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3. ARR 5
4. 3 5 1 2 3 6 7 8 9 6 Vw 11 11 1 1 11 DYNAMIC STABILITY Bullock saxton Joanne E Local Sensation Changes and Altered Hip Muscle Function Following Severe Ankle Sprain PT 74 1 23 31 January 1994 France Paul E et al Preliminary Clinical Evaluation of th
5. 1 I V 4 A B C D 4 X Y 20 5 D 20 A 5 3 2 3 2 1 LOS TRAINING my el ama STARTEISSA Nie E NEXT SCREEN SKS SiT RNN n Gl
6. lt Stop gt STABILITY TEST TEST PROTOCOL TEST DURATION 0 20 OPEN I IV TIME LEFT 0 00 STRAT eR SRS NS Sie Nate TRACING gt TEST TRIAL 1 OF 3 STABILITY PLATFORM LEVEL LOCKED DYNAMIC BALANCE TEST Test on at 1 of 3 TIME LIFT 0 06 STABILITY LEVEL 8 4 EE Dh 6 Time Left DYNAMIC BALANCE TEST lt S3 gt a A 1 lt Next Screen gt STABILITY INDEX 77 TEST COMPLETE OPTIONS w m A 50B B8 cla DLS lt S1 gt lt S2 gt STABILITY PLATFORM FOR OPTIONS Predictive Values Repor
7. 8 15 4 4 NEXT SCREEN NEXT SCREEN 4 1 1 lt S1 gt lt S2 gt SELECT a gt lt S4 gt SELECT w gt DYNAMIC LIMIT OF STABILITY Yes No TWO LEG STANCE YES CHANGE gt Use select button to changes NEXT SCREEN gemere Nu NI lt S3 gt 0 3B lt Next Screen gt OPERATION SELECT a gt SELECT W gt DYNAMIC LIMIT OF STABILITY BILATERAL COMPARISON JJ CHANGE gt TWO LEG STANCE el CHANGE gt U
8. AC100V 50 60HZ
9. 3 lt Start gt lt Next Screen gt STANCE TYPE START SRO an TN 5 6 7 616 4 AND BEGIN CENTERING PATIENT NEXT SCREEN EOE POSITION NOW 17 4 18 ER lt S1 gt lt S2 gt lt S3 gt lt S4 gt lt Next Screen gt STANCE TYPE LEFT HEEL Al COORDINATES E LEFT FOOT ANGLE 0 RIGHT HEEL COORDINATES i R
10. Stability System BDX ST 13B2X00081000041 TTT SAKAIMEO 03 119 J1 Stability System BDX ST 13B2X00081000041 i ECE SAKAITeO 03 119 J1 4
11. 8 ON ON 28 9
12. 1 11 2 2 4 ON STANDBY The BIODEX MAIN MENU SELECT amp TRAINING SELECT Vv TES SYSTEM UTILITIES Use Select buttons to choose NEXT SCREEN UREOONIINIS ON Standby ON STANDBY ON The Biodex STANDBY gt Diet STANDBY STANDBY 12 2 5
13. 3 1 2 3 4 5 7 4 1 2
14. SE 15 3 2 1 kk 15 4 16 FT TR ibs iy NY E 0 16 4 2 o ESR DE a a 20 5 23 5 1 Z o SA SAV i l 23 24 5 3 Uy RAT ra a bts et ee 25 6 26 oT EGGINEIGURIO EE 26 6 2 Default Setting i vcd cece casa wasa vasa cose sasastisancc ects ccc scaiucuusdaen causa cudaseddeada dada son alsaadseacceadecades 27 LS ae a ED DE ce rrr eae ee 27 7 28 7 MMR 002 e a D ie nn mr ee ee 28 8 28 9 29 10 30 11 31 1 4 DYNAMICG STABIEITY KK 31 112 ARTICULAR NEUROLOGY a ee ee es 31 11 3 KNEE PROPRIOCEP TION LO 32 11 4 STABIOME TRY reaa aea a eea e a e a aa ae aa r a er aeaa aaa a ere aee aara er Ear E Ean aae AEE Ea 33 11 5 POSTURAL STABILITY ANKLE INJURY nenn nnnnnn ne 33 11 6 BALANCE STABILITYGENERAL POP GERIATRICS c cccccccsssssseeceeeeeeeeeessseeeeeeeeeennessseees 34 1 1 1 1
15. re 2 3 PARERS Hada ree 4 5 wee T MERA 6 pi te a pace Or DL tates Caen ey 7 rere 8 ROA LUISA 9 T 100V STOCERY SRBMEOE 10 naa
16. 1 4 1 1 4 2 1 1 USB USB ON 2 2 2 1 a bY FIL A
17. YES NO NO SELECT A SELECT V DECRESE RESTORE FACTORY DEFAULTS NEXT SCREEN KKKA oNN 27 TOUTTA 7 7 1 4 4 A BD
18. BDX ST 770 W x 1220 D x 1930 H mm 8 135kg 75kg 10 600W AC100V 15A 300VA HP USB 45 5 200 mm 545 mm 20 1295 1725 mm 45 122 x 92 mm 320 x 240 29 10 10 i alc 30 1 2 1
19. 2 3 4 5 5 2 1 2 AC100V 50 60Hz 3 1 3 1 3 1 A FPP PTE 1
20. NEXT SCREEN 6 1 Configuration CONFIGURE SELECT A gt JOYSTICK YES UNITS ENGLISH SELECT V gt y CONTRAST LANGUAGE ENGLISH USE SELECT BUTTON TO CHOOSE AN ITEM USE YES AND NO BUTTONS FOR JOYSTICK SELECTION NEXT SCREEN iemere Nines JOYSTICK NO UNITS ENGLISH METRIC CONTRAST LANGUAGE OW ENGLISH SI Dill ou 26 6 6 2 Default Setting DEFAULT SETTINGS NO OF TEST TRIALS 3 SELECT V LOS TARGET HOLD CHANGE PREDICTIVE VALUES INCRESE INCLUDE COMP DYNAMIC BALANCE REPORT DECRESE NEXT SCREEN KKKA NO OF TEST TRAIALS LOS TARGET HOLD CHANGE PREDICTIVE VALUES INCLUDE COMP DYNAMIC BALANCE REPORT 6 3 PREDICTIVE VALUES AGE RANGE 17 TO 35 YRS OLD 36 TO 53 YRS OLD 54 TO 71 YRS OLD 72 TO 89 YRS OLD 1 5 LOS 25 5 00
21. 2 3 4 5 6 7 8 ES
22. i BALE 7 lt vt CHE 13 RHORR OBE EORI opie rey rents CE 1 1 3 2 Bi i 1 4 1 4 1 14 H T HP
23. A j 2 2 2 ASPA 20 8 10 2 2 3 1 2 3 1 2 3
24. STANCE TYPE START MET Wt 0 51 Ole 4 AND BEGIN CENTERING PATIENT TO RECORD PATIENT POSITION NOW 4 4 lt S1 gt lt S2 gt STANCE TYPE lt S3 gt lt S4 gt ET HEEL s RIGHT FOOT ANGLE 0 RIGHT HEEL A lt Next Screen gt aes RIGHT FOOT ANGLE __ 0 Press Enter to record each value NEXT SCREEN MONA 5 LOS TEST PAGE TEST PROTOCOL lt Previous Screen gt lt S3 gt ON OFF lt Start gt
25. BIODEX BALANCE ASSESSMENT PREDICTIVE VALUES Tast Tye ROTH FFFT a Protocol Tima Q min 20 seo Level Start 8 End Weight 70 Kgms Foot Positiors Right AlL Left AlL Height LQ cm Eyes GLOSEU Leg lnvolyediHUIH Age 25 ANTERIOR POSTERIOR ANT POS DEFLECTON DEGREES LAT MED HEFLECTON DEGREES 2 ANTCRIOR 1048 gr 0 POSTERIOR 20 PREDICTIVE VALUES OVERALL BALANCE INDEX 1 64 ANTFRINR POSTFRIOR INDFX MEDIAL LATERAL INDEX ZY Yn Y Re pE n gt yOn Y 56 n BIODEX 8 20 n 2 y xn xy n Xn Xx yn Y X Y 5 5 2 24 COMPREIIENSIVE REPORT BOTH FEET PATIENT NAME DATE p INITIAL STABILITY LEVEL B TEST DURATION 0 MINUTES 20 SECONDS ENU SIABILIIY LEVEL 8 TARGET TRACE ON PATIENT STATISTICS WEIGHT 70 KILOGRAMS HEIGHT CENTIMETERS LEFT HELL ANGLE 0 DEGREES LEFT HELL POSITION AT EES LEFI HELL POSITION AT RIGHT HEEL ANGLE 0 DEGREES
26. 2 S1 lt S4 BODEXL Previous Screen Next Screen Start Stop Stop Enter 13 3 3 NEXT SCREEN NEXT SCREEN 3 1 aS NZ smaum V gt TIME ELAPSED PRESS S ART MOM BEGIN TRAINING
27. TEST COMPLETE OPTIONS lt S1 gt lt S2 gt COMPREHENSIVE Report RE DO TEST RETURN TO SET UP GE LIMIT OF STABILITY TEST a TOTAL TIME 0 50 NN 4 NFOR OPTIONS TEST COMPLETE OPTIONS SELECT A PREDICTIVE VALUES REPORT SELECT W RE DO TEST RETURN TO SETUP RETURN TO MAIN MENU Use Select Buttons to choose options NEXT SCREEN Re SNDNIS 5 5 5 1 po L O yy sexe AO HEM A aS
28. at Pil OVERALL STABILITY INDEX 7 1 A P STABILITY INDEX 6 3 M L STABILITY INDEX 3 1 A P MFAN DFF FCTION 14A M L a 21 3RT Ti N FE PERCENT TIME IN ZONE A 505 B 39 C 8 DO 3 PERCENT TIME IN QUADRANT I BR II 92 MW ON N 05 ANTERIOR PERCENT TIME IN ZONE QUADRANT ZONE DEGHEES AtS BG I0 Cl 15 DC 20 a8 a ai aS as o On wn QUADRANT POSTERIOR DFLECTION DEQREES DEFLEGTION DEGREES AIFRION T k A LEFT f aey mm i Aner posterian RIGHT TINE SEC TIME SEC gpg gt El ndn VXn Yn 7 n gt Xn MIIE n n A 0 5 X Y B 6 10 11 15 I 16 20 IT IV 5 3 5 BIODEX BALANCE ASSESSMENT COMPREHENSIVE L O S TEST Name Date Weught 70 Kgms Hei
29. TWO LEG STANCE YES Use select button to changes NEXT SCREEN gemefe Nur NI lt S3 gt lt S4 gt lt S3 gt lt S4 gt lt S3 gt lt S4 gt Easy gt DYNAMIC LIMITS OF STABILITY TES WEIGHT KILOS HEIGHT CM PLATFORM FIRMNESS 8 s is most stable DIFFICULTY LEVEL LEG TO TEST la NEXT SCREEN EME lt Start gt lt Next Screen gt
30. Skinner H B Burnet M E et al et al Proprioception in the anteriorcruciate deficient knee abstract The Amecrican Journal of Sports Medicine 17 1 1 6 1989 Barrack Robert L Skinner H B Burnet M E el at Fuctional Performance of the knee after intraarticular anesthesia abstract The American Journal of Sports Medicine 11 4 258 261 1983 Harter Rod A et al Knee Joint Proprioception Following Anterior Cruciate Ligament Recon struction Journal of Sport Rehabilitation 103 110 1992 Lephart Scott Reestablishing Proprioception Kinesthesia Joint Position Sense and Neuro muscular Control in Rehabilitation Rehabilitation Techniques in sports Medicine 188 136 Mizuta Hiroshi et al A Stabilometric Technique for Evaluation of Functional Instability in Anterior Cruciate Ligament Deficient Knee Clinical Journal of sport Medicine 2 235 239 Raven Press Ltd New York 1992 Schultz Robert A et al Mechanoreceptors in Human Cruciate Ligaments abstract The Journal of Bone and Joint Surgery Inc 1072 1076 1984 Wilkerson Gary B and Arthur J Nitz Dynamic Ankle Stability Mechanical and Neuromusclar Interrelationships Journal of Sport Rehabilitation 3 1 p 43 February 1994 Wojtys Edward M and Laura J Huston Neuromuscular Performance in Normal and Anterior Cruciate Ligamment Deficient Lower Extremities abstract The Aqmerican Journal of
31. lt Start gt A Tet lt Start gt 8 lt Stop gt STRAT eR SRS NSS i Nate LIMITS OF STABILITY TEST TOTAL TIME 0 05 21 4 22 lt Next Screen gt
32. Sense Following Joint Injyury J Sports Med 21 23 27 1981 Gross Michael T Effects of Recurrent Lateral Ankle Sprains on Active and Passive Judgments of Joint Position 67 10 1505 1509 October 1987 Lentell Gary L et al The Relationship between Muscle Fiunction and Ankle Stability JOSPT 11 12 605 611 June 1990 Lentell Gary L et al The Contriburions of Proprioceptive Deficits Muscle Function and Anatomic Laxity to Functional Instability of the Ankle JOSPT 21 4 206 215 April 1995 Nitz Arthur J Neurophysiology of proprioception and Balance Division of Physical Therapy University of Kentucky Nitz Arthur J et al Nerve Injury and Grade II and III ankle sprains The American Journal of Sports Medicine 13 3 177 182 1985 Zajac Felix E et al Neuromuscular control and biomechanics of jumping Rehabilitation Research and Development Center Progress Report 1991 BALANCE STABILITY GENERAL POP GERIATRICS Anacker Susan L and Richard P Di Fabio Influence of Sensory Inputs on Standing Balance in Community Dwelling Elders with Arecent History of Falling PT 72 8 26 35 August 1992 Burl Margaret M et al Effects of Cervical Collars on Standing Balance abstract Archphys Med Rehabil 73 1181 1185 December 1992 Cohen Helen et al A Study of the Clinical Test of Sensory Interaction and Balance Physical Therapy 73 6 346 354 J
33. Sports Medicine rpt 22 1 89 104 1994 11 4 11 5 11 STABIOMETRY Feuerbach Jon W and Mark D Grabiner Effect of the Aircast on Unilateral Postural Control Amplitude andFrequency Variables Jospt 7 3 149154 march1933 Friden Thomas et al A stabilometric technique for wvaluation of lower limb instabilities abstract The American Journal od Sports Medicine 17 1 118 122 1989 Gauffin H et al Effect of Ankle Disk Training on Postural Contorl in Patients with Functional Instability of the Ankle Joint Int J Sports Med Vol 9 141 144 1988 Tropp H et al Factors affecting stabilometry recordings of single Limb stance The American Journal of Sports Medicine 12 3 185 188 1984 Tropp H et al Pronator Muscle Weakness in Functional Instability of the Ankle Joint abstravt Int J Sports Med Vol 7 291 294 1986 Tropp H et al Stabilometry in Functional Instability of the Ankle and its Value in Predicintg Injury Form 21014 Tropp H et al Stabilometry Recordings in Functional and Mechanical Instability of the Ankle Joint Form 21013 Tropp H and Per Odentrick postural Control In Single Limb Stance Departments of Clinical Neurophysiology Othopaedic Surgery and Industrial Ergonomics Linkoping University Sweden POSTURAL STABILITY ANKLE INJURY Advanced Medical Inc Converging Trends Computeri
34. IGHT FOOT ANGLE 0 Press Enter to record each value NEXT SCREEN geste NES lt Previous Screen gt lt S3 gt ON OFF lt Start gt lt Start gt TEST TRIAL o A Diet lt Start gt S 0 00
35. e Breg K A T Effects of training in Normals IsoKinetics and Exercise Science 2 3 1992 Freeman M A R and Barry Wyke Articular Reflexes At The Ankle Joint An Electro Myographic Study of Normal and Abnormal Infiuences of Ankle Joint Mechanoreceptors Upon Reflex Activity In the Leg Muscles Brit J Surg 54 12 990 1001 1967 Glick James M et al The prevention and treatment of ankle injuries The American Journal of Sports Medicine 4 4 136 141 July August 1976 Guskiewicz K Perrin D Research and Clinical Applications of Assessing Balance Journal of Sports Rehabilitation 5 1 46 63 Feb 1996 Isakov Eli et al Response of the Peroneal Muscles to Sudden Inversion of the Ankle During Standing International Journal of Sport Biomechanics 100 109 1986 Itay S et al Clinical and Functional Status Following Lateral Ankle Sprains Orthopedic Review XI 5 73 76 May 1982 Johnson Mary Black and Carl L Johnson Electromyographic Response of Peroneal Muscles in Surgical and Nonsurgical Injured Ankles during Sudden Inversion JOSPT 18 3 497 501 September 1993 Konradsen Lars and Jesper Bohsen Ravn Ankle instability caused by prolonged peroneal reaction time Acta Orthop Scan 61 5 388 390 1990 10 Nawoczenski Deborah A et al Objective Evaluation of Peroneal Response to Sudden Inversion 11 2 Stress The Journal of Orthopedic and Sports Physical T
36. ght 150 cm Direction control Test Type Limit of stability Test Difficulty EASY 50 LOS Foot Position Right AL Test stability Level __8 ANTERIOR POSTERIOR ACTUAL Overall Forward Backward Right Left Forward Right Forward Left Backward Right Backward Left Total timeto complete test_50_ seconds LEGEND 7 Left AL Leg Tested BOTH GOAL 100_ 100 100 100 100_ 100_ 100 100 ility The maximum angle ones body can achieve from vertical without losing balance Once the limit od stability is exceded some type of corrective action is required ormal range is a degrees anterior 4 degrees posterior 8 degrees on each side fi Easy targets were set to 50 LOS Moderate 75 Difficult 100 Direction Control Indicative of motor control skills Represted as a percentage of theoretical excursion value 100 equals perfect control A value outside range represents patient had difficulty and further assessment may be indicated 100 9 8 25 6 6
37. herapy 107 109 November 1985 ARTICULAR NEUROLOGY Burgess P R et al Signaling of Kinesthesthetic Information by Peripheral Sensony Receptors Ann Rev Neurosci 5 171 87 1982 EkholmJ et al On The Reflex Effects From The Knee Joint of the Cat Acta Physiol Scand 50 167 174 1960 Freeman M A R and Barry Wyke Articular Contributions To Limb Muscle Reflexes Brit J Surg 31 11 4 Human Kinetics Publishers Proprioception Following ACL Reconstruction Journal of Sport 32 Rehabilitation rpt 189 195 Lundberg A et al Role of Joint Afferent in Motor Control Exemplified by effects On Reflex Pathways From Ib Afferent Abstract Physiol 284 327 43 November 1978 Newton Roberta A Joint Receptor Contributions To Reflexive and Kinesthetic Responses Physical Therapy 62 1 22 29 January 1982 Nyland John et al Review of the Afferent Neural System of the Knee and Its Contribution to Motor Learning JOSPT 19 1 2 11 January 1994 Rowinski Mark J Afferent Neurobiology Of the Joint Orthopedic and Sports Physical Therapy 2 9 ed C V Mosby St Louis 49 63 1990 Wyke Barry Articular Neurology A review Physiotherapy 58 94 99 1972 38 94 99 1974 KNEE PROPRIOCEPTION Barrack Robert L el al Knee Joint Proprioception Revisited Journal of Sport Rehabilitation 3 1 p 18 February 1994 Barrack Robert L
38. llacott Marjorie Postural Control Mechanisms in the Young and Old n Whipple Robert Abnormalities of Balance Gait and Sensorimotor Function in the Eldely Population 7 Fleming Beth Erasmus et al Physical Condition Activity Pattern an nvironment as Factors in Falls by Adult Care Facility Resident abstract Arch Phys Med Rehabil 74 627 630 June 1993 8 Gill body Kathleen M et al Physical Therapy Management pf Peripheral Vestibular Dysfunction Two Clinical Case Reports Physical Therepy 74 2 36 49 February 1994 9 Horak FB et al Components of Postural Dyscontrol in the Elderly Areview Neurobio of Aging 10 727 738 1989 10 Hoy Melissa G et al Effects of Biomechanical variables on postural stability in the elderly Rehabilitation Research and Development Center Progress Report 61 62 1991 11 Panzer V et al Biomechanical Assessment of Quiet Standing Changes Associated with Aging Arch Phys Med Rehabil 76 151 157 February 1995 12 Judge James O et al Balance Imporovements in Older Women Effects of Exercise Training Physical Therapy 73 4 53 64 April 1993 13 Rapport j Lisa et al Predictors of falls Among Right Hemisphere Stroke Patients in the Rehabilitation Setting abstract Arch Phys Med Rehabil 74 621 626 June 1993 14 Tesar Jenny On Balance Rehab Management 59 65 October November 1993 35
39. se select button to changes NEXT SCREENER oNN 16 4 2 DYNAMIC BALANCE TEST lt S3 gt lt S4 gt m pede i eae 5 10 Eat 2 neues SELECT PLATFORM FIRMNESS INITIAL 8 8 IS THE END 8 MOST STABLE lt S3 gt lt S4 gt EYES AGE TO POSITION PATIENT lt S3 gt lt 84 gt lt S3 gt lt S4 gt lt S3 gt lt S4 gt
40. t Two leg Level8 TEST COMPLETE OPTIONS COMPREHENSIVE Report RE DO TEST RE DO TEST RETURN TO SET UP RETURN TO SETUP RETURN TO MAIN MENU Use Select Buttons to choose options PLOT SCREEN 7 Y 19 4 4 2 20 1 lt S1 gt lt S2 gt lt Next Screen gt lt Next Screen gt OPERATION DYNAMIC BALANCE SELECT A gt SELECT gt DYNAMIC LIMIT OF STABILITY CHANGE gt
41. une 1993 4 Coogler Carol E Falls and Imbalance Rehab Management 53 117 April May 1992 Duncan Pamela W et al Is There One Simple Measure For Balance PT 74 80 January 1993 6 Duncan Pamela W ed Balance Proceedings of the APTA Forum Nashville TN June 13 15 1989 a Badke Mary Beth Balance Deficits in Patients with Hemipegia Considerations for Assessment and Treatment b Duncan Pamela W Foreword C d e f g 34 Horak Fay B Clinical Implications of Posture Control Research Herdman Susan J Assessment and Treatment of Balance Disorders in the Vestibular Deficient Patient Keshner Emily a Reflex Voluntary and Mechanical Processes in Postural Stabilization Nashner Lewis M Sensory Neuromuscular and Biomechnical Contributions to Human Balance Newton Robert A Recovery of Balance Abilities in Individuals with Traumatic Brain Injuries 11 h Patla Aftab E et al Identification of Age Related Changes in the Balance Control SYSTEM i Rogers Mark W Control of posture and Balance During Voluntay Movements in Parkinson s Disease j Schenkman Margaret Interrelationship of Neurological and Mechanical Factors in Balance Control k Studenski Stephanie The Role of Instabillty in Falls Among Older Persons Winsten Carolle J Balance Retraining Does It Transfer m Woo
42. zed Balance Testing and Training in Orthopedic and Sports Injury Rehabilitaiton Cox Emily D et al Unilateral Balance Training of Non injured Individuals and the effects on Postural Sway Journal of Sport Rehabilitation 2 87 96 1993 De Carlo Mark S and Rettig W Tabot Evaluation of Ankle Joint Proprioception Following Injection of the Anterior Talofibular Ligament The Journal of Orthopedic and Sports Physical Therapy 8 2 70 76 1986 Dickstein R and Z dvir Quantitative Evaluation of Stance Balance Performance in the Clinic Using a Novel Measurement Device Physical Therapy 74 2 February 1994 Freeman M A R et al The Etiology and Prevention of Functional Instability of the Foot The Journal of Bone and Joint Surgery 47 4 678 685 November 1965 Freeman M A R Instability of the foot after Injuries to the lateral ligament of the ankle The Journal of Bone and Joint Surgery 47 4 669 677 November 1965 Garn Stanley N and Roberta A Newton Kinesthetic Awareness in Subjects With Multiple Ankle Sprains 68 11 1667 1671 November 1988 33 11 8 10 1 12 13 14 15 11 6 Gauffin H Tropp H et al Effects of ankle Disk Training on Postural Control in Patients with Functional Instability of the Ankle Joint J of sports Med 9 141 144 1988 Glencross Denis and Elizabeth Thornton Position
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