This Presentation is about Mitchell relaxation technique also known a physiological relaxation technique Mitchell’s physiological relaxation technique is based on reciprocal inhibition and involves diaphragmatic breathing and a series of ordered isotonic contractions.
Introduction to Balance and its concepts, Impaired balance and then management of impaired balance.
Based on Therapeutic Exercise Foundations and Techniques
This presentation give an upto date insightful information on balance/postural assessment and key domains of Occupational Therapy during assessment of balance using different scales.
This Presentation is about Mitchell relaxation technique also known a physiological relaxation technique Mitchell’s physiological relaxation technique is based on reciprocal inhibition and involves diaphragmatic breathing and a series of ordered isotonic contractions.
Introduction to Balance and its concepts, Impaired balance and then management of impaired balance.
Based on Therapeutic Exercise Foundations and Techniques
This presentation give an upto date insightful information on balance/postural assessment and key domains of Occupational Therapy during assessment of balance using different scales.
Concept given by Shacklock (modern concept) and Butler (old concept), a method of assessment as well as treatment of peripheral neurological system by physiotherapists.
Part-I: The current slideshow: theoretical aspect of neurodynamics.
Part-II: Assessment of peripheral nervous system on the basis of neurodynamic concepts: Date: 01/04/2020
Part-III: treatment part: Date: 03/04/2020
Part-IV: Self neurodynamics: 05/04/2020
This is the presentation which was delivered to third year Bachelor of Physiotherapy students at Kathmandu University School of Medical Sciences (KUSMS), Dhulikhel, Nepal. Different schools of thoughts in manual therapy are the part of curriculum for the undergraduate students at KUSMS.
BALANCE
BALANCE SYSTEM
TYPES OF BALANCE
MECHANISM
CORRELATION
BALANCE TRAINING
MANAGEMENT
STRATEGIES
PHYSIOTHERAPY INTERVENTION
BALANCE TRAINING IN ELDERLY
OUTCOME MEASURES
Brian Mulligan described novel concept of the simultaneous application of therapist applied accessory mobilizations and patient generated active movements
This presentation is detail about Volta therapy which is commonly used in paediatric neurological conditions and also for adults. this presentation explains what are the various techniques, methods of application of Volta therapy, indications, contraindications, etc.
Goniometry is the measuring of angles created by the bones of the body at the joints.1, 2, 3
The term goniometry is derived from two Greek words, gonia meaning angle and metron, meaning measure. 1, 2, 3, 4, 5,
System to measure the joint ranges in each plane of the joint is termed goniometry. 4
These measurements are done with instrument such as goniometer, a tape measure, inclinometers or by visual estimate.
Concept given by Shacklock (modern concept) and Butler (old concept), a method of assessment as well as treatment of peripheral neurological system by physiotherapists.
Part-I: The current slideshow: theoretical aspect of neurodynamics.
Part-II: Assessment of peripheral nervous system on the basis of neurodynamic concepts: Date: 01/04/2020
Part-III: treatment part: Date: 03/04/2020
Part-IV: Self neurodynamics: 05/04/2020
This is the presentation which was delivered to third year Bachelor of Physiotherapy students at Kathmandu University School of Medical Sciences (KUSMS), Dhulikhel, Nepal. Different schools of thoughts in manual therapy are the part of curriculum for the undergraduate students at KUSMS.
BALANCE
BALANCE SYSTEM
TYPES OF BALANCE
MECHANISM
CORRELATION
BALANCE TRAINING
MANAGEMENT
STRATEGIES
PHYSIOTHERAPY INTERVENTION
BALANCE TRAINING IN ELDERLY
OUTCOME MEASURES
Brian Mulligan described novel concept of the simultaneous application of therapist applied accessory mobilizations and patient generated active movements
This presentation is detail about Volta therapy which is commonly used in paediatric neurological conditions and also for adults. this presentation explains what are the various techniques, methods of application of Volta therapy, indications, contraindications, etc.
Goniometry is the measuring of angles created by the bones of the body at the joints.1, 2, 3
The term goniometry is derived from two Greek words, gonia meaning angle and metron, meaning measure. 1, 2, 3, 4, 5,
System to measure the joint ranges in each plane of the joint is termed goniometry. 4
These measurements are done with instrument such as goniometer, a tape measure, inclinometers or by visual estimate.
Detailed explanation about balance and balance training.
Balance refers to an individuals ability to maintain their line of gravity within their Base of support (BOS). It can also be described as the ability to maintain equilibrium, where equilibrium can be defined as any condition in which all acting forces are cancelled by each other resulting in a stable balanced system.
BALANCE SYSTEMS:
The following systems provides input regarding the body's equilibrium and thus maintains balance.
Somatosensory / Proprioceptive System
Vestibular System
Visual System
The Central Nervous System receives feedback about the body orientation from these three main sensory systems and integrates this sensory feedback and subsequently generates a corrective, stabilizing torque by selectively activating muscles. In normal condition, healthy subjects rely 70% on somatosensory information and 20% Vestibular & 10% on Vision on firm surface but change to 60% vestibular information, 30% Vision & 10% somatosensory on unstable surface.
SOMATOSENSORY SYSTEM:
Proprioceptive information from spino-cerebellar pathways, processed unconsciously in the cerebellum, are required to control postural balance. Proprioceptive information has the shortest time delays, with monosynaptic pathways that can process information as quickly as 40–50 ms and hence the major contributor for postural control in normal conditions.
VESTIBULAR SYSTEM:
The vestibular system generates compensatory responses to head motion via:
Postural responses (Vestibulo-Spinal Reflex) - keep the body upright and prevent falls when the body is unexpectedly knocked off balance.
Ocular-motor responses (Vestibulo-Ocular Reflex) - allows the eyes to remain steadily focused while the head is in motion.
Visceral responses (Vestibulo-Colic Reflex) - help keep the head and neck centred, steady, and upright on the shoulders.
VISUAL SYSTEM:
For non-impaired individuals, under normal conditions the contribution of visual system to postural control is partially redundant as the visual information has longer time delays as long as 150-200 ms.
Friedrich et al. observed that adults with visual disorders were able to adapt peripheral, vestibular, somatosensory perception and cerebellar processing to compensate for their visual information deficit and to provide good postural control.
In addition, Peterka found that adults with bilateral vestibular deficits can enhance their visual and proprioceptive information even more than healthy adults in order to reach effective postural stability.
The influence of moving visual fields on postural stability depends on the characteristics of the visual environment, and of the support surface, including the size of the base of support, its rigidity or compliance.
TYPES OF BALANCE:
Balance can be classified in to :
Static Balance:
Dynamic Balance
POSTURE
Dr. Quazi Huma
MPT Neurosciences
Asst Professor
Objectives
Definition
Human posture – quadruped to bipedal
Postural Control
Analysis of all views
Physiological Deviations
Factors affecting posture
Definition
Good posture is the attitude which, is assumed by body parts to maintain stability and balance with minimum effort and least strain during supportive and non supportive positions.
CHARACTERISTICS OF GOOD POSTURE (Prerequisites of good posture)
For good posture to be maintained the following must be obtained:
The ability to maintain 'the body upright in good and erect position with less energy.
The ability to maintain balance in upright position via keeping the line of gravity near the center of the base of support.
Quadruped Vs Bipedal
Quadruped posture
Body weight is distributed between the upper and lower extremities
Good stability
Bipedal posture
Unique found in human
Small BOS
Use of upper extremities
Instability caused by a small BoS and a high CoM
BASE OF SUPPORT
BOS is defined by an area bounded posteriorly by the tips of the heels and anteriorly by a line joining the tips of the toes
CENTER OF MASS
It is the point where the mass of the body is centered
Position of the CoM is not fixed
CoM moves lower to a location in the standing adult at about the level of the second sacral segment in the midsagittal plane.
POSTURAL CONTROL
refers to a person’s ability to maintain stability of the body and body segments in response to forces that threaten to disturb the body’s equilibrium
POSTURAL CONTROL
STATIC POSTUREThe body and its segments are aligned and maintained in certain position
DYNAMIC POSTUREPostures in which the body or its segments are moving
PLUMB LINE
ANALYSIS OF POSTURE IN SAGITTAL VIEW
DEVIATION IN SAGITTAL VIEW
FLEXED KNEE POSTURE
GENU RECURVATUM
KYPHOTIC AND LORDOTIC CURVES
DOWAGERS HUMP AND GIBBUS DEFORMITY
ANALYSIS OF POSTURE IN FRONTAL VIEW
A. NORMAL FOOT B. PES PLANUS
C. PES CAVUS
ANALYSIS OF POSTURE IN CORONAL VIEW
FACTORS AFFECTING POSTURE
THANK YOU!!!!
Pamela K. Levangie, Cynthia C. Norkin; Joint Structure and Function: A Comprehensive Analysis 4th Edition.
Role of various systems to maintain balance.
Role of sensory systems-vision,proprioceptors,vestibular
Role of Musculoskeletal system
Biomechanics in balance
Contextual factors in balance
Role of nervous system
Strategies-ankle, hip,stepping
Posture - a perquisite for functional abilities in daily life. Posture is a combination of anatomy and physiology with inherent application of bio-mechanics and kinematics. Sitting, standing, walking are all functional activities depending on the ability of the body to support that posture to carry out each activity. Injuries and pathologies either postural or structural can massively change the bio-mechanics of posture and thus affect functional abilities.
MOTOR RELEARNING PROGRAM- A physiotherapy approch.pptxSusan Jose
Motor relearning is a frequently used mode of retraining neurologically assaulted patients.lets explore the principles and examples of relearning movement.
Gait training Physiotherapy perspective.pptxSusan Jose
do you know what is gait?
lets know more this presentation.
can physiotherapist help you with your walking abilities. click on the above slide to know more.
gait assesment is a critical componet of physiotehrapy assesemnt. physiotherapist does qualitative and quantitative assesment to find impairements.
It includes observational gait analysis, spatiotemporal parameters.
Pain is a very distressing sensation.
To treat pain it is important to understand how it is perceived and internally control by the body itself.
Here in this presentation you will understand how normally pain is perceived and how normally our body controls it.
This is a brief overview of various aspects of the higher mental functions. Namely
memory
orientation
attention
communication
perception
executive functioning
these needs to be assessed using screening and categorizing tools such as MMSE and MoCa
This scale is used to categrise spinal cord injury patients. it helps prognosticate the spinal cord injuires. it also helps define the treatment protocols for spinal cord injury patients. American Spinal Cord Injury Association made this scale so as to make a standardization in assesemnent technique in acute spinal cord injury patients.
Assessment of body composition , strength, endurance, flexibility agility power coordination speed . tests for all the above mentioned components. health and skill related physical fitness
Neurodevelopemental Therapy (Bobath approach)- Principles and EvidenceSusan Jose
Here we present a widely used neurophysiotherapeutic approch - NDT, exploring its current principles and throwing a glance at the historical development and why it is being so widely practice.
does it really have that evidance base?
Find more as you click on. Give a like if I helped you learn or clear concepts. Thankyou. Love you all. Lets learn more.
Geriatric Rehabiltation- A detailed go throughSusan Jose
Here we, Dr. Kiran (PT), and I, present a detailed overview of geriatric rehabilitation along with the dosage. Age related changes in posture its associated neurophysiology and compensations adapted by the elderly are also decribed in easy to learn way. The pathomechanics of fractures have been illustarted in easy to learn method too.
Resident as Teacher workshop slideshow on ReflexesSusan Jose
This ppt shows how to teach a student rather than what to teach a student include maximum examples and make your lecture in to imaginative and understanding experience to the child.
Visual perception from the point of view of Sensory IntegrationSusan Jose
we include the anatomy and neurophysiology of the visual system.the functions and how its importance. assessment of processing disorders is also included.
we include clinical features and management of visual processing disorders. A recent advance related to management of visual processing disorder has been attached at the end.
Here discuss some important bio mechanical aspects of the orthosis we use use in daily physio-therapeutic rehabilitation.
We also discuss the principles under which all the orthosis works. references are various articles from pubmed. For furthur read refer Atlas of orthosis and assistive aids.
Temple fays and phelps approach in neurophysiotherapy and cerebral palsySusan Jose
Temple fays and Phelps approach in Neurorehabilitation
THESE ARE THE OLD SCHOOLS OF NEUROREHAB BUT WE HAVE A LOT TO INCULCATE FROM OUR ROOTS AND LEARN FROM THE HISTORY SO THAT WE DON'T REPEAT THOSE MISTAKE AND MAKE NEW ADVANCES.
LIKE AND SHARE
BUILD.BACK.BETTER
Ergonomics in Physiotherapy and WorkplaceSusan Jose
We discuss about various risk factors related to causing of cumulative trauma disorders and how to manage each risk factor using bio mechanical principles and physiotherapy knowledge.
Anthropometric measurements adult and paediatricsSusan Jose
this presentation gives a detailed information regrading the adult and pediatric measurements. it gives a good intrepretation and understanding of the subject.
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
2. DEFINITION
• Balance is defined as the condition in which all the forces acting
on the body are balanced and that the center of mass (COM) is
within base of support (BOS) and the limits of stability(LOS).
6. • MOTOR –
• Muscle quality
• Ability to activate the muscles
• SENSORY-
• Visual system
• Vestibular system
• Somatosensory system- proprioception and tactile system
• COGNITIVE-
• Attentional ability
9. DYNAMIC BALANCE
• REACTIVE CONTROL is the ability to maintain balance in response to
external destabilizing forces on the body.
TO ASSESS :
• Perturbations
• Move the surface where the patient is sitting or standing
• Ex- moveable platform, therapy ball
• OBSERVE- Postural strategies
10.
11.
12. • PROACTIVE CONTROL is the ability to maintain balance in response to an internally
generated destabilizing forces.
• EX- leaning forward, dancing
17. ASSESSING THE EFFECT OF COGNATION ON BALANCE
DUAL-TASKING -
While talking while standing, reading while walking, or pour water into a glass
18. QUANTITATIVE ASSESSMENT
1. BERG BALANCE SCALE
• BBS assess both the static and dynamic balance.
• Scores of 45 or below =High risk of recurrent or multiple falls
19. 2.REACH TESTS
MULTI DIRECTIONAL REACH TEST
direction Normative value
forward 25 ±8.14 cm
lateral 19.7 ±5.70 cm
back 11.6+/- 3.07 in
20. TIMED GET UP AND GO TEST
• It is a quick measure of dynamic balance and mobility.
Healthy adults - less than 10 seconds.