PTA 212 Balance Notes

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PTA 212 Balance Notes
2014-03-02 21:37:02
PTA 212 Balance Notes

Bits of balance and visual PPs with O'Sullivan Notes
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  1. dysmetria
    overshooting target
  2. incoordination
    • muscles fail to fire in sequence
    • CNS unable to direct movement
  3. _____ is the center for balance and coordinated activity
  4. feedforward definition
    predictive compensatory modifications in anticipation of movement
  5. dysdiadochokinesia
    inability to perform rapidly alternating movements
  6. gait spinal ataxia
    • wide BOS
    • flailing of feet
    • foot slap
    • watching of feet
  7. gait cerebellar ataxia
    • wide bos
    • unsteady
    • irregular
    • staggering
    • unable to tandem
  8. ways to test incoordination
    • finger to nose
    • finger-nose-finger
    • number/alphabet drawing
    • heel to shin/ankle
    • rapid alternating movement
  9. 3 major functions of vestibular apparatus
    • sensation of motion and spatial organization
    • input for muscles and body to form proper postures
    • stabilize eyes in space during head movements
  10. responsibilities of VOR
    • (vestibulo-occular reflex)
    • maintaining stability of an image on retina's fovea during rapid eye movement
  11. balance definition
    state of physical equilibrium achieved when vestibular, visual, and somatosensory info is integrated in the CNS
  12. suspensory strategy
    lowering cog twd bos
  13. proprioception primarily involved in quiet standing or uneven terrain?
    quiet standing
  14. visual and vestibular more active on even or uneven terrain?
  15. disabilities with rolling
    apprehension and vertigo and nausea
  16. disabilities with supine/sit
    • vertigo
    • nausea
    • nystagmus
  17. disabilities with sitting
    • increased UE support
    • nystagmus
  18. disabilities with sit/stand
    • forward momentum activates vestibular
    • early lift uses adequate strgĀ 
    • all balance components and systems are used
    • slow deliberate movement
    • excessive use of UE and wide bos
  19. disabilities with stable standing
    • head movements may elicit nystagmus, vertigo, and nausea
    • wide bos
    • sway
    • suspensory strategy
  20. disabilities with amb
    • shuffling gait
    • decreased arm swing
    • increased arm abd
  21. descending or ascending is more difficult
  22. ways to determine veistbular affected
    • smooth pursuits
    • saccadic
    • VOR
    • head thrusts/shaking
    • hallpike maneuver
  23. ways to determine vision
    • peripheral vision
    • double vision
  24. ways to determine somatosensory
    • proprioception
    • kinesthesia
    • romberg
  25. romberg test
    • tests for somato
    • pt stands eyes open than eyes closed
    • if considerate LOB with eyes closed than positive test
  26. berg test
    • objective measure of static and dynamic balance
    • has 14 functional tasks
  27. tinetti (POMA) test
    • brief
    • reliable measure of static and dynamic balance
    • has gait component and balance component
  28. TUG test
    • meaures mobility and balance
    • pt rises from chair walks a distance and back to sit
  29. DGI test
    • predicts likelihood of falls of geriatrics and ppl with vestibular dysfunction
    • includes walking with challenges such as steps, obstacles, head turns etc
  30. modified CTSIB
    • assessment of one or more of the sensory systems
    • EO (eyes open) or EC (eyes closed) with or without firm surface
  31. saccadic
    rapid eye movement between points of fixation
  32. vestibular treatment
    • habituation exercise
    • visual tracking exercise
  33. somatosensory treatment
    • static vs dynamic
    • vary surfaces and visual
    • back supported or unsupported
    • weighting