{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T08:30:57Z","timestamp":1772181057336,"version":"3.50.1"},"reference-count":79,"publisher":"Public Library of Science (PLoS)","issue":"3","license":[{"start":{"date-parts":[[2024,3,28]],"date-time":"2024-03-28T00:00:00Z","timestamp":1711584000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Research Fund for Supporting Lecturer to Admit High Potential Student to Study and Research on His Expert Program Year 2021"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>Neck pain has been found to affect the somatosensory system, which can lead to impaired balance control. To assess the balance of patients with neck pain and other conditions, the balance error scoring system (BESS) is commonly used as a static balance measurement tool. However, this tool is seldom used in Thailand due to its English language format.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Objective<\/jats:title>\n<jats:p>To translate and determine the content, convergent validity, and reliability of a Thai version of the BESS tool.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Material and methods<\/jats:title>\n<jats:p>A process of cross-cultural adaptation was utilized to translate BESS into a Thai version, called BESS-TH. To assess content validity, five physical therapy lecturers specializing in the musculoskeletal field used BESS to measure balance in participants with neck pain. For the convergent validity process, 130 patients diagnosed with chronic non-specific neck pain (CNSNP) were randomly assessed using four static balance tests (BESS, Single-leg balance test (SLBT), Romberg test, and Tandem stance test). For reliability, two assessors with varying years of work experience independently assessed videos of the participants twice using the BESS-TH, with a minimum 7-day interval between assessments.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Results<\/jats:title>\n<jats:p>The BESS-TH used to assess balance of patients with neck pain demonstrated acceptable content validity (index of item objective congruence (IOC) = 0.87). The Spearman\u2019s Rank Correlation Coefficient was calculated between the BESS-TH and three other measures: the SLBT with eyes open and eyes closed, the Romberg test with eyes open and eyes closed, and the Tandem stance test with eyes open and Tandem stance test with eyes closed. The values obtained were as follows: -0.672, -0.712, -0.367, -0.529, -0.570, and -0.738, respectively. The inter-rater and intra-rater reliability were 0.922 (95% CI = 0.864\u20130.956) and 0.971 (95% CI = 0.950\u20130.983), respectively. Minimum detectable change (MDC) for the total BESS score of inter-rater and intra-rater reliability were 7.16 and 4.34 points, respectively.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec005\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>The BESS-Thai version was acceptable, reliable, and valid for evaluating balance performance in patients with CNSNP. This tool can be used and applied to clinically evaluate postural control in Thailand.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0301386","type":"journal-article","created":{"date-parts":[[2024,3,28]],"date-time":"2024-03-28T18:09:23Z","timestamp":1711649363000},"page":"e0301386","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":1,"title":["Validity and reliability of the Balance Error Score System (BESS) Thai version in patients with chronic non-specific neck pain"],"prefix":"10.1371","volume":"19","author":[{"given":"Arisa","family":"Leungbootnak","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rungthip","family":"Puntumetakul","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3334-768X","authenticated-orcid":true,"given":"Thiwaphon","family":"Chatprem","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7133-1603","authenticated-orcid":true,"given":"Surachai","family":"Sae-Jung","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rose","family":"Boucaut","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2024,3,28]]},"reference":[{"key":"pone.0301386.ref001","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1007\/s00586-008-0621-1","article-title":"A New Conceptual Model of Neck Pain","volume":"17","author":"J Guzman","year":"2008","journal-title":"Eur Spine J"},{"key":"pone.0301386.ref002","doi-asserted-by":"crossref","first-page":"1204","DOI":"10.1016\/S0140-6736(20)30925-9","article-title":"Global burden of 369 diseases and injuries in 204 countries and territories, 1990\u20132019: a systematic analysis for the Global Burden of Disease Study 2019","volume":"396","author":"CJL Murray","year":"2020","journal-title":"Lancet"},{"key":"pone.0301386.ref003","article-title":"Global, regional, and national neck pain burden in the general population, 1990\u20132019: An analysis of the global burden of disease study 2019","volume":"13","author":"DW Shin","year":"2022","journal-title":"Front Neurol"},{"key":"pone.0301386.ref004","doi-asserted-by":"crossref","first-page":"834","DOI":"10.1007\/s00586-004-0864-4","article-title":"The prevalence of neck pain in the world population: A systematic critical review of the literature","volume":"15","author":"R Fejer","year":"2006","journal-title":"Eur Spine J"},{"key":"pone.0301386.ref005","doi-asserted-by":"crossref","first-page":"e014914","DOI":"10.1136\/bmjopen-2016-014914","article-title":"Risk factors of non-specific neck pain and low back pain in computer-using office workers in China: a cross-sectional study","volume":"7","author":"S Ye","year":"2017","journal-title":"BMJ Open"},{"key":"pone.0301386.ref006","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/S0304-3959(98)00058-X","article-title":"The clinical course and prognostic factors of non-specific neck pain: a systematic review","volume":"77","author":"JAJ Borghouts","year":"1998","journal-title":"Pain"},{"key":"pone.0301386.ref007","first-page":"79","article-title":"The diagnosis and treatment of nonspecific neck pain and whiplash","volume":"43","author":"A. 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