presented by Andrea E. Ecsedy PT
This course series is a practical interpretation of balance research with real-world applications supporting current evidence. This lecture is Part 2 of a three part series describing and applying the Domains Approach to balance. The importance of thoroughly understanding sensory organization and the impact of this domain are presented. Specific breakdown of how results from a modified Clinical Test of Sensory Integration and Balance (mCTSIB) would drive treatment planning are covered. How to test for attention allocation deficits and dual task interference are presented. Suggestions for treatment strategies and documentation for deficits found in these areas will also be presented.
Andrea Ecsedy, PT, DPT, NCS currently works SavaSeniorCare Consulting, LLC as the National Director of Evidence-based Practice. Dr. Ecsedy has 33 years of clinical experience and has been a Board Certified Neurological Clinical Specialist for 25 years. Her clinical focus has been in the areas of balance and vestibular dysfunction, stroke and Parkinson’s disease and spinal cord injury. She has extensive teaching background to include guest lecturing at several University Physical Therapy curriculums as well as teaching a multitude of continuing education courses on topics of gait analysis, spasticity management and electrical stimulation.
This chapter will discuss mCTSIB and its clinical application in everyday practice. Different sensory weighting strategies reviewed in detail with specific patient examples. Also included is a discussion of how this will effect treatment planning based on findings.
This chapter will discuss the differences between preference versus processing deficits, and how to assess different sensory systems to ensure patient clinical picture is complete. Also include are which sensory systems are frequently ignored or overlooked in evaluations, plus a brief discussion of BPPV (prevalence) and vestibular dysfunction and how this is a major component of falls in elderly.
This chapter will discuss assessment of attention allocation deficits using standardized measures. Also discussed is treatment planning around evaluation findings with dual task paradigms and sensory re-weighting integrated into the complete patient picture. Examples of specific documentation will also be presented.