Neuro - 2 - Balance interventions

1

100

- Biochemical constraints
- Limits of stability
- Anticipatory postural adjustments
- postural responses
- sensory orientations
- stability in gait 

Balance components 

200

Name the category: 

Intracranial tumors, especially cerebellar/brainstem with vestibular involvement ; neurofibromatosis; spinal cord tumors 

Tumors 

300

- Progressive trunk control
- Functional weight shifting and reaching
- Functional weight shifting and reaching - unstable surface
- Perturbations: internal, external
- equipment 

Dynamic sitting 

400

Name the phase of static standing: 

- Semi-tandem on firm eyes closed (continuous)
- Semi-tandem on compliant surface eyes open/closed 

Phase 3 *** 

500

T/F: The ANPT wants to bridge the gap between skilled PT and lifelong activity 

True 

2

100

Name the category: 

Down syndrome; CP; developmental coordination disorder; spina bifida; seizure disorder; muscular dystrophy; ADHD

Developmental/genetic disorder 

200

What are the (3) balance strategies? 

1. Ankle
2. Hip
3. Stepping 

300

List the functional treatment categories (4) from easiest to hardest 

- Static sitting
- Dynamic sitting
- Static standing
- Dynamic standing

400

- Pre gait
- sit to stands
- Symmetrical --> asymmetrical
- Change the surface
- bending/reaching
- Perturbations: internal, external
- stair climbing
- obstacle course
- Goal to ambulate **
- equipment 

Dynamic standing 

3

100

Name the category: 

CVA; intracranial hematoma 

Vascular disease 

200

T/F: Need postural stability for distal mobility 

True 

300

Name the phase of static standing: 

- Semi tandem on firm surface, eyes open/closed, arms crossed
- Compliant surface, eyes closed intermittently, feet 1-2 inches apart

Phase 2 ***

400

Name the category: 

Viral encephalitis; meningitis; neonatal TORCH infections; lead toxicity (encephalopathy); transverse myelitis; acute inflammatory demyelinating polyneuropathy (GBS); chronic inflammatory demyelinating polyneuropathy 

Infectious/toxic/inflammatory disease 

4

100

Besides sitting and standing, what are the (3) other positions we can practice balance in? 

1. Quadruped
2. Kneeling
3. High/tall kneeling 

200

Name the category: 

Parkinson disease (stage III-V); Alzheimer disease; MS; Friedreich ataxia; syringomyelia; amyotrophic lateral sclerosis 

Degenerative disease 

300

Name the category: 

TBI; traumatic SCI; traumatic peripheral nerve injury 

Trauma 

400

Name the phase of static standing:

- Firm surface, eyes open/closed, feet together, arms close to body while moving head
- compliant surface (foam) with eyes closed and feet 1-2 inches apart 

Phase 1 *** 

5

100

Name the category: 

Peripheral neuropathy; Charcot marie tooth disease 

Neuropathy 

200

EX: While patient is standing on balance board, you have the, list the names of all the cars they can think of. 

Dual task 

300

Need postural stability for __________

Distal mobility 

400

- Surface: uneven, compliant, moveable
- Single limb balance
- Dual task - cognitive
- Unexpected, mild perturbations with goal to maintain static standing
- Add UE activities with goal to maintain static posture
- Add resistance
- Perturbations: internal, external
- equipment 

Static standing considerations