Background: Postmenopausal women may experience physiological changes that can influence postural stability and functional mobility. Dynamic balance is relevant to activities such as walking, reaching, and responding to perturbations. The Modified Star Excursion Balance Test (MSEBT) provides a practical assessment of dynamic postural control.

Objective: To assess dynamic balance in postmenopausal women using the Modified Star Excursion Balance Test and to describe the directional MSEBT scores.

Methodology: An observational study was conducted among 150 postmenopausal women aged 50–65 years in Navi Mumbai. Participants were selected using randomized sampling according to the stated inclusion and exclusion criteria. Dynamic balance was assessed using the MSEBT in the anterior, posteromedial, and posterolateral directions for both lower limbs. Three trials were performed and normalized reach scores were recorded. Descriptive statistics were used to summarize participant characteristics and MSEBT performance.

Results: The mean age of participants was 57.00 ± 4.13 years. The mean age at menopause was 49.94 ± 2.31 years and the mean duration since menopause was 6.98 ± 2.90 years. The overall mean MSEBT score was 73.47 ± 6.68%. Mean right-limb scores were 79.76 ± 7.15% for anterior, 67.27 ± 7.11% for posteromedial, and 71.65 ± 7.07% for posterolateral reach. Corresponding left-limb scores were 80.60 ± 6.93%, 67.47 ± 6.93%, and 72.29 ± 7.52%, respectively. Composite scores were 73.36 ± 6.26% on the right and 73.69 ± 6.83% on the left.

Conclusion: The study provides descriptive MSEBT performance values in postmenopausal women. Anterior reach showed higher mean values, while posteromedial reach showed lower mean values on both sides. These findings should be interpreted as descriptive performance values because population-specific normative or clinical cut-off values were not established in the study.