Balance Scenario 4

• Increase postural sway when asked to stand with narrow BOS, unable to reach outside of BOS. Needs to take a supportive step when eyes closed. (Visual reliance)

  • Main Analysis Findings
  • struggle with large BOS (feet together) in standing
  • off balance when eyes closed - visually dependent - VISION IS 10% OF SENSORY INPUT and helps form motor memories
  • internal perturbation - cant reach out side BOS

  
• Increase postural sway when asked to stand with narrow BOS, unable to reach outside of BOS. Needs to take a supportive step when eyes closed. (Visual reliance)

  • Further tests/investigations you would like to do
  • refer to gait scenario 2
• Increase postural sway when asked to stand with narrow BOS, unable to reach outside of BOS. Needs to take a supportive step when eyes closed. (Visual reliance)

  • A suitable outcome measure
  • refer to gait scenario 2
  • reach and grasp?
• Increase postural sway when asked to stand with narrow BOS, unable to reach outside of BOS. Needs to take a supportive step when eyes closed. (Visual reliance)

  • Justification for selection of treatment
  • start with feet wide apart, both eyes open and reaching within BOS to build confidence and reduce injury
• Increase postural sway when asked to stand with narrow BOS, unable to reach outside of BOS. Needs to take a supportive step when eyes closed. (Visual reliance)

  • Justification of approaches to facilitated learning
  • refer to balance scenario 1
• Increase postural sway when asked to stand with narrow BOS, unable to reach outside of BOS. Needs to take a supportive step when eyes closed. (Visual reliance)

  • progression
  • reach outside base of support, increasing distance
  • make BOS narrower if starting with wider BOS
  • close one eye then both