Balance Physiotherapy Assesment.pptx
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balance is the ability to maintain cog with bos. to know more about it have a look at the above slide
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Balance Physiotherapy Assesment.pptx
- 2. 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).
- 3. BOS
- 4. LOS IN STANDING AND SITTING
- 5. MOTOR SENSORY COGNITIVE BALANCE WHAT SYSTEM WORKS TO MAINATIN BALANCE ?
- 6. • MOTOR – • Muscle quality • Ability to activate the muscles • SENSORY- • Visual system • Vestibular system • Somatosensory system- proprioception and tactile system • COGNITIVE- • Attentional ability
- 7. ASSESSMENT STATIC BALANCE - • BOS • SYMMETRY OF WEIGHT BEARING • COM POSITION AND SWAY
- 8. SWAY METER
- 9. 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
- 12. • PROACTIVE CONTROL is the ability to maintain balance in response to an internally generated destabilizing forces. • EX- leaning forward, dancing
- 14. SAFETY OF THE PATIENT IS KEY QUALITATIVE GRADING
- 15. MOTOR SENSOR Y COGNITIVE BALANCE WHAT SYSTEM WORKS TO MAINATIN BALANCE ?
- 16. SENSORY SYSTEM ORGANISATION • CLINICAL TEST OF SENSORY INTEGRATION AND BALANCE
- 17. ASSESSING THE EFFECT OF COGNATION ON BALANCE DUAL-TASKING - While talking while standing, reading while walking, or pour water into a glass
- 18. 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
- 19. 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
- 20. TIMED GET UP AND GO TEST • It is a quick measure of dynamic balance and mobility. Healthy adults - less than 10 seconds.
- 21. THANKYOU
- 22. REFERENCES • O’ SULLIVAN 6TH EDITION PHYSICAL REHABILITATION