Coordination and Balance Training

Question 1

Training Strategies to improve Coordination and Balance

Answer 1

• learning requires repetition
• sensory cues enhance motor performance
• feedback stresses knowledge of results and performance
• lots of feedback early = improves performance, less feedback laer = improves retention of skills
• progress closed to open environment
• control is developed from limited to complex mvmnts
• postural control established via stability to stability dynamic control to skill level funx
• As quality improves, so should speed or mvmnt and control
  *

Question 2

Compensatory strategies

Answer 2

utilized as appropriate to promote safety and early resumption of functional skills

• substitution: intact for impaired limbs, intact for impaired cognitive control
• postural strategies: wide BOS, lower COM
• AD: weighted canes, shoes
• Environment: grab bars, remove throw rugs

Question 3

Interventions to improve Coordination

Answer 3

• Postural stability
  
  • gradually decrease BOS while raising COM
• dynamic stability
  
  • move in all directions while maintain posture
  • PNF patterns used to challenge stability
• ataxic pt requires opposite progression
• sensory training
  
  • visual
  • proprioceptive
  • vestibular
  • combination
    
    • >2 impairments = assistive devices

Question 4

Interventions to improve Standing Blance

Answer 4

• Improve ROM, strength or synergies
  
  • kitchen sink exercises
  • postural awareness training
  • weight shifts (postural sway)
  • training of change-of-support strategies
• functional
  
  • sit to stand and sit down (SIT)
  • floor to stand
  • gait activities
  • elevation activities
  • dual task training
  • community ambulation
  • community activities
  • anticipatory timing
• disturbed balance activities
• sensory training

Question 5

Interventions to improve Locomotor Control Training

Answer 5

funx gait activities

treadmill walking

ergometers

strength training

stretch exercise