ASSESSMENT OF BALANCE

BALANCE CONTROL
 The ability to maintain the body in equilibrium.

 Technically defined as the ability to maintain the

center-of-gravity (COG) of an object within its
base-of-support (BOS),referred to as the stability
limits.

 Limits of stability: these are the boundaries in

which the body can maintain its position without
A SYSTEMS MODEL OF BALANCE
 Musculoskeletal System
 Nervous System

 Motor Coordination…Movement strategies

 Ankle Strategy
 Hip Strategy
 Stepping Strategy

 Sensory system:
 Visual
 Vestibular
 somatosensory
ASSESSMENT
 Static balance
 Anticipatory postural control

 Reactive balance

 Dynamic balance
STATIC BALANCE ASSESSMENT

 Single-LegStance Test
 Rhomberg’s Test
 Stork Stand Test
ANTICIPATORY BALANCE ASSESSMENT

 Functional Reach Test

 Multidirectional Reach Test

REACTIVE BALANCE ASSESSMENT

Backward Release
DYNAMIC BALANCE ASSESSMENT

 Berg Balance Scale

 Tinetti Performance-Oriented Mobility Assessment (POMA)
 Timed Up and Go Test (TUG)
 Gait Abnormality Rating Scale (GARS)
 Dynamic Gait Index