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Functional Sitting Test for Core Stability

The Functional Sitting Test (FST) is a standardized clinical tool designed to assess postural stability, core endurance, and dynamic balance in seated positions, particularly useful in neurological rehabilitation, geriatrics, and orthopedic recovery. It quantifies balance performance through static, dynamic, and reactive assessments, with scoring to track progress and inform individualized interventions. While it offers quantitative metrics for treatment planning, limitations include scoring subjectivity and the need for trained clinicians.

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0% found this document useful (0 votes)
151 views12 pages

Functional Sitting Test for Core Stability

The Functional Sitting Test (FST) is a standardized clinical tool designed to assess postural stability, core endurance, and dynamic balance in seated positions, particularly useful in neurological rehabilitation, geriatrics, and orthopedic recovery. It quantifies balance performance through static, dynamic, and reactive assessments, with scoring to track progress and inform individualized interventions. While it offers quantitative metrics for treatment planning, limitations include scoring subjectivity and the need for trained clinicians.

Uploaded by

Rakeah
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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FUNCTIONAL

SITTING TEST
(FST)
Advanced Assessment of Core Stability and Seated Postural Control

Presented By : Obai Abusara


Definition of the Functional
Sitting Test
■ - The Functional Sitting Test (FST) is a standardized clinical instrument
designed to evaluate:
■ - Postural stability in a seated position.
■ - Core muscular endurance and functional trunk control.
■ - Dynamic balance performance in seated contexts.
■ - Applications:
■ - Neurological rehabilitation.
■ - Geriatric and orthopedic patient populations.
■ - Post-surgical recovery and balance retraining.
Primary Objectives

■ - Quantify seated balance under static and dynamic conditions.


■ - Detect impairments in trunk coordination and adaptive postural
responses.
■ - Inform individualized intervention strategies and objectively track
functional progress longitudinally.
Key Components of the Test

■ 1. *Static Seated Balance:*


■ - Evaluates the capacity to maintain an upright posture without
external stabilization.
■ 2. *Dynamic Seated Balance:*
■ - Measures balance during controlled movements such as reaching
or retrieving objects.
■ 3. *Reactive Postural Control:*
■ - Assesses the ability to regain equilibrium after externally applied
perturbations.
Detailed Testing Procedure

■ 1. *Preparation:*
■ - Position the individual with hips and knees flexed to 90°, thighs supported, and feet
securely grounded.
■ - Remove extraneous environmental stimuli to optimize concentration.
■ 2. *Assessment Parameters:*
■ - Observe postural alignment and compensatory movements.
■ - Test static, dynamic, and reactive balance utilizing standardized task sequences.
■ - Include controlled perturbation techniques, such as anterior and posterior nudges.
■ 3. *Scoring Protocol:*
■ - Employ an ordinal scoring system (0-4) to reflect performance across tasks.
Aggregated Scoring and
Reporting
■ - Total performance score calculated by summing scores across all
tasks.
■ - *Maximum Possible Score:* 56 points.
■ - Documentation Guidelines:
■ - Date of administration.
■ - Total score (e.g., 48/56).
■ - Name and credentials of evaluator.
■ - Additional observations or notable compensatory strategies.
Clinical Applications

■ - *Neurological Rehabilitation:*
■ - Management of stroke-induced deficits.
■ - Assessment of postural control in Parkinson’s disease and spinal cord
injuries.
■ - *Orthopedic Applications:*
■ - Evaluation of functional recovery following surgical interventions.
■ - *Geriatric Use:*
■ - Preventative measures against falls.
■ - Targeted intervention for age-related postural impairments.
Advantages of the FST

■ - Yields quantitative metrics for evidence-based therapeutic planning.


■ - Identifies discrete functional impairments for targeted interventions.
■ - Enables longitudinal tracking of rehabilitation outcomes.
■ - Promotes interdisciplinary collaboration by standardizing
assessments.
Limitations of the FST

■ - Intrinsic subjectivity in scoring can introduce variability.


■ - Restricted use among individuals with profound impairments or
advanced disability.
■ - Necessitates proficient clinician training to ensure reliability and
accuracy.
Conclusion

■ - The Functional Sitting Test provides a robust framework for


evaluating and enhancing seated balance.
■ - Supports precision in treatment planning through targeted deficit
identification.
■ - Plays a pivotal role in advancing functional independence and quality
of life for diverse patient populations.

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