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Evidence-Based Balance Rehabilitation and Fall Prevention: Summary
37. Which of the following balance assessments is most valuable for assessing reactive balance recovery? a. Berg Balance Scale b. Clinical Test of Sensory Integration of Balance c. Mini-BEST d. Gait speed (10-m walk test) 38. Which of the following statements is true regarding standardized assessments? a. Cut-off scores are widely applicable across a variety of patient populations b. Standardized tools are one component of a comprehensive balance assessment c. The faster the gait speed, the lower the risk of falls d. The Tinetti Performance Oriented Mobility Assessment is the “gold standard” balance test 39. Which test assesses a person’s cognitive ability to selectively attend to more than one thing at the same time? a. Extinction Test b. Mini Mental Status Exam c. Montreal Cognitive Assessment d. Trails Making Test 40. Which of the following strength training programs would be most effective to initiate for a 78-year-old woman with Parkinson’s and mild to moderate osteoarthritis in her knees and hips? a. 1 set of 5-rep max eccentric exercise to failure
41. Which flexibility exercise has been shown to have a positive impact on fall risk for patients with Parkinson’s? a. Axial rotation b. Hamstring stretching c. Range of motion deficits are best compensated for, since those with Parkinson’s cannot reasonably improve ROM d. Shoulder flexion and abduction 42. Which of the following interventions would be most appropriate for a 75-year- old male with Parkinson’s who is severely retropulsive? a. Weighted push/pull activities while maintaining hips anteriorly against a countertop b. Catching/throwing a ball while reclining semiupright on a tilt table c. Anterior weight shifting while standing with a walker and therapist-assisted correction from behind d. Standing on compliant foam pad with eyes closed in the parallel bars 43. Roberta is a 62-year-old woman who suffered a right ischemic stroke and now severely pushes to the left in all standing tasks. Which of the following interventions is most appropriate for her? a. Mat exercises b. Reaching activities while positioned side lying on a tilt table angled 20 to 30 degrees to the right c. Standing and gait training leaning against a wall on her left d. Standing training in the bars with verbal and manual cues for posture
b. 3 sets of 10 reps at 10% 1-rep max concentric exercise to mild fatigue progressing to 20% 1-rep max c. 3 sets of 8 to 10 reps at 30% 1-rep max eccentric exercise to moderate fatigue, ramping gradually to 80% of 1-rep max over time d. Strengthening exercise has not been deemed safe for older adults
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