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Computerized Dynamic Posturography
Balance Assessment
17
Audiology
Graduate
03/07/2018

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Cards

Term
3 main reasons CDP was developed:
1. Quantitative method for assessing ___ and ___ balance function under a variety of conditions
2. Designed to ___ principle sensory, motor, and biomechanical components contributing to balance
3. Analyzes the patient’s ability to effectively use the ___ of balance to maintain balance (___, ___, and ___)
Definition
upright and in-place; isolate; components; visual, vestibular, somatosensory
Term
three pieces of information forceplate technology provides:
-With weight and height known, _________ can be estimated
-Also used to measure ___ ___ forces exerted by feet against support
-Provides information about ___ versus ___ strategy
Definition
center of gravity; horizontal shear; ankle; hip
Term
Measures:
-Can assist in determination of the extent of ___ ___ of bilateral hypofunction
-Visual and foot support surface cues are disrupted, the patient’s ability to perform when peripheral ___ ___ cues are only major sensory input
-Patients with reduced or absent caloric responses may still be able to maintain functional performance that is near normal
suggesting extent of ___ ___ is not complete
Definition
functional impact; vestibular system; labyrinthine lesion
Term
Indicate what the pyramidal system plays a major role in
Definition
Pyramidal system plays a major role in control of fine, isolated, versatile movements
Term
The pyramidal tract initiates ___ movements
Definition
voluntary
Term
Indicate what mechanisms the extrapyramidal system provides input for
Definition
Subthalamic nucleus, substantia nigra, red nucleus, brainstem reticular formation, and the basal ganglia
Term
The extrapyramidal system is responsible for ___ movement and ___ postural adjustments
Definition
reflexive; large
Term
Principle influence of vestibular system on specific areas of the cerebellum on the spinal motor activity
Definition
Lateral Vestibulospinal Tract
Term
-The lateral vestibuolospinal tract receives inputs from primary vestibular afferents of the ___ nerve, cerebellar efferent fibers from the ___ and ___ nuclei
-Distributes inputs throughout entire length of ___ ___ with the cervical and lumbar segments receiving largest number of fibers
Definition
VIIIth; vermis; fastigial; spinal cord
Term
The Medial Vestibulospinal Tract may play major role in the ____________ reflexes coordinating eye-head movement
Definition
cervical-vestibulo- ocular
Term
Reticulospinal Tract:
Stimulation of reticular formation influences ___ ___ and cause facilitation or inhibition of cortically generated ___ movements and ___ activities
Definition
muscle tone; volitional; reflex
Term
The significant network of input and output pathways that interconnect the cerebellum, reticular formation, and vestibular system is hypothesized to play a major role in the maintenance of ___ and ___ of locomotor activities
Definition
equilibrium; coordination
Term
List the two primary strategies for maintaining balance without stepping
Definition
Ankle and hip strategy
Term
For the ankle and hip strategies, indicate the primary muscles responsible
Definition
-Ankle=gastrocnemius contraction
-Hip strategy – hamstring and paraspinal muscle
contractions
Term
Posture Evoked Response (PER):
-Elicited by a series of 10 to 20 _____ or ______ surface rotations
-High velocity ___ ___ rotations (50 degrees per second for 80 ms)
-Randomized ___ ___ between rotations
Definition
toes-up; toes-down; support surface; time interval
Term
Motor Control Test (MCT):
Horizontal ___ ___ displacement and ___ force response
[image]
Definition
support surface; Active
Term
Sensory Organization Test (SOT):
-Has __ conditions
-Evaluated by selectively disrupting ___ and/or ___ input regarding body COG orientation, and measuring patient ability to maintain balance
Definition
6; somatosensory; visual
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