The STAB:LE Program @stable_program
Systematically developing the essential movement skills that older adults need at home, outside, and in the community bit.ly/floor-transfer… Joined February 2022-
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THIS! Loss of muscle mass, power, balance isn’t often just due to aging… it’s usually due to a series of successive periods of less activity due to illness, falls, etc. Many never get back to baseline after recovery. So the next injury or illness resets the baseline even…
THIS! Loss of muscle mass, power, balance isn’t often just due to aging… it’s usually due to a series of successive periods of less activity due to illness, falls, etc. Many never get back to baseline after recovery. So the next injury or illness resets the baseline even…
A gentle reminder: Seated leg extensions, standing hip abduction, and partial squats WILL NOT help an older adult regain the ability to get up off the floor after a fall Specificity.
A quick question about how you prescribe balance rehab exercises... Is the difficulty for clients:
👉 Balance is task specific... ... this means rehab should be specific to these deficits, and client education should also be individualised (a handout featuring generic "balance exercises" is not evidence based practice)
👉 Balance is task specific... ... this means rehab should be specific to these deficits, and client education should also be individualised (a handout featuring generic "balance exercises" is not evidence based practice)
It's essential to be able to recover from a loss of balance in any direction 👉 Each direction is a discrete skill with different movement patterns, muscles involved, etc 👉 Balance rehab programs that don't assess/progress cross-&-step are incomplete
It's essential to be able to recover from a loss of balance in any direction 👉 Each direction is a discrete skill with different movement patterns, muscles involved, etc 👉 Balance rehab programs that don't assess/progress cross-&-step are incomplete
As a physio, you need to assess a client's ability to recover from a loss of balance in all 3 directions (if you want to be effective) ⚠️ ankle-hip-step strategies are distinctly different skills forwards vs. backwards vs. lateral cross-and-step
As a physio, you need to assess a client's ability to recover from a loss of balance in all 3 directions (if you want to be effective) ⚠️ ankle-hip-step strategies are distinctly different skills forwards vs. backwards vs. lateral cross-and-step
⚠️ Berg Balance Scale ⚠️ If you work in one of those settings that still that uses BBS to assess balance, its important to remember... it DOES NOT test: ✅ From 56, it's 14 tests from 4 ✅ Balance recovery backwards ✅ Cross-&-step It omits the 2 directions with most #'s!
⚠️ Berg Balance Scale ⚠️ If you work in one of those settings that still that uses BBS to assess balance, its important to remember... it DOES NOT test: ✅ From 56, it's 14 tests from 4 ✅ Balance recovery backwards ✅ Cross-&-step It omits the 2 directions with most #'s!
Someone is unable to cross-&-step to recover from a sideways loss of balance? 👉 It's important to first isolate the ability to cross feet without them touching WITH both hands supported (then you'll know if it's a leg dexterity OR balance issue OR both)
Someone is unable to cross-&-step to recover from a sideways loss of balance? 👉 It's important to first isolate the ability to cross feet without them touching WITH both hands supported (then you'll know if it's a leg dexterity OR balance issue OR both)
The ability to cross-and-step is an ESSENTIAL skill for: ✅ Falls prevention ✅ Changing direction So why is it absent from so many balance rehab programs? 🤔
The ability to cross-and-step is an ESSENTIAL skill for: ✅ Falls prevention ✅ Changing direction So why is it absent from so many balance rehab programs? 🤔
Imagine being stuck on the pavement on a day like today... for even just 20 minutes? (it's 34°C or 94°F ) Helping older adults regain the ability to get on and off the floor is such an important skill
The ability to cross-&-step to recover from a sideways loss of balance is one of the most important mobility skills an older adult needs, yet: ⚠️ Its absent from some popular programs 🚩Some programs include practicing it without even confirming pre-requisites Which is worse?
An EFFECTIVE balance rehab program assesses & develops the DIFFERENT skills required to recover from a loss of balance: ✅ Forwards ✅ Backwards, and ✅ Sideways 👉 If your rehab program doesn't assess & address cross-and-step, it's INEFFECTIVE
An EFFECTIVE balance rehab program assesses & develops the DIFFERENT skills required to recover from a loss of balance: ✅ Forwards ✅ Backwards, and ✅ Sideways 👉 If your rehab program doesn't assess & address cross-and-step, it's INEFFECTIVE
Unless there's a specific deficit in ankle strategy (eg post-injury), static balance exercises on a Bosu ball or foam mat can: ❌ Inhibit normal ankle-hip-step strategy ❌ Reinforce overreliance on ankle strategy ❌ Encourage development of pathological grasp response
Unless there's a specific deficit in ankle strategy (eg post-injury), static balance exercises on a Bosu ball or foam mat can: ❌ Inhibit normal ankle-hip-step strategy ❌ Reinforce overreliance on ankle strategy ❌ Encourage development of pathological grasp response
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@hubermanlab 1990's called, they want their 'quick fixes' back.
@stable_program True. Realistically only a Turkish get up gets close to the mechanics of getting off the floor after a fall.
@yegphysio @HeaveyAisling @Claire_Minshull @clairepatella Do we really have to go to failure? It’s not a problem to do so but it doesn’t seem consistent with the literature pubmed.ncbi.nlm.nih.gov/33497853/
@SuckItVileLibs @stillgray It’s a half step away from saying a pet tiger who attacks is the “fault of the owner”. I think we are past these statements now. A pitbull is statistically different from other breeds. All studies agree. We should consider making breeding pitbulls illegal like breeding tigers.
No son los folletos, no dar fotocopias sin más. Trabajar con las personas. Para mis #EEA enfermeras entrenadoras en autocuidados.
👉 Balance is task specific... ... this means rehab should be specific to these deficits, and client education should also be individualised (a handout featuring generic "balance exercises" is not evidence based practice)
@rao_zameer @InternetH0F My thoughts exactly. The pedestrian shouldn’t have to zigzag on her walk because someone thought it wise to bring 2 animals on a bike ride and use the wrong side of the trail/road.
@crazyclipsonly This isn't a confidence drill, this is a stupidity drill
@GarbageHuman23 Reminds me of this episode
@cosmicflora85 @Prepare_Connect @MarioNawfal Mushroom clouds are not nukes exclusives. Pretty much any release of heat like that is gonna cause it as it rises and cools. Easy test for you. Are you dead? If not it was probably not a nuke.
@DrJN_SportsMed Something on the medial most part of the medial joint line? When I zoom in. Clinically relevant?? NO IDEA.
@YumiHikarino @Locke_n_Paine @stillgray If you think the above post is me saying what actually happened instead of providing a humorous subtext to a ridiculous encounter then I am concerned for your mastery of the English language.
If only 1% of us are breathing correctly then there should be a hell of a lot less of us! This is just made up nonsensical pseudo scientific BS! Ignore!
You breathe without thinking. But 99% of people breathe incorrectly. Here’s how to fix your breath for better physical performance, mental performance, and facial structure:
@Blonco75 @WeebExtremist @creepydotorg Nope, my cousin had a pitbull that was raised with so much love but it still ended up ripping apart his son's ear out of nowhere 🤷🏻♂️ And from my experience of having multiple dog breeds in my life, not all are the same.
@Blonco75 @goforth_preston @creepydotorg I have to ask. Please be honest: Are you a troll? Because this obsession with defending a dumb, violent animal like Pitbulls as being "great dogs" is bordering on comical.
@Blonco75 @WeebExtremist @creepydotorg Breed absolutely matters lol. Pitts do more damage by far. It’s not even close.
@Parkenev @PicturesFoIder Your comment is embarrassing 😂
What many people fail to understand is that to be a critical thinker… you need to be CRITICAL! Criticising and challenging ideas and interventions is how misinformation is reduced and progress made!
@AdamMeakins @drRobSports The mental gymnastics required to connect the claims Stu is making in this clip are well above Olympic-level gymnastics ...
@burrosavic @JetstarAirways OK, never fly Jetstar again. In fact, never fly again. Because Qantas and Virgin do the same thing. Enjoy your road and train trips.
@burrosavic @JetstarAirways Why won’t you fly Jetstar? I have to listen to ads about incontinence products, which I don’t much appreciate. It doesn’t stop me from watching commercial tv. You voted ‘no’ to a voice to parliament. It wasn’t a ‘yes’ to being disrespectful. Grow up.
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