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Evidence-Based Balance Rehabilitation and Fall Prevention: Summary
Evidence-Based Balance Rehabilitation and Fall Prevention 6 Contact Hours
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Author Geoff Mosley, PT, DPT
Geoff has been a licensed physical therapist since 1997, when he graduated from the University of Missouri Columbia. He has been board certified in neurological physical therapy from the American Physical Therapy Association Board of Specialties since 2001. He has earned Vestibular Rehabilitation certification at Emory University's annual course, as well as certification from RESNA as a Certified Assistive Technology Practitioner. In 2023 he received his doctorate in physical therapy from Arcadia University. Geoff has conducted rehabilitation research on topics including neural tension in patients with stroke, body weight supported gait training, the Functional Gait Assessment, and balance training utilizing video game technology.
LEARNING OUTCOMES ● Differentiate the complex components of balance, including perceptual, processing, and motor contributions, that are needed to participate in daily and occupational activities ● Classify balance impairments based on deficits in perceptual, processing, and motor skills
● Categorize and assess patients objectively by understanding what each evaluation tool reveals about the system and components of balance ● Utilize assessment findings and current evidence to develop effective interventions for specific balance deficits, leading to improved patient outcomes and functional performance
SELF-ASSESSMENT QUESTIONS
1. Which of the following attributes of ambulation are unique to humans? a. Human gait is exclusively bipedal b. Humans move vertically over a small base of support c. There is constant monitoring of sway over flexible segments d. All of the above 2. Which of the following are NOT required for successful balance? a. Accurate perception of external and internal conditions and forces b. Capacity to develop strategies for movement c. Ability to execute movements without regard to center of mass d. Ability to assess for and correct errors in movement
3. Which of the following is true regarding aging and balance? a. Older adults maintain muscle mass at roughly the same capacity as younger adults b. Gait in older adults is characterized by more fluidity and accentuated hip extension c. Older adults have more difficulty with unexpected perturbations to balance d. Vestibular function is typically enhanced in older adults 4. What three components of a balance reaction are vital to prevent a fall? (Choose all that apply) a. Speed b. Awareness c. Accuracy d. Strategy e. Strength 5. Which of the following factors significantly contributes to fall risk? a. Slow gait speed b. Fear of falling
c. Cognitive decline d. All of the above
ANSWERS: 1: D 2 : C 3 : C 4 : A,C,E 5 : D
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