balance Flashcards
how is Fugl-Meyer sensorimotor assessment of balance performance battery scored?
7 items with a score ranging from 0-2 on each item.
0 cannot perform a task
2 patient can successfully perform the task
max score 14
what is Postural stability control
ability to maintain stability and orientation with the center of mass over the base of support at rest
eg. individual who maintains their balance while standing still.
what is a positive Romberg test
patient being able to stand with no more than minimal sway with the eyes open,
but presents with increased instability or falls with the eyes closed.
- indicative of a loss of proprioception often associated with a posterior column lesion in the spinal cord or a peripheral neuropathy.
what is the typical response to small anterior perturbation?
ankle strategy using plantar flexors gastrocnemius and soleus distal to proximal
how do you perform Sharpened Romberg test?
standing with the feet positioned heel-to-toe with the eyes closed for one minute
difference between romberg and sharpened romberg?
romberg - feet together, focused more on anterior-posterior balance
sharpened romberg - heel to toe and focuses more on medial-lateral balance
what Automatic postural strategies does your body use?
ankle strategy, hip strategy, suspensory strategy, and stepping strategy
which balance strategy used for movement outside of base of support
stepping strategy is used to prevent falls
factors that may limit use of ankle strategy
range of motion and strength in the lower extremity muscles acting on the ankle.
support surface not firm
how is berg balance scored?
14 functional tasks
ordinal scale ranging from 0-4 to score each functional task.
max score 56
what is balance grade for a patient that is able to maintain balance without support, but cannot maintain balance while weight shifting?
fair
what are TUG cut off times for fall risk, increased risk of falls, and normal?
30 seconds, 20 seconds, 10 seconds
what does the Tinetti POMA (performance oriented mobility assessment) test? what is the max score and cutoff score?
screen risk of falling
max score 28
<19 indicates high risk for falls
what does the 1st section of Tinetti POMA test for? how is it scored?
Balance through sit-to-stand and stand-to-sit from armless chair
Immediate standing balance with eyes open and closed
Tolerating slight push in standing position
Turning 360°
Score 0 to 2 in most categories
Maximum score 16
what does the 2nd section of Tinetti POMA test for? how is it scored?
Gate at normal speed and rapid but safe speed Initiation of gait Step length and height Step asymmetry and continuity, path Stance during gait Trunk motion Score 0 to 2 for each item Maximum score 12
