Gero Test 2 Flashcards
Test Selection Criteria 2
Practicality
Psychometric
Practicality testing criteria
- medical permission or supervision
- time
- personnel/expertise
- equiptment/space
- fatiguing
- meaningful to client
Psychometric testing crieria
- Reliability
- Validity (criterion, content, predictive)
- Discrimination power (floor vs ceiling too easy too hard. responsiveness)
- Performance standarts (norm ref. criterion ref)
Static Balance
sway envelope
Dynamic balance
mobility
posture
Postural control
Anticipitory -avoid obstacles/adapt gait pattern Reactive -change occurs suddenly 3 strategies (ankle/hip/step)
Measures of balance
-static
-dynamic
-reactive postural control
-sensory integration
BERG BALANCE SCALE
Multidimensionality of balance
Proprioception
-somatosensory/visual/vestibular
Neuromuscular control
-muscle strength
Age related Changes that impair balance
- CNS
- Vision (light/depth)
- Somatosensation (vibratory thresh)
- Vestibular (vestibular ocular reflex)
- Sensory Conflict
- Motor Systems (perterbations dec strength/power/end)
- Cognitive System
- Gait
- Cadence/stride length
- Biological
- Behavioral
- Environmental
- Socioeconomic
Fear of Falling
- post fall syndrome
- Risk Factors (hx of falls, dizziness, mobility limiting conditions, self rated poor health)
Balance Efficacy Scale
- balance related self confidence
- identify specific tasks and environments adversly affect confidnce
Different Balance Tests
- Berg balance test
- Tinetti Mobility
- Functional Reach
- GETUP AND GO
- Fullerton advanced balance scale
- walki talki
- modified romberg static
- biodex balance trainer
Balance training progression
- Bilateral to unilateral
- eyes open to eyes closed
- stable to unstable
Fall proof program
- COG control
- Multisensory
- Postural strategy
- Gait pattern enhancement/variation
- strength and endurance
- flexibility
Phys changes of warm up
-active vs passive INC -O2 trans -BF -Nerve impulses -metab DEC -musc viscosity -pulmonary resistance
Guidelines of a warm up
- 12 PE 9-10 talk test
- inc body temp 10-20 min low continuous mivm
- safe and effective ruth and exercise lets>arms smaller rom>larger rom progress and monitor
- safe environment
- engage socialy