Reactive Balance Training: Difference between revisions
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Reactive balance training(RBT) is a type of exercise. RBT improves the control of certain reactions that are involved when someone loses their balance, and they want to prevent themselves from falling. RBT involves whole body movements, and these movements have similar benefits to other exercises such as walking, and may over time also improve strength and conditioning of a person<ref>Mansfield A, Aqui A, Danells CJ, Knorr S, Centen A, DePaul VG, Schinkel-Ivy A, Brooks D, Inness EL, Mochizuki G. Does perturbation-based balance training prevent falls among individuals with chronic stroke? A randomised controlled trial. BMJ open. 2018 Aug 1;8(8):e021510.</ref>. | Reactive balance training(RBT) is a type of exercise. RBT improves the control of certain reactions that are involved when someone loses their balance, and they want to prevent themselves from falling. RBT involves whole body movements, and these movements have similar benefits to other exercises such as walking, and may over time also improve strength and conditioning of a person<ref>Mansfield A, Aqui A, Danells CJ, Knorr S, Centen A, DePaul VG, Schinkel-Ivy A, Brooks D, Inness EL, Mochizuki G. Does perturbation-based balance training prevent falls among individuals with chronic stroke? A randomised controlled trial. BMJ open. 2018 Aug 1;8(8):e021510.</ref>. | ||
< | == Indication == | ||
The indication for using RBT as a treatment technique is largely (but not exclusively) based on an indication that a patient has an issue with their [[balance]]. As a physiotherapist, there are many ways to assess balance, but the [[Berg Balance Scale]] is a useful outcome maesure to use. Many patients may benefit from RBT, such as stroke patients <ref>Barzideh A, Marzolini S, Danells C, Jagroop D, Huntley AH, Inness EL, Mathur S, Mochizuki G, Oh P, Mansfield A. Effect of reactive balance training on physical fitness poststroke: study protocol for a randomised non-inferiority trial. BMJ Open. 2020 Jun 30;10(6):e035740. doi: 10.1136/bmjopen-2019-035740. PMID: 32606059; PMCID: PMC7328813.</ref>, parkinsons patients<ref>Mansfield A, Wong JS, Bryce J, Knorr S, Patterson KK. [https://www.ncbi.nlm.nih.gov/pubmed/25524873 Does perturbation-based balance training prevent falls? Systematic review and meta-analysis of preliminary randomized controlled trials.] Physical therapy. 2015 May 1;95(5):700-9</ref> and anyone who is at [[Falls|risk of falling]]. | |||
== | == How does RBT work? == | ||
A therapists will intentionally expose a patients to a challenging experience, progressively increasing the challenge over time. A force is applied to the patient. Forces may be internal or external force, and these affects the patient’s centre of mass. | |||
The goal of the exercise is to create instability at a level of intensity that requires the patient to execute a strategy to maintain the centre of mass within the base of support to prevent a fall. | |||
The exercises may often involves repeatedly introducing the same unexpected dynamic activity that requires a physical response to prevent a fall, until the patient is able to consistently respond in a way that ensures adequate control of their centre of mass. | |||
add text here relating to the clinical presentation of the condition, including pre- and post- intervention assessment measures. | == Approaches that are considered RBT == | ||
== Similar Approaches that are NOT considered RBT == | |||
add text here relating to the clinical presentation of the condition, including pre- and post- intervention assessment measures. | |||
== Resources == | == Resources == | ||
Revision as of 01:42, 31 March 2021
Original Editor -
Top Contributors - Pierre Roscher, Jonathan Wong, Tarina van der Stockt, Kim Jackson, Lucinda hampton, Jorge Rodríguez Palomino, Ewa Jaraczewska and Stacy Schiurring
Description[edit | edit source]
Reactive balance training(RBT) is a type of exercise. RBT improves the control of certain reactions that are involved when someone loses their balance, and they want to prevent themselves from falling. RBT involves whole body movements, and these movements have similar benefits to other exercises such as walking, and may over time also improve strength and conditioning of a person[1].
Indication[edit | edit source]
The indication for using RBT as a treatment technique is largely (but not exclusively) based on an indication that a patient has an issue with their balance. As a physiotherapist, there are many ways to assess balance, but the Berg Balance Scale is a useful outcome maesure to use. Many patients may benefit from RBT, such as stroke patients [2], parkinsons patients[3] and anyone who is at risk of falling.
How does RBT work?[edit | edit source]
A therapists will intentionally expose a patients to a challenging experience, progressively increasing the challenge over time. A force is applied to the patient. Forces may be internal or external force, and these affects the patient’s centre of mass.
The goal of the exercise is to create instability at a level of intensity that requires the patient to execute a strategy to maintain the centre of mass within the base of support to prevent a fall.
The exercises may often involves repeatedly introducing the same unexpected dynamic activity that requires a physical response to prevent a fall, until the patient is able to consistently respond in a way that ensures adequate control of their centre of mass.
Approaches that are considered RBT[edit | edit source]
Similar Approaches that are NOT considered RBT[edit | edit source]
add text here relating to the clinical presentation of the condition, including pre- and post- intervention assessment measures.
Resources[edit | edit source]
add appropriate resources here, including text links or content demonstrating the intervention or technique
References[edit | edit source]
- ↑ Mansfield A, Aqui A, Danells CJ, Knorr S, Centen A, DePaul VG, Schinkel-Ivy A, Brooks D, Inness EL, Mochizuki G. Does perturbation-based balance training prevent falls among individuals with chronic stroke? A randomised controlled trial. BMJ open. 2018 Aug 1;8(8):e021510.
- ↑ Barzideh A, Marzolini S, Danells C, Jagroop D, Huntley AH, Inness EL, Mathur S, Mochizuki G, Oh P, Mansfield A. Effect of reactive balance training on physical fitness poststroke: study protocol for a randomised non-inferiority trial. BMJ Open. 2020 Jun 30;10(6):e035740. doi: 10.1136/bmjopen-2019-035740. PMID: 32606059; PMCID: PMC7328813.
- ↑ Mansfield A, Wong JS, Bryce J, Knorr S, Patterson KK. Does perturbation-based balance training prevent falls? Systematic review and meta-analysis of preliminary randomized controlled trials. Physical therapy. 2015 May 1;95(5):700-9
