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Aim:  To investigate preseason modified Balance Error Scoring System (mBESS) performance in a collegiate football cohort; to compare scores to an objective mobile balance measurement tool.    Materials & methods:  Eighty-two athletes completed simultaneous balance testing using mBESS and the King–Devick Balance Test, an objective balance measurement tool. Errors on mBESS and objective measurements in the double-leg, single-leg (SS) and tandem stances were compared.    Results:  Mean mBESS error score was 7.23 ± 4.65. The SS accounted for 74% of errors and 21% of athletes demonstrated the maximum error score. There was no significant correlation between mBESS score and objective balance score.    Conclusion:  The high variability and large number of errors in the SS raises concerns over the utility of the SS in identifying suspected concussion.

Variability of the modified Balance Error Scoring System at baseline using objective and subjective balance measures