1/9/2024 0 Comments Postural reactivity definition![]() ![]() Future work should examine the factors influencing choice of reactive control assessment tools and awareness of standardized measures for reactive postural control.īalance Evaluation Musculoskeletal impairments Neurological disorders Older adults.Ĭopyright © 2013 Elsevier B.V. ![]() Despite the availability of valid standardized measures to evaluate reactive postural control, respondents relied primarily on non-standardized approaches and observational assessment. Postural control is compromised in individuals after transtibial amputation (TTA), primarily due to the loss of sensory feedback and muscle control of the amputated leg and decreased range of motion of the prosthetic foot. Practice area had the strongest association with regular assessment of reactive postural control (>60% of the time), and respondents working with neurological disorders were more likely to regularly evaluate reactive control than those working with people with orthopedic conditions. Adequate postural control is necessary to effectively perform everyday activities and to prevent falls. ![]() Proactive or anticipatory balance is the ability to. The remaining 43 methods were each used by less than 8% of respondents. Reactive balance control is the ability to recover a stable position following an unexpected perturbation. The most common methods used were non-standardized perturbations (43.5% 104/239 respondents) and movement observation (18.8% 45/239). Forty-five methods of assessing reactive control were reported. Of the 273 respondents who assessed reactive postural control at least some of the time, 15.4% used a standardized measure, 79.1% used a non-standardized approach, and 5.5% used both. These perturbations elicit rapid postural responses, training reactive postural control. Three hundred and fifty-seven physiotherapists in Ontario, Canada who treated adults with balance impairments answered questions about the components of balance they assess and how they assess reactive control in their practice. Perturbation-based balance training (PBT) is a form of reactive balance training aimed at improving reactive balance control after unexpected external perturbations. The purpose of this study was to identify (1) methods used to assess reactive postural control in clinical practice and (2) factors associated with regular assessment of reactive postural control. Postural control is defined as achievement, maintenance or regulation of balance during any static posture or dynamic activity for the regulation of stability. Reactive postural control, the ability to recover from an external perturbation to stability, ultimately determines whether an individual will fall following a loss of balance and should be routinely incorporated in balance assessment. ![]()
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