Balance, Gait, Wheelchair, Orthotics Neuro Conditions Flashcards
What is postural control?
controlling the body’s position in space for stability and orientation
What is postural stability?
ability to control COM in relationship to BOS
What is postural orientation?
ability to maintain relationship between body segments and between body and environment for a task
Describe postural control of a 15 month old?
compensatory postural respone are present but are more variable and slower than adults
visual dominance characterizes balances
describe development of postural control of a 3 yo?
shift to using more somatosensory input fr balance. refineents in sensory integration
At what age do postural responses become adult-like but will need continued modification due to grwoth and experienc?
7-10 years old
What are the effects on postural control with aging?
decreased ROM of MSK system
decreases in vision, somatosensation, vestibular function; multisensory deficits of NM system
What is the reserach definition of a fall?
COM outside BOS, may be in a harness
What is the practical definition of a fall?
unintended contact with a supporting surface
What are the two self report measures for falling?
activites of balance confidence scale (ABC) <50% likely homeboun, 50-80 somewhat imparied
falls efficacy scale= >70 has a fear of falling
What are the extrinsic risk factors for falls?
footwear change of surface gait aid use clutter lighting stiars rugs AD
What are the intrinsic risk factors for falls?
nutrition/hydration
medications
gait/balance difficulties
co-morbid and pre-morbid conditions
What are the cut off scores for the TUG?
<20 seconds = independent for ADLS
>12 seconds- at risk for falls
What are the cut off scores for the miniBEST
<22 identifies those with postural response deficits
<20 recurrent fallers
What is the scoring for the dynamic gait index?
total score =24 0=severe impairment 1= moderate 3= normal cut off score = <19
What are the cut offs for the four square step test (FSST)?
stroke > 24 seconds at risk for falls
older adults > 15 seconds at risk for multiple falls
What is included in the function in sitting test?
nudges, lateral reach, posterior/anterior scoot, sitting, lift foot, lateral reach, turn for object behind, sitting shake no
What are the cutoff scores for 5xSTS
12 sec cutoff between healthy elderly and those with chronic stroke
anticipatory balance
What are the cut off scores for a timed up and go TUG?
> 12 sec at risk for fallls, >30 need assistance with ADLs
tests anticipatory balance
What kind of balance is the Berg balance
static, anticipatory , socroing 0-56
What is the cut off for the POMA?
<19= high fall risk, 25-28 = low fall risk
What are the types of shoe orthotics
shoe inserts
UCBLs
