Assessment of Balance

• Postural Control - Complex & dynamic interaction of multiple systems:

  • Balance is multi factorial and multi directional
  • Therefore NO single test or measure will be sufficient
  • Requires multi dimensional testing
  • Need to work out why balance is a problem?
  • Which system/s is affected?
  • When does loss of balance become a problem e.g. in lying, sitting, standing, single leg, eyes closed etc
  • Systematic & SAFE Graded Balance Assessment (GBA) of the individual is essential
• Which systems?

  • Physical (motor) system- musculoskeletal system (strength, flexibility, alignment)
  • Sensory systems (sensation from vision, vestibular and somatosensory)
  • Cognitive systems – attentional resources (quiet standing uses cognitive processing)
  • Neuromuscular system (timing of coordinated movements cover next year)
  • AND…. size and quality of Base of support
• Graded Balance Assessment