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Assessment of Reactive Balance Respo...

Levin, Ilana .

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Assessment of Reactive Balance Responses During Walking in Adults with Cerebral Palsy.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Assessment of Reactive Balance Responses During Walking in Adults with Cerebral Palsy./
Author:	Levin, Ilana .
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2019,
Description:	162 p.
Notes:	Source: Dissertations Abstracts International, Volume: 81-08, Section: B.
Contained By:	Dissertations Abstracts International81-08B.
Subject:	Physical therapy. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=27662918
ISBN:	9781392538043

Assessment of Reactive Balance Responses During Walking in Adults with Cerebral Palsy.
Levin, Ilana .

Assessment of Reactive Balance Responses During Walking in Adults with Cerebral Palsy. - Ann Arbor : ProQuest Dissertations & Theses, 2019 - 162 p.

Source: Dissertations Abstracts International, Volume: 81-08, Section: B.

Thesis (Ph.D.)--The University of North Carolina at Chapel Hill, 2019.

This item must not be sold to any third party vendors.

People with cerebral palsy commonly experience balance deficits in walking. In adulthood, many experience a decline in walking and balance, which increases their falls risk and disability. When loss of balance occurs, effective reactive balance responses ¬ - quick body realignment and change in base of support - are essential to balance recovery. Reactive balance responses to unpredicted balance perturbations have been studied in different populations with balance deficits. Evidence suggests that reactive balance training improves the ability to recover balance and walking related outcomes and can lead to a reduction in falls risk. Reactive balance responses to balance perturbation during walking have not been previously assessed in adults with CP (ACP) and the relationships of these responses to known deficits of balance and walking have not been established. Identifying such relationships could facilitate assessment of falls risk and guide intervention research. The goals of this project were to (1) assess the test-retest reliability of clinical measures of balance and walking in ACP, (2) describe the differences between reactive balance responses to perturbations during treadmill walking of ACP and adults without disabilities (AWD), and compare the changes in responses following repeated exposure to balance perturbation between the two groups, and (3) assess the relationships between measures of reactive balance responses and clinical measures of balance and walking in ACP. Results: Most clinical measures demonstrated good to excellent test-retest reliability and were sufficiently sensitive in capturing the broad range of balance deficits of ACP. Compared with AWD, the walking of ACP was more disturbed by balance perturbations, and they required more steps to return to regular walking. Both AWD and ACP improved reactive balance responses following repeated exposure. The measured responses had moderate correlations with several clinical measures of balance, walking and falls count which suggested that adding measures of reactive balance responses during walking would provide a more comprehensive evaluation of mobility-related balance. Further research is needed to develop clinical assessment of reactive balance responses during walking and evaluate the ability of reactive balance training to improve balance and walking and reduce falls risk in ACP.

ISBN: 9781392538043Subjects--Topical Terms:

588713
Physical therapy.
Subjects--Index Terms:

Adult cerebral palsy

Assessment of Reactive Balance Responses During Walking in Adults with Cerebral Palsy.
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520 $a People with cerebral palsy commonly experience balance deficits in walking. In adulthood, many experience a decline in walking and balance, which increases their falls risk and disability. When loss of balance occurs, effective reactive balance responses ¬ - quick body realignment and change in base of support - are essential to balance recovery. Reactive balance responses to unpredicted balance perturbations have been studied in different populations with balance deficits. Evidence suggests that reactive balance training improves the ability to recover balance and walking related outcomes and can lead to a reduction in falls risk. Reactive balance responses to balance perturbation during walking have not been previously assessed in adults with CP (ACP) and the relationships of these responses to known deficits of balance and walking have not been established. Identifying such relationships could facilitate assessment of falls risk and guide intervention research. The goals of this project were to (1) assess the test-retest reliability of clinical measures of balance and walking in ACP, (2) describe the differences between reactive balance responses to perturbations during treadmill walking of ACP and adults without disabilities (AWD), and compare the changes in responses following repeated exposure to balance perturbation between the two groups, and (3) assess the relationships between measures of reactive balance responses and clinical measures of balance and walking in ACP. Results: Most clinical measures demonstrated good to excellent test-retest reliability and were sufficiently sensitive in capturing the broad range of balance deficits of ACP. Compared with AWD, the walking of ACP was more disturbed by balance perturbations, and they required more steps to return to regular walking. Both AWD and ACP improved reactive balance responses following repeated exposure. The measured responses had moderate correlations with several clinical measures of balance, walking and falls count which suggested that adding measures of reactive balance responses during walking would provide a more comprehensive evaluation of mobility-related balance. Further research is needed to develop clinical assessment of reactive balance responses during walking and evaluate the ability of reactive balance training to improve balance and walking and reduce falls risk in ACP.
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