Modified Clinical Test for Sensory Interaction on Balance
Original Editor - Memoona Awan
Top Contributors: Kim Jackson
Purpose[edit | edit source]
Physical therapists ShumwayCook and Horak, invented this test in 1986 to devise fall risk assessments for older adults and 10 rehabilitation guidelines for balance deficits and lower extremity injuries. The test has changed over the years to include four conditions. It tests the static stability and dynamic stability utilizing foam pads[1].
It is used for balance analysis and to determine the dependence of the individual on all sensory systems ( vision, vestibular and somatosensory ) which maintain balance.[2] It can also be used as balance training/ rehabilitation as it provides multiple conditions which challenge the sensory feedback system needed to maintain balance[3]. Studies suggest that a decrease in sway can be achieved with a 1-week training program[3]. geriatric patient, vestibular disorders, stroke.
Technique[edit | edit source]
On Floor | Complain surface ( Foam ) | ||
---|---|---|---|
Condition 1 | Condition 2 | Condition 4 | Condition 5 |
Feet together on the floor, Arms across the chest. | Feet together on the floor, Arms across the chest. | Feet together on the foam, Arms across the chest. | Feet together on the foam, Arms across the chest. |
30-second hold | 30-second hold | 30-second hold | 30-second hold |
Open eyes | Closed eyes | Open eyes | Closed eyes |
Each condition is tested 3 times and a value of 1 to 4 to characterize the sway. 1= minimal, 2-sway, 4 = a fall[1].
- Composite sway is the mean sway speed averaged over the 4 conditions[4].
- The Sway Index recorded over the 4 conditions. The higher the sway index, the more unsteady balance a person has during the test. [4]
- Instrumenting m-CTSIB using body-worn inertial sensors improves the scale of measure from ordinal to ratio, thus test precision, which allows clinicians to quantify sway with accuracy in patients with mild impairments[5].
Evidence[edit | edit source]
reliability
validity
Resources[edit | edit source]
- https://www.sralab.org/sites/default/files/2017-06/204Lmctsib.pdf
- https://www.mdapp.co/mctsib-modified-clinical-test-of-sensory-interaction-in-balance-calculator-404/
- https://digitalcommons.wku.edu/cgi/viewcontent.cgi?article=3512&context=ijesab
References[edit | edit source]
- ↑ 1.0 1.1 Duecker, J. R. . Measurement of Validity for Balance Assessments using a Modified CTSIB Sway Index Versus a Biodex Sway Index. University of Akron, Master’s thesis. 2013 Mar;51.
- ↑ The e®ect of the type of foam pad used in the modi ̄edClinical Test of Sensory Interaction and Balance (mCTSIB)on the accuracy in identifying older adults with fall history. Hong Kong Physiotherapy Journal. 2020;40(2):133–143.
- ↑ 3.0 3.1 Ashley Carroll , Emily Brocht , Emily Walter , H. Scott Kieffer , Paula Johnson. Test-Retest Reliability and Learning Effect of the Modified CTSIB Balance Protocol in a Geriatric Population. International Journal of Exercise Science. 2017 Nov;6(9).
- ↑ 4.0 4.1 Dawson, N, Dzurino, D, Karleskint, M, Tucker, J. Examining the reliability, correlation, and validity of commonly used assessment tools to measure balance. Health Sci Reports. 2018;1(12):e98.
- ↑ Freeman, L., Gera, G., Horak, F. B., Blackinton, M. T., Besch, M., & King, L. Instrumented Test of Sensory Integration for Balance: A Validation Study. Journal of geriatric physical therapy. 2019;41(2):77–84.
- ↑ Sensing Future Technologies. Modified Clinical Test of Sensory Interaction on Balance - mCTSIB protocol | PhysioSensing. Available from: https://www.youtube.com/watch?v=7eeCMfxcwlI [Premiered Nov 26, 2018]
- ↑ Natus Newborn Care. Modified Clinical Test of Sensory Interaction on Balance mCTSIB. Available from:https://www.youtube.com/watch?v=810dWc8rV4E [last accessed Apr 23, 2018 ]