Sitting & Sitting Balance Flashcards
Sitting is a ____ position with ____COM and ____BOS
stable, moderate, moderate
What 3 things can impair sitting alignment?
- deficits in head/upper trunk alignment
- deficits in pelvic position
- deficits in weight bearing
When sitting in a slumped posture with toes touching the floor in a chair, what type of pressure is created? What types of patients does this most commonly occur with?
sheer pressure; short elderly person
Headaches can be caused by shortened/lengthened suboccipitals.
shortened
Unsupported sitting creates more firing of which muscles (intrinsics/extrinsics), back (flexors/extensors), and _______.
intrinsics, extrinsic, abdominals
Unsupported sitting requires ____ energy than supported sitting.
more
Unsupported sitting is ____(more/less) challenging regarding balance.
more
To increase ones BOS with sitting what 2 things can someone do?
- hands supported on the table
2. back support
Provide 3 progressions for support surface starting with firm seat:
- soft seat
- no back rest
- mobile surface
Provide 2 progressions for sensory influence beginning with eyes open:
- eyes closed
- mirror to aid with feedback
or - feet on flat surface
- feet on foam or roller
What is a contraindication for patients using a mirror to aid with feedback?
patients who are not able to recognize themselves, this would create mental agitation
Are there different balance requirements for foam & gel w/c cushion?
yes
What are 3 different ways you can improve ones static postural control?
- active holding with rhythmic rotation
- active holding in long sitting
- active holding in side sitting
To improve static postural control begin with _____reversals and gradually progress resistance. The next progression is _______.
stabilizing, rhythmic stabilization
What is the goal in improving dynamic postural control?
reeducate the Limits of Stability
With improving ones dynamic postural control you should progress as followed: _________ –> ___________ –> ___________. The next step is to progress to _________ in sitting –> voluntary limb movements. The last task would be seated UE PNF patterns.
- seated weight shifts
- weight shifts with extended arms
- weight shifts on ball
- upper trunk rotation in sitting
How should you progress activities for seated balance control?
- seated manual perturbations
- sitting on moveable surface (static–>dynamic activities)
- scooting in long sitting –> short sitting –>scooting off high table to modified standing
How do you test the autonomous level of learning?
dual-tasking
What should augmented feedback focus on?
key errors; like with tapping, light resistance & verbal cueing
