balance treatment

Question 1

Where is the best place to get ideas for making goals when treating a pt for balance?

Answer 1

Look at the areas they lacked in on their balance test!

Question 2

3 aspects of developing postural alignment

Answer 2

develop postural alignment that is…

1) appropriate for fxnl task at hand
2) efficient
3) stable

Question 3

Augmented feedback progression?

Answer 3

need to have a schedule of taking away cueing a lil at a time so they are learning and retaining on their own

Question 4

2 cool ideas to help a person with posture?

Answer 4

1) align vertical tape on shirt, with vertical tape on mirror
2) attach flashlight to gait belt and shine it onto black circles by wt. shifting

Question 5

What would u use to show a patient their real balance capabilities as opposed to their perceived balance capabilities

Answer 5

balance master, wii fit board, take away visual input with darkness, blurred glasses, etc.

Question 6

Motor learning concepts

Answer 6

individual/task/environment
skill acquisition stage
skill refinement stage

Question 7

purpose of dual task training

Answer 7

increase balance challenge and replicate every day fxn

Question 8

examples of dual task training

Answer 8

auditory discrimination, name things, count, spell, recite, imagine directions, memorize something, tell a story

Question 9

What is a MAFO?

Answer 9

molded ankle foot orthotic

Question 10

is it acceptable to give a person an off the shelf MAFO for long term use?

Answer 10

NO! never! they are just to try it out and then u have a custom one made.

Question 11

What is a double upright AFO?

Answer 11

bars attach to the shoe and go up around the base of the knee

Question 12

what is the best thing a PT can do for a patient who needs an orthotic?

Answer 12

make friends with your local orthotist and see what they recommend.

Question 13

advantages to a MAFO

Answer 13

lightweight, easy to don/doff, cosmetic, able to wear with any shoe

Question 14

disadvantages to a MAFO

Answer 14

little knee stability, plastic may be a problem if there is swelling or sensory loss

Question 15

how do u decide wide or narrow trim lines with a MAFO?

Answer 15

do they need more or less ankle stability?

Question 16

which is most common orthotic?

Answer 16

MAFO

Question 17

what are more advanced options with a MAFO?

Answer 17

can have articulating ankle options, such as posterior leaf spring is an option

Question 18

advantage to a double upright AFO?

Answer 18

more knee stability, more options at ankle joint (channels for assists, stops, etc.), easiest to don/doff

Question 19

disadvantages to AFOs (double upright)

Answer 19

heavy, ugly, one shoe choice

Question 20

When SHOULD u use an AFO (double upright?)

Answer 20

if a MAFO is not an option secondary to fluctuation edema, or due to severe knee instability (hyperextension or buckling)

Question 21

if a person has unilateral weakness, will a double upright AFO be enough knee control?

Answer 21

should be …

Question 22

KAFO advantages

Answer 22

most knee stability, some hip stability

Question 23

KAFO disadvantages

Answer 23

too HEAVY, very difficult to don/doff

Question 24

when should u use a KAFO?

Answer 24

only as a last resort for extreme knee weakness or if there is bilateral weakness

Question 25

when do u use a HKAFO?

Answer 25

almost never!