Balance scenario 5

Cards (6)

  • Overreliance on one leg in standing due to unilateral leg weakness- taking supportive step when asked to reach out of base support towards affected leg. Unable to tandem stand, unable to stand on affected leg for more than 2 seconds
    • Main Analysis Findings
    • BOS - struggles with tandem standing (one foot in front of the other) and unable to stand on affected leg for more than 2 seconds
    • Physical - struggles with internal perturbation - cant reach out of base of support within taking supportive step due to unilateral leg weakness
  • Overreliance on one leg in standing due to unilateral leg weakness- taking supportive step when asked to reach out of base support towards affected leg. Unable to tandem stand, unable to stand on affected leg for more than 2 seconds
    • Further tests/investigations you would like to do
    • quads and hamstrings strength test for weightbearing on affected leg
    • test sensory systems e.g. check weightbearing ability of affected leg on different surface to see if theres any differences
  • Overreliance on one leg in standing due to unilateral leg weakness- taking supportive step when asked to reach out of base support towards affected leg. Unable to tandem stand, unable to stand on affected leg for more than 2 seconds
    • A suitable outcome measure
    • functional mobility assessment
    • berg balance scale
    • quads and hamstring strength
  • Overreliance on one leg in standing due to unilateral leg weakness- taking supportive step when asked to reach out of base support towards affected leg. Unable to tandem stand, unable to stand on affected leg for more than 2 seconds
    • Justification for selection of treatment
    • strengthen quads and hamstrings
    • start by standing with feet together or tandem stand and using arm to stabilise themselves on bar
    • start with wide bos, reach within bos, then out of bos, then shorten bos and repeat as progression, progress to tandem
  • Overreliance on one leg in standing due to unilateral leg weakness- taking supportive step when asked to reach out of base support towards affected leg. Unable to tandem stand, unable to stand on affected leg for more than 2 seconds
    • progression
    • remove on arm from the bar, stabilise with one arm, reach out of BOS with other arm
    • start with wide tandem, progress by bring feet closer together
    • stand on one leg whilst holding onto bar, progress to remove safety bar OR start both feet on ground, progress by putting unaffected leg on small step to remove it from WB, then increase height of stool
  • Overreliance on one leg in standing due to unilateral leg weakness- taking supportive step when asked to reach out of base support towards affected leg. Unable to tandem stand, unable to stand on affected leg for more than 2 seconds
    • Justification of approaches to facilitated learning
    • refer to balance scenario 1