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Movement systems 2 > fall and balance prevention lab > Flashcards

fall and balance prevention lab Flashcards

1
Q

what is the berg balance scale testing

A

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

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2
Q

how long does the burg take to administer

A

20 minutes to administer

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3
Q

the Burg is what type of assessment

A

BBS for non vestibular balance assessment.

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4
Q

on the burg wheelchair users will score

A

0-20

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5
Q

on the burg those who should walk with assistance will score

A

21-40

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6
Q

on the burg those who can walk independently score a

A

41-56

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7
Q

functional balance is given a score of what on the berg

A

56

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8
Q

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

A

at a greater risk of falls

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9
Q

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

A

at a 100% risk of falls

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10
Q

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

A

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

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11
Q

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

A

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

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12
Q

the berg item one looks at what postural system

A

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

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13
Q

the berg item 2 looks at what postural system

A

Biomechanical constraints (BOS); stability limits (verticality)

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14
Q

the berg item 3 looks at what postural system

A

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

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15
Q

the berg item 4 looks at what postural control system ?

A

Biomechanical constraints (LE eccentric control)

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16
Q

the berg item 5 looks at what postural control system ?

A

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

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17
Q

the berg item 6 looks at what postural control system ?

A

sensory orientation

18
Q

the berg item 7 looks at what postural control system ?

A

biomechanical of bos

19
Q

the berg item 8 looks at what postural control system ?

A

stability limits

20
Q

the berg item 9 looks at what postural control system ?

A

anticipatory postural adjustments of COM over BOS

21
Q

the berg item 10 looks at what postural control system ?

A

Anticipatory postural adjustments
(move COM over BOS )

22
Q

the berg item 11 looks at what postural control system ?

A

Anticipatory postural adjustments
(move COM over BOS )

23
Q

the berg item 12 looks at what postural control system ?

A

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

24
Q

the berg item 13 looks at what postural control system ?

A

Anticipatory postural adjustments, biomechanical constraints (BOS)

25
Q

the berg item 14 looks at what postural control system ?

A

Anticipatory postural adjustments, biomechanical constraints (BOS)

26
Q

what re the 4 main types of balance interventions

A

reactive postural control
stability limits
anticipatory postural control
Sensory orientation

27
Q

what does reactive postural control entail

A

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

28
Q

what does stability limits entail

A

reaching activities
functional activities

29
Q

what does anticipatory postural control include

A

expected changes and learned experiences
functional activities and dynamic activities

30
Q

what does sensory orientation

A

Surface changes
Functional activities
Eyes open/closed

31
Q

what is the dosing need for a balance program

A

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

32
Q

what are the two fall report scales

A

Falls Efficacy Scale
Activities- Specific Balance Confidence Scale

33
Q

what are the two cognitive tests to give to older adults

A

Minimental Status Exam
and the Montreal Cognitive Assessment- MoCA

34
Q

what is the mini mental status exam

A

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

35
Q

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

A

5 minutes

36
Q

what is the scoring of the mini mental status exam?

A

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

37
Q

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

A

identifies individuals who are cognitively intact

38
Q

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

A

identifies the individuals that have a mild cognitive impairment

39
Q

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

A

identifies individuals that have a serve impairment

40
Q

what is the Montreal cognitive assessment?

A

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 *

41
Q

how long does the Montreal cognitive assement take to administer

A

10 minutes

42
Q

How does the score work for the Montreal cognitive exam

A

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

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