Task-Oriented Approach to Balance Rehabilitation Flashcards
According to the book what is the best approach to balance rehabilitation?
Task-oriented approach
The ICF framework examines the effects of impaired balance on what 2 things?
- activities and participation
- the underlying impairments of body structure and function that contribute to impaired balance
What is the number one concern when examining postural control?
SAFETY
During a postural control examination the “what” portion represents balance on a _______ level
functional
During a postural control examination the “how” portion represents balance on a _______ level
strategy
During a postural control examination the “why” portion represents balance on a _______ level
impairment
What does the examination of balance on the functional level require? Why?
The use of multiple tests as there is no single test that covers all aspects of balance.
List a few balance tests
- Self Efficacy Scales
- Timed Up & Go (TUG)
- Functional Reach Test (FRT)
- Performance-Oriented Mobility Assessment (POMA)
- Berg Balance Scale (BBS)
- Short Physical Performance Battery (SPPB)
- Balance Evaluation Systems Test (BESTest)
What are 2 examples of self efficacy scales?
- Activity-specific Balance Confidence (ABC) Scale
- Falls Efficacy Scale
What are self efficacy scales?
Questionnaires in which the patient answers questions pertaining to their confidence in reference to certain ADLs
Describe the timed up and go test
Stand up from chair, walk 3 m (10 ft), turn around, and return to sit back on chair
If a patient can perform the TUG test in less than __ seconds they are considered freely independent
10
If a patient can perform the TUG test in less than __ seconds they are considered independent in basic transfers
20
If a patient can perform the TUG test between __-__ seconds they are considered to have variable mobility (gray area)
20-29
If it takes a patient longer than __ seconds to perform the TUG test they are considered impaired and usually need help with chair or toilet transfers, help in and out of tub, assistance with stairs, and are unable to go out alone.
30
In community dwelling older adults a TUG score greater than __ seconds indicates a fall status
15
If a patient scores less than a __ on the Performance-Oriented Mobility Assessment they are considered to be a high risk for falls
19
If a patient scores anywhere from __-__ on the Performance-Oriented Mobility Assessment they are considered to be a moderate risk for falls
19-24
If a patient scores anywhere from __-__ on the Performance-Oriented Mobility Assessment they are considered to be a low risk for falls
24-28
If a patient scores anywhere from __-__ on the Berg balance scale they are considered a high fall risk and the patient should be wheel chair bound
0-20
If a patient scores anywhere from __-__ on the Berg balance scale they are considered a medium fall risk and the patient can walk with the use of an AD
21-40
If a patient scores anywhere from __-__ on the Berg balance scale they are considered a low fall risk and the patient can ambulate independently
41-56
What is the Short Physical Performance Battery (SPPB) test used to measure?
lower extremity performance such as strength, balance and mobility in older adults
What is the Balance Evaluation Systems Test (BESTest) used to examine?
6 things
Multiple aspects of postural control
- Biomechanical constraints - Stability limits - Anticipatory-transitions - Postural responses - Sensory organization - Dynamic gait
