Clinical Considerations; Balance Overview - biodex BioSway Operation Manual

4. CLINICAL CONSIDERATIONS

Prior to using the BioSway with patients, make certain to read and comprehend this entire man-
ual. Ensure that you are completely familiar with all aspects of training and testing, as well as
patient history. Be sure to adhere to the following clinical guidelines at all times when using this
system. All users should have a verbal understanding of the BioSway prior to stepping on the
device. Never allow a patient to use the BioSway while unsupervised.
1. A walker can be used as needed for patient's that require or feel more comfortable with
something to hold onto if needed.
2. When patients are working with their eyes closed, ensure that a clinician is ready to assist in
case of loss of balance.
3. For optimal operation, ensure the patient is standing in the center of the platform.
4. Position the display so that the patient can look straight at it. This will help ensure good
posture during the test or exercise session.
5. There is a learning curve that must be considered when testing with this device. Clinical
research suggests practice trials be performed prior to testing.
6. It is highly recommended that the clinician remain with the patient during testing or training.
An outstretched arm, not touching is reassuring for the patient.
Figure 4.1.
Figures 4.1 and 4.2. Ensure all users have a verbal understanding of the BioSway before using the device.
Never allow a patient to use the BioSway without supervision.

balance overvIew

Maintaining postural balance involves complex coordination and integration of multiple sensory,
motor, and biomechanical components as graphically represented below. Balance is a motor skill
most people take for granted. An individual senses body position in relation to gravity and envi-
ronmental surroundings by combining vestibular, visual, and proprioceptive (somatosensory)
inputs (1). Body position and smooth functional movement patterns result from these coordinated
actions along with integration of graded ankle, knee and hip movements along the kinetic chain (2).
A person's ability to maintain Balance becomes compromised when one action does not function
accordingly and or equilibrium becomes altered. A variety of consequences can occur due to
poor balance therefore clinicians need to address each component in order to prevent injury, re-
injury or further trauma. The Biodex BioSway provides valuable objective assessment of neuro-
muscular control and somatosensory input important to balance.
Figure 4.2.
— 4-1 — CLINICAL CONSIDERATIONS