis.

What you enter

  • Double-leg, firm (errors)
  • Single-leg, firm (errors)
  • Tandem, firm (errors)
  • Double-leg, foam (errors)
  • Single-leg, foam (errors)
  • Tandem, foam (errors)
How this is calculated

Riemann BL, Guskiewicz KM. Effects of mild head injury on postural stability as measured through clinical balance testing (Balance Error Scoring System). J Athl Train. 2000;35(1):19-25. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.