Postural/Balance
Your pt.COM is displaced after exercising on a BOSU ball. Which postural control strategy are they relying on?
Reactive postural control
Vision
Somatosensory
vestibular
Muscles are activated in which sequence for ankle and hip strategies?
-ankle: distal to proximal
-hip: proximal to distal
Your patient suzy is admitted to the hosptial after falling due to her vetgio. Suzy works at a cart in the mall and want to return to work. As her physical thepaist, you need to analyze suxy's gait wihtout chainging her BOS. Which balance outcome is best suited for your patient?
a. DGI
b. FGA
c. Berg
D. tug
DGI
A patient is 7'3 and is 950 lbs and WBAT. Which assistive device is most appropriate for them?
axillary crutches
Scotty pippen makes eye contact with Michael Jordan before passing him the ball. Which postural control strategy is MJ relying on as he prepares himself to catch the ball?
Adaptive postural control
You ask your patient to keep their head still and follow your finger with their eyes. This reflex is called..
vestibulo-ocular reflex
When assessing balance, somatosensory input is most responsive to changes in?
a. eye orientation
b. head position
c. muscle length
d. surface contact
surface contact
Mr. Donald, your 65 y/o pt. with a hx of CVA comes to your clinic for an evaluation following a fall. He informs you that he fell because he lost his balance while washing the dishes. What functional measure is best to perform on this patient?
a. tinetti
b. berg
c. timed up and go
d. sit to stand
BERG
TRUE OR FALSE?
Bariatric canes care made of metal; most incorporate an offset handle and a reinforcing cuff tightened by a rotation sleeve.
TRUE
What three elements compose the complex interaction of balance?
1. Sensory-
2.Motor system
3. Higher level for CNS integration
This fixed strategy is used when sway frequencies are low and disturbances of the COM are small and within the LOS
ankle
which balance grade would be most appropriate for a patient that is able to maintain balance without support, but cannot maintain balance while weight shifting?
a. zero
b. poor
c. fair
d. good
fair
As a physical therapist at a SNF, you want to determine if your stroke patient is a fall risk. What balance outcome will help you to determine this by analyzing their gait and balance?
a. DGI
b. BERG
3.Tinetti
4. TImed up and go
Tinetti
What do bariatric walkers include to increase stability?
double anterior cross bracing
This is defined as the max. distance an individual is able to lean in any direction without loss of balance or changing BOS.
Limit of stability
This fixed strategy is used when the support surface is small/compliant, and to control lateral sway.
Hip
You have you patient standing on a BOSU ball. which balance system is being challenged?
somatosensory
which balance assessment will help you determine if your patient is community dwelling 6 months s/p THA?
a. timed up and go
b. BERG
c. tinetti
d. sit to stand
sit to stand
What is the weight range for most bariatric assistive devices?
500- 700 lbs.
You have your patient preform a functional reach test. This test requires your patient to reach s far as they can in any direction without losing balance/ taking a step. What does this test measures?
Limit of stability
A strong gust of wind blows in Alice direction, to counteract the force she takes 3 steps forward. Which change in support strategy does Alice use?
stepping
You have your patient perfomr a piston squat with their eyes close to test which system?
vestibular
Which balance outcome can you use to determine if your patients quad strength is adequate to no longer consider them a fall risk and safe for community ambulation?
sit to stand
Large patient walk with a this gait
wide-based gait