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5. APPLICATIONS
ORTHOPEDIC aND SPORTS MEDICINE
1. Bilateral Balance Activities
•
Select desired training mode
•
Begin at level 12 or static and progress as tolerated
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Begin with handrails in the upright position and progress to lowering them
•
Move platform as per training protocol
•
Use ball toss drill to increase eye/hand coordination
2. Unilateral Balance Activities
•
Select desired training mode
•
Begin at level 12 or static and progress as tolerated
•
Begin with handrails in the upright position and progress to lowering them
•
Move platform as per training protocol
3. Bilateral Upper Extremity Activities
•
Place both hands in a north/south, east/west and diagonal position
•
Select desired training mode
•
Begin with a stable platform and progress accordingly
•
Move platform as per training protocol
•
Begin on knees and progress to toes, to one knee, to one foot
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Progress to unilateral balance, palm centered on the platform
FaLL PREVENTION
1. Bilateral Exercises
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Begin with static level weight shifts
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Progress to dynamic level (12) weight shifts
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Use circular grid to demonstrate where tendency to fall occurs
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Have patient perform both anterior/posterior and medial/lateral exercises
2. Unilateral Exercises
•
Have patient hold platform steady and illustrate how well the patient holds the platform stable
•
Different patterns (circles, anterior/posterior, medial/lateral) to increase strength of the
lower extremity
3. Fall Risk Assessment Testing
4. CTSIB Testing
REFERENCE NOTES
1.
Caution must be noted when performing this activity. Ensure that the patient has the ability
to handle this challenging activity.
2.
Ensure proper bilateral stabilization prior to unilateral stabilization.
3.
Ensure that patient uses the handrails as needed.
4.
Ensure that bilateral and unilateral static stability are adequate prior to progressing to
unilateral dynamic stability.
5.
The more unstable the platform (12 vs. one) the more challenging the activity will become.
Ensure the patient uses the handrails at all times.
— 5-1 —
APPLICATIONS
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