Balance scenario 1

• Reliant on upper limbs and vision to maintain sitting balance (post illness)

  • Main Analysis Findings
  • impairment is in sitting
  • base of support - low level balance as relying on upper limbs
  • sensory - dependent on vision - can he close his eyes whilst balancing whilst sitting - VISION IS 10% OF SENSORY INPUT and helps form motor memories

  
• Reliant on upper limbs and vision to maintain sitting balance (post illness)

  • Further tests/investigations you would like to do
  • strength and endurance of lower limbs and can they progress past sitting - as theyre reliant on upper limbs
  • vision assessment
  • maybe vestibular and somatosensory
  • postural assessment
• Reliant on upper limbs and vision to maintain sitting balance (post illness)

  • A suitable outcome measure
  • Berg Balance Scale
• Reliant on upper limbs and vision to maintain sitting balance (post illness)

  • Justification for selection of treatment:
  • start with patient in sitting, using both arms and both eyes open
• Reliant on upper limbs and vision to maintain sitting balance (post illness)

  • progression:
  • close one eye, then both
  • remove one arm (maybe to reach for something), then both
  • progress patient to standing if possible
• Reliant on upper limbs and vision to maintain sitting balance (post illness)

  • Justification of approaches to facilitated learning
  • cues - imagine an anchor attached to the middle of your body holding it down to maintain centre of gravity / base of support
  • imagery - image what youre about to do with your eyes closed
  • start with extrinsic feedback and knowledge of performance, progress to intrinsic feedback and knowledge or results
  • fade feedback
  • effective demonstration
  • stages of learning
  • simplification
  • distributed practice - refer to gait scenario 1