Week 3 - Subacute rehab - balance and gait Flashcards
1
Q
Define balance
A
As long as the centre of mass remains over the BOS, balance is maintained
2
Q
Where is balance mostly coordinated in the brain?
A
Cerebellum
3
Q
What the two types of balance mechanisms?
A
Reactive and Proactive
4
Q
What do we need for normal balance?
A
Intact sensory receptors
Intact PNS and CNS
Intact MSK system
5
Q
Where does sensory input come from?
A
Vision
Vestibular
Somatosensation
6
Q
Name 5 automatic balance reactions
A
Ankle strategy Hip strategy Trunk and head righting reactions Protecting and saving reactions Stepping reactions
7
Q
List outcome measures you could use for balance Ax
A
Rombergs TUSS FR 180 degree turn POMA BBS GUAG
8
Q
What are the phases of a normal gait cycle?
A
Initial Contact Loading Response Mid Stance Terminal Stance Pre-Swing Initial Swing Mid Swing Terminal Swing
9
Q
What should be considered when issuing walking aids?
A
Compensations Reliance on walking aid Changes to gait cycle Cognition Falls risk
10
Q
What would you check when issuing walking aids in a hospital?
A
Ferrules Handles Correct height Frame - no wear and tear Appropriate footwear Environment
11
Q
What outcome measures could you use for gait?
A
10m walk test 6m/3m walk test Get up and go 6 min walk test Incremental shuttle walk test
