fall and balance prevention lab

Question 1

what is the berg balance scale testing

Answer 1

Used to assess functional balance- static and dynamic
High reliability and validity
Used for lower performing community dwellers and lower functioning older adults

Question 2

how long does the burg take to administer

Answer 2

20 minutes to administer

Question 3

the Burg is what type of assessment

Answer 3

BBS for non vestibular balance assessment.

Question 4

on the burg wheelchair users will score

Answer 4

0-20

Question 5

on the burg those who should walk with assistance will score

Answer 5

21-40

Question 6

on the burg those who can walk independently score a

Answer 6

41-56

Question 7

functional balance is given a score of what on the berg

Answer 7

56

Question 8

if a person score less then a 45 on the burg they are

Answer 8

at a greater risk of falls

Question 9

if a person scored less than a 40 on the berg they are

Answer 9

at a 100% risk of falls

Question 10

what are the scores on prediction of falls with and without prior bbs screening

Answer 10

Older adults: 56= functional balance <45 greater risk of falling <40 100% risk of falling Predictor of Falls: History of falls and BBS < 51 No history of falls and BBS < 42

Question 11

older adults in a nursing home what is the score indicating risk of falls

Answer 11

Older adults living in nursing home < 47 indicates patient is at risk for falls

Question 12

the berg item one looks at what postural system

Answer 12

Biomechanical constraints (LE strength); Anticipatory postural adjustments (move COG fwd over BOS)

Question 13

the berg item 2 looks at what postural system

Answer 13

Biomechanical constraints (BOS); stability limits (verticality)

Question 14

the berg item 3 looks at what postural system

Answer 14

Biomechanical constraints (BOS in sitting), stability limits (verticality)

Question 15

the berg item 4 looks at what postural control system ?

Answer 15

Biomechanical constraints (LE eccentric control)

Question 16

the berg item 5 looks at what postural control system ?

Answer 16

Biomechanical constraints (LE strength), anticipatory postural adjustments (STS)

Question 17

the berg item 6 looks at what postural control system ?

Answer 17

sensory orientation

Question 18

the berg item 7 looks at what postural control system ?

Answer 18

biomechanical of bos

Question 19

the berg item 8 looks at what postural control system ?

Answer 19

stability limits

Question 20

the berg item 9 looks at what postural control system ?

Answer 20

anticipatory postural adjustments of COM over BOS

Question 21

the berg item 10 looks at what postural control system ?

Answer 21

Anticipatory postural adjustments
(move COM over BOS )

Question 22

the berg item 11 looks at what postural control system ?

Answer 22

Anticipatory postural adjustments
(move COM over BOS )

Question 23

the berg item 12 looks at what postural control system ?

Answer 23

Anticipatory postural adjustments(move COM over BOS ), biomechanical constraints (BOS)

Question 24

the berg item 13 looks at what postural control system ?

Answer 24

Anticipatory postural adjustments, biomechanical constraints (BOS)

Question 25

the berg item 14 looks at what postural control system ?

Answer 25

Anticipatory postural adjustments, biomechanical constraints (BOS)

Question 26

what re the 4 main types of balance interventions

Answer 26

reactive postural control stability limits anticipatory postural control Sensory orientation

Question 27

what does reactive postural control entail

Answer 27

ankle, hip, knee, and stepping mechanisms weight shifting perturbations

Question 28

what does stability limits entail

Answer 28

reaching activities functional activities

Question 29

what does anticipatory postural control include

Answer 29

expected changes and learned experiences functional activities and dynamic activities

Question 30

what does sensory orientation

Answer 30

Surface changes Functional activities Eyes open/closed

Question 31

what is the dosing need for a balance program

Answer 31

2-3 hrs/wk for a minimum of 12 weeks

Question 32

what are the two fall report scales

Answer 32

Falls Efficacy Scale Activities- Specific Balance Confidence Scale

Question 33

what are the two cognitive tests to give to older adults

Answer 33

Minimental Status Exam and the Montreal Cognitive Assessment- MoCA

Question 34

what is the mini mental status exam

Answer 34

One of the most frequently used cognitive screenings in older adults * < 5 minutes to administer * Quick screen to determine if there is cognitive impairments * Does NOT provide information to cause of cognitive impairment

Question 35

how long does it take to administer the mini mental status exam?

Answer 35

5 minutes

Question 36

what is the scoring of the mini mental status exam?

Answer 36

Scores: 0-30 with lower scores indicating poorer cognitive status, Folstein et al 1975: overall scores of 23 and lower are indicative of cognitive impairment * 24-30 identify individuals cognitively intact * 18-23 mild cognitive impairment * 0-17 severe cognitive impairment

Question 37

a score of a 24-30 on the mini mental exam is what?

Answer 37

identifies individuals who are cognitively intact

Question 38

a score of a 18-23 on the mini mental exam is a what?

Answer 38

identifies the individuals that have a mild cognitive impairment

Question 39

a score of a 0-17 on the mini mental exam is a what?

Answer 39

identifies individuals that have a serve impairment

Question 40

what is the Montreal cognitive assessment?

Answer 40

Montreal Cognitive Assessment MoCA * 10 minute screen exam to assist in detection of MCI in multiple different conditions * Some stronger properties than MMSE in detecting MCI * Multiple languages Components * Attention and concentration * Executive function * Language * Conceptual thinking * Calculations * Orientation * Alternative trial making visuoconstructional skills: rectangle * Visuoconstructional skills clock * Naming memory attention * Sentence repetition * Verbal fluency * Abstraction * Delayed recall *

Question 41

how long does the Montreal cognitive assement take to administer

Answer 41

10 minutes

Question 42

How does the score work for the Montreal cognitive exam

Answer 42

Scoring: sum subscores listed on right hand side, add 1 point for fewer than 12 years education, 26/30 Norm Psychometrics: Nasserddina et al 2005: detects 90% subjects w/MCI, 100% sensitivity in Alzheimers, Smith et al 2007: in pts already dx w/ MCI helps identify those at risk of developing dementia at 6 mos