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OT assessing Balance

Last post 10-21-2007, 12:00 AM by Jet Ramos. 1 replies.
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  •  06-18-2007, 10:13 PM

    OT assessing Balance

    Why is this such an important thing?  Why should OT not just leave it up to the PT's?
  •  10-21-2007, 12:00 AM

    Re: OT assessing Balance

     Balance is one of the performance components that will impact your performance areas (ADLs).  

    If you can recall, you should be evaluating performance components that have direct impact on your performance areas - your ADLs, Fxnal mobility and transfers. Although transfers/mobility is synonymous to ambulation but the transfers/fxnal mobility you are trying to consider will be your ADL transfers and mobility that are different from what PT may treat.

     To name a few, toilet transfers, shower transfers, bathroom><shower transfers, bed mobility, supine on bed to edge of bed mobility, etc. these require "stable" STATIC AND DYNAMIC BALANCE to achieve ADL TASK/s INDEPENDENCE.  If your balance (siting and/or standing) is poor, one may conlcude that ADLs may be compromised/altered or to be modified.

    Example, UE Dressing - if you have a poor Static and dynamic balance and you may want to achieve UE dressing independence, you need to address balance issues first to compliment ADL dressing independence. Same as bathing independence - you can't achieve FULL independence if the patient cant walk to the bathroom, transfer to the shower, stand or sit on a shower bench due to poor balance. If the goal is to complete a shower task - the goal is not initally directed to independence but to achieve the prerequisite - shower transfers, a/e mgmt and whether skilled trng is geared towards modified independence ( with a/e but no phydsical assistance) or to supervision only (if a client has a caregiver involve).

    I hope it makes sense.  :-)