While the BESS is a valuable tool, it does have some limitations when used with children. Younger children may have inherent variability in balance, making it difficult to distinguish between normal developmental differences and actual balance impairments. Additionally, the test may not be sensitive enough to detect subtle balance issues in children, necessitating the use of complementary assessments such as the Pediatric Balance Scale or the Bruininks-Oseretsky Test of Motor Proficiency.
