Preview

Berg Balance Scale: Components Of Stepping And Sttair Management

Good Essays
Open Document
Open Document
1877 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Berg Balance Scale: Components Of Stepping And Sttair Management
Stepping and stairs management outcome measures:
Now I will give a brief description of outcome measures that include components of stepping and managing stairs. After that, I will talk about the specific outcome measures in the area of stepping and stair management and I will describe each one in details.
Outcome measures that include components of stepping and managing stairs:
Berg Balance Scale
The Berg Balance Scale (BBS) quantitatively assesses balance and risk of falling through direct observation of patient performance of 14 different tasks (Blum & Korner-Bitensky, 2008) . BBS tests mainly both static and dynamic standing balance (Blum & Korner-Bitensky, 2008). It has 14 items and it requires 10 to 20 minutes to accomplish it(Blum &
…show more content…
It is a clinical tool that assess walking, balance, and risk of falling. It evaluates individuals gait in more challenging tasks. It is based on person environment model of mobility and disability (Shumway-Cook et al., 2013) . The item 1 of DGI tests the ability of walk under low challenge conditions (self paced, surface level, gait) the remaining 7 items examine the ability to adapt gait to task based on 4 environment dimensions: temporal (changing speed), postural transition, terrain (climbing stairs), and density (stepping over or around obstacles) (Shumway-Cook et al., 2013) . The evaluation of each item based on gait pattern, speed, and level of assistance. Total score range from 0 (poor) to 24 (best function) (Shumway-Cook et al., 2013). The scores of DGI obtained by any patient have a useful …show more content…
It represents the individual's ability to ambulate and transfer safely(Kegelmeyer et al., 2007). Patients with TMT scoring from 19 to 24 are considered to have moderate risk of falling, and those who have less than 19 are considered to have high risk of falling (Kegelmeyer et al., 2007). The step symmetry item of TMT evaluates the symmetrical of steps if they are the same, patient will get score 1. If the steps asymmetry, the patient will take score

You May Also Find These Documents Helpful

  • Good Essays

    Difficulty in rising from sitting or lying position, climbing stairs, maintaining balance, and raising arms.|·…

    • 563 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    In the hospitalized patient with a history of falls, what is the effect of using call bells on the reduction of recurrent falls compared with not using call bells?…

    • 1351 Words
    • 8 Pages
    Satisfactory Essays
  • Powerful Essays

    The balance assessment tools use currently do not assist therapist in identifying underlying postural control systems that are responsible for low functional balance. They do however help identify if there is a risk of falling or what and where the balance deficits are such as visual function, reaction time delays or impaired proprioception. Although the risk is identified, what is not identified is what is causing them. Another problem with current methods is that treatment seems to be standard balance training for a standard balance problem. By identifying the cause of the balance deficits of each individual patient the therapist will then be able to direct specific individualized types of intervention for different types of problems.…

    • 1512 Words
    • 7 Pages
    Powerful Essays
  • Better Essays

    Education provides the patient with the knowledge of the importance of safety and what part he or she contributes in their care as well as risk factor identified. Fall prevention programs are designed to determine fall risk and prevention strategies while collaborating with the patient’s health care. Informing both the patient and the family will bring an understanding and mindfulness to fall prevention. Falls are devastating to both the patient and the hospital considering a single fall may result in a downward spiral of reduced mobility with a loss of function and further risk of falls. Along with proper education, fall risk assessments are vital to the fall prevention process. These fall risk assessment are implemented hospital wide and are conducted every shift, change in status, during transfers to different units and at discharge (St. Peter’s Hospital, 2012). Compliance and consistency reduces falls and the overall cost of falls throughout the hospital improving the…

    • 1690 Words
    • 7 Pages
    Better Essays
  • Good Essays

    Vertigo Observation

    • 663 Words
    • 3 Pages

    Included in the “Vertigo Instruction Card” is the rating scale for the Vertigo. It is important to thoroughly go over this with the subject in detail, making sure they understand how to rate their Vertigo episodes.…

    • 663 Words
    • 3 Pages
    Good Essays
  • Good Essays

    There are two different outcomes to consider: primary outcomes and secondary outcomes. Primary outcomes considered are improvement in gait (e.g. velocity, cadence, stride length, stride symmetry, stride timing) and improvement in upper extremity function (e.g. hand grasp strength, frequency and duration of identified hand function, spatio temporal arm control). Secondary outcomes considered are communication, mood and emotions, social skills and interactions, pain, behavioral outcomes, activities of daily living, and adverse events. (Bradt, Magee, Dileo, Wheeler, McGilloway…

    • 983 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    Nurse Rounding

    • 3219 Words
    • 10 Pages

    Staggs, V. S., & Dunton, N. (2013). Associations between rates of unassisted inpatient falls and…

    • 3219 Words
    • 10 Pages
    Powerful Essays
  • Satisfactory Essays

    |Predicted Behavioral Outcome Objective: Patient will verbalize appropriate interventions to take minimize the risk for falls by discharge. |…

    • 319 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Treadmill Perturbation

    • 875 Words
    • 4 Pages

    Treadmill-perturbation training could effectively reduce falls upon an unannounced, novel slip resulting from the improvements in both proactive and reactive control of stability among community-dwelling older adults (lending support to Hypothesis One). Though merely walking on the treadmill could improve participants’ proactive control of stability, it could not improve their reactive control of stability nor effectively reduce their risk of falls (lending support to Hypothesis Two). Finally, pertaining to its ability to reduce rate of falls and to improve stability, treadmill-perturbation training was indeed significantly inferior to overground-perturbation training (lending support to Hypothesis Three).…

    • 875 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Dagada

    • 652 Words
    • 3 Pages

    Posture assessment software for postural analysis. Create reports to show pre and post care deviations, document postural adaptations, balance points, changes over time and posture improvement.…

    • 652 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Physical therapists have other ways they improve the patient’s physical ability during these sessions. One common exercise patients do during physical therapy is treadmill exercise. If this therapy is consistently done the patients speed, strength and other mobile activities are improved. Further studies done by Movement Disorder stated, “Rhythmicity and endurance training, such as treadmill exercise (with and without body weight support and cueing) and pedaling (Ellis et al. 2005; Cakit et al. 2007; Kurtais et al. 2008; Ridgel et al. 2009; White et al. 2009; Frazzitta et al. 2009; Yang et al. 2010; Mehrholz et al. 2010) has consistently (EBRO level A and B, meta-analyses and studies, respectively) been shown to improve gait speed, stride length,…

    • 377 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Geriatric Assessment

    • 590 Words
    • 2 Pages

    During the assessment the nurse will systematically review all of the body systems. Some highlights that should be mentioned are the skin, the musculoskeletal system, risk for falls, and ADLS. With the skin, the nurse should pay particular attention to the sacrum and heels as these are common places for skin tears that could develop into pressure ulcers if not caught and treated. When looking at the musculoskeletal system, ROM is particularly important because it could indicate how easy it is for the client to perform activities of daily living. Another tool a nurse could use is the Katz Index of Independence. It lists six areas such as bathing, toileting, and feeding and the client is scored “Yes” or “No” for independence for each item. A score of six indicates the client is fully functional and a score of two or less shows functional impairment (Wallace & Shelkey, 2008). The nurse can then use this score to make any necessary referrals and…

    • 590 Words
    • 2 Pages
    Good Essays
  • Powerful Essays

    Gait Recognition

    • 2981 Words
    • 12 Pages

    Human gait can be simply defined as the way one walks. It is the pattern of movement of the limbs constituting the locomotion of an individual. Identifying a person just by the way of walk is a natural methodology which we do everyday spontaneously. With the initial studies on biomechanics, physical medicine for therapy and the associated techniques using markers to joints (and other parts) in the body providing encouraging results, the recognition of human through gait has been…

    • 2981 Words
    • 12 Pages
    Powerful Essays
  • Better Essays

    Gait analysis is the systematic study of animal locomotion, more specifically the study of human motion, using the eye and the brain of observers, augmented by instrumentation for measuring body movements, body mechanics, and the activity of the muscles. Gait analysis is used to assess, plan, and treat individuals with conditions affecting their ability to walk. It is also commonly used in sports biomechanics to help athletes run more efficiently and to identify posture-related or movement-related problems in people with injuries.…

    • 1573 Words
    • 7 Pages
    Better Essays
  • Better Essays

    Vision Based Fall Detection

    • 9846 Words
    • 40 Pages

    References: [1] Abbate S., Avvenuti M., Corsini P., Vecchio A., & Light J., (14th December 2010), Monitoring of human movements for fall detection and activities recognition in elderly care using wireless sensor network: a survey, http://cdn.intechopen.com/pdfs/12472/InTechMonitoring_of_human_movements_for_fall_detectio n_and_activities_recognition_in_elderly_care_using_wireless_sensor_network_a_survey.pdf. [2] Yoshida, S., (2007), A global report on falls prevention epidemiology of falls, http://www.who.int/ageing/projects/1.Epidemiologyoffallsinolderage.pdf, by the World Health Organization (WHO). [3] Noury, N., Rumeau, P., Bourke, A., ÓLaighin, G., & Lundy, J., (2008), a proposal for the classification and evaluation of fall detectors. IRBM, 29(6), 340 – 349. [4] Charles Brown, Carol Lehtola, W. J. B., (2009), Preventing injuries from slips, trips and falls, http://edis.ifas.ufl.edu/as042, by the University of Florida. [5] Stalenhoef, P. A., and. J André Knottnerus and. Luc P de Witteb, J. P. D., & Crebolder, H. F., (2000), The construction of a patient record-based risk model for recurrent falls among elderly people living in the community, http://fampra.oxfordjournals.org/content/17/6/490.abstract, by Oxford University. [6] Dai, J., Bai, X., Yang, Z., Shen, Z., & Xuan, D. 29,(2010), Perfalld: A pervasive fall detection system using mobile phones, In Pervasive Computing and Communications Workshops(PERCOM Workshops), 2010 8th IEEE International Conference on. [7] Li, Q., Stankovic, J., Hanson, M., Barth, A., Lach, J., & Zhou, G.,(2009), Accurate, fast fall detection using gyroscopes and accelerometer-derived posture information, In Wearable and Implantable Body Sensor Networks, (2009). BSN 2009, Sixth International Workshop on,138 –143. [8] Bourke, A., van de Ven, P., Gamble, M., O’Connor, R., Murphy, K., Bogan, E., McQuade, E., Finucane, P., ÓLaighin, G., & Nelson, J.,(2010), Evaluation of waist mounted tri-axial accelerometer based fall-detection algorithms during scripted and continuous unscripted activities, Journal of Biomechanics, 43(15), 3051 – 3057. 38…

    • 9846 Words
    • 40 Pages
    Better Essays