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BalanceTutor user manual 200824.doc
6 Clinical Guidelines
Sufficient postural control ability is essential element for active daily living activities and falls
prevention. Balance will be lost because of an insufficient proactive response or following an
unexpected perturbation like a slip or a trip.
Postural control and Balance is obtained by Proper function of several body systems such as
Vestibular, Visual, Somatosensory system in addition to proper physical and cognitive abilities.
These important systems and abilities can be impaired following various Neuromuscular and/or
Musculoskeletal injuries or disease leading to imbalance because of impaired proactive and Reactive
response ability.
Specific proactive and Reactive training is needed to improve and retain postural control and
Balance ability in Standing and walking situation.
6.1 Clinical Applications
BalanceTutor enables Perturbation based-Balance Training and Center of Pressure (COP) practicing
to improve and retain postural control and balance ability by following methods.
6.1.1 Weight-Bearing Encouragement
Weight-bearing encouragement practice can be achieved by BalanceTutor in different positions and
difficulty levels.
A Perturbation based Balance training and/or Center of Pressure (COP) feedback practicing can be
used for Weight-bearing practicing according to patient abilities and rehabilitation needs.
6.1.2 Compensatory Step Respond
BalanceTutor enables to generate several kinds of compensatory step response during the gait. There
are two main compensatory responses namely crossing or side stepping which can be achieved by
providing specific perturbation during swing phase of right or left leg.
6.1.3 Vestibular Rehabilitation
BalanceTutor enables unique vestibular rehabilitation to improve vestibular function. Vestibular
function practices such as gaze stabilization or head moving in standing or walking while the surface
of support can be moved to different directions like medial/ lateral side enables special practice to
vestibular system.
