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25 Cards in this Set

  • Front
  • Back
what is balance ?
a state of physical equilibrium , maintenance and control of COG within the BOS, achieving and maintaining upright posture
what are the 3 systems of balance?
vestibular , somatosensory , and visual
what is vestibular input?
provides the CNS with info about the position of the head in relation to gravity.
what component does the vestibular system assess?
assess with perturbations- applied external force on the body to shift the COM
what is somatosensory input?
proprioceptive info that is provided to the brain about length, tension, pressure, pain and joints position. the receptors are located at the joint , muscle , tendon, ligament
how would you assess a pts , somatosensory input?
change the surface that there standing or sitting on.

ex: solid surface vs foam surface
what is visual input?
receptors that provide perceptual acuity info about motion of objects, self motion, environmental orientation, postural sway, and movements of the head and neck.
what is macular degeneration?
loss of visual input in the center of eye
how would we assess visual input?
with EO and EC, Dim lighting, dark, & snellen chart
what is VOR
vestibulo ocular reflex- allows for head -eye movement coordination. eyes can move while the head is fixed.
what is VSR
vestibulo spinal reflex- stabilizes the body and controls movement. stability of the trunk while the head is moving . coordination of the trunk during upright postures
what is a perturbation ?
force that acts on the body to displace COM
what is a challenge ?
a change of surface while standing or sitting.
what are automatic postural strategies?
responses that maintain BOS over COG
what is ankle strategy?
elicited by small range and slow velocity force, challenge or perturbation when feet on ground

contract distal to proximal
what is hip strategy?
elicited by greater force , challenge, or perturbation through the pelvis and hips

contract proximal to distal
what is suspensory strategy?
lowering COG during, standing, and ambulation to control COG.

used when stability and mobility required (surfing)
what is stepping strategy?
in standing , LE steps or UE reaches out when challenge /pertubation moves COG outside BOS
what is vertigo?
sense of rotation and movement. NOT dizziness
what is Nystagmus?
abnormal eye movements. can be elicited with Dix hall pike maneuver
what is vestibular rehabilitation?
intervention to address central or peripheral balance disorders.
change in surface tests ?
somatosensory
change in BOS
somatosensory
change visual
visual input
gentle perturbation tests?
vestibular input