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BALANCE
DR.SUSAN JOSE (PT)
DEFINITION
• Balance is defined as the condition in which all the forces acting
on the body are balanced and that the center of mass (COM) is
within base of support (BOS) and the limits of stability(LOS).
BOS
LOS IN STANDING AND SITTING
MOTOR
SENSORY
COGNITIVE
BALANCE
WHAT SYSTEM WORKS TO MAINATIN BALANCE ?
• MOTOR –
• Muscle quality
• Ability to activate the muscles
• SENSORY-
• Visual system
• Vestibular system
• Somatosensory system- proprioception and tactile system
• COGNITIVE-
• Attentional ability
ASSESSMENT
STATIC BALANCE -
• BOS
• SYMMETRY OF WEIGHT BEARING
• COM POSITION AND SWAY
SWAY METER
DYNAMIC BALANCE
• REACTIVE CONTROL is the ability to maintain balance in response to
external destabilizing forces on the body.
TO ASSESS :
• Perturbations
• Move the surface where the patient is sitting or standing
• Ex- moveable platform, therapy ball
• OBSERVE- Postural strategies
Balance Physiotherapy Assesment.pptx
Balance Physiotherapy Assesment.pptx
• PROACTIVE CONTROL is the ability to maintain balance in response to an internally
generated destabilizing forces.
• EX- leaning forward, dancing
Balance Physiotherapy Assesment.pptx
SAFETY OF THE PATIENT IS KEY
QUALITATIVE GRADING
MOTOR
SENSOR
Y
COGNITIVE
BALANCE
WHAT SYSTEM WORKS TO MAINATIN BALANCE ?
SENSORY SYSTEM ORGANISATION
• CLINICAL TEST OF SENSORY INTEGRATION AND BALANCE
ASSESSING THE EFFECT OF COGNATION ON BALANCE
DUAL-TASKING -
While talking while standing, reading while walking, or pour water into a glass
QUANTITATIVE ASSESSMENT
1. BERG BALANCE SCALE
• BBS assess both the static and dynamic balance.
• Scores of 45 or below =High risk of recurrent or multiple falls
2.REACH TESTS
MULTI DIRECTIONAL REACH TEST
direction Normative value
forward 25 ±8.14 cm
lateral 19.7 ±5.70 cm
back 11.6+/- 3.07 in
TIMED GET UP AND GO TEST
• It is a quick measure of dynamic balance and mobility.
Healthy adults - less than 10 seconds.
THANKYOU
REFERENCES
• O’ SULLIVAN 6TH EDITION PHYSICAL REHABILITATION

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