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Balance Domains Part 1: Anticipatory, Reactive, & Limits of Stability

presented by Andrea Ecsedy, PT, DPT, NCS

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Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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This course series is a practical interpretation of balance research with real-world applications supporting current evidence. This lecture is Part one of a three-part series describing and applying the Domains Approach to balance. This approach addresses six global areas that cover the multi-factorial complexity of balance. Part 1 will cover: Limits of Stability (LOS), Anticipatory (APC), and Reactive Postural Control (RPC). Supporting evidence, standardized tests, treatment suggestions, and documentation examples will be presented that address each domain. This course series is a practical interpretation of the plethora of balance research with real-world applications of the balance constructs presented in current research.

Meet Your Instructor

Andrea Ecsedy, PT, DPT, NCS

Andrea Ecsedy, PT, DPT, NCS, currently works for 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, Parkinson's disease, and spinal…

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Chapters & Learning Objectives

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1. Introduction/Overview

Chapter one will review historical approaches to balance and describe why the domains approach fits posits of current practice. In the advent of demands for measurable outcomes with less treatment visits allowed this approach will give the learner practical tools to evaluate, treat, and measure multi-factorial balance dysfunction.

2. Limits of Stability (LOS)

Based on the sentinel research by Horak and colleagues, LOS is defined. The importance of evaluating and designing treatment plans that specifically address LOS will also be discussed, along with examples and documentation suggestions.

3. Anticipatory Postural Control (APC)

APC will be defined, and supporting research presented on the importance of assessing this domain will also be presented. Weeding out which treatments cover this domain will be presented, along with examples of specific documentation.

4. Reactive Postural Control

RPC will be defined, and tests available to assess this domain will be reviewed. RPC is the most under-evaluated and undertreated domain. Reasons for this will be discussed and examples of how to overcome this issue will be presented. Examples of specific documentation will also be presented.

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