PT interventions for balacne dysfunction Flashcards
balance is made up of what 3 systems
task
individual
environment
what is within the task system for balance
proactive
reactive
steady state
what is within the individual system fro balance
motor
sensory
cognitive
what is within the environment system fro balance
support surfaces
sensory context
cognitive load
what are the 3 stages of motor learning
- skill acquisition (frequent error)
- skill refinement (let them figure it out themselves)
- skill retention (transfer skill into other skills)
how can u treat cognitive impairments w balance
reduce confusion
improve motivation
consistency in performance
improve attention
improve problem solving
what is a known predictor of falls in older adults
cognitive impairments
what can u do for retraining alignment for balance pt
verbal and manual cues to assume vertical
- eyes open and closed
- enchance visual feedback
what is a way to enhance somatosensory (propricoeption) feedback from retraining alignment in balance pt
sit/stand w back against chair/wall
place yard stick or small town roll vertically on chair/wall and have pt lean against it
what does teh evidence show for training w **forceplate biofeedbakc **for balance pt
leads to less lateral displacement and better symmetry
___ and ____ of mm activity during recovery from perturbation can contribute to fall risk
timing and organization
what is impaired central set
inability to change movement strategies quickly to adapt to changes in demands
what is reactive balance re training
external perturbation varying in direction , speed , amplitude applied to hips , shoulder or moving surfaces
• Restrict ankle motion
• Standing on narrow
beam
• Standing on
heels/toes
• Single limb stance
• Tandem stance
• Heel, toe or tandem
walking
these are examples of what kind of balance strategy
hip
CVA pts have ___ reliance on vision , ___ stand time and ___ sway
increase , decreased , increased
