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Postural Strategy Training

Postural Strategy Training. Debbie Rose, Ph.D. Co-Director, Center for Successful Aging California State University, Fullerton. Postural Strategy Training. Purpose:

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Postural Strategy Training

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  1. Postural Strategy Training Debbie Rose, Ph.D. Co-Director, Center for Successful Aging California State University, Fullerton

  2. Postural Strategy Training Purpose: • Improve each participant’s ability to appropriately select and execute each of the three movement strategies (i.e., ankle, hip, step)

  3. Age-Related Changes • More frequent use of the stepping strategy, even before the BOS is exceeded. • Disappearance and/or ineffective use of strategies – particularly hip and step. • The step strategy requires the greatest allocation of attention. • Selection and/or execution of appropriate movement strategy is delayed, particularly among older adults with balance and mobility problems.

  4. Movement Strategies • Different movement strategies can be elicited by: • Changing task demands • Speed of Sway • Distance of sway • Minimize sway in response to progressively larger applications of force • Changing environmental constraints • Support surface manipulations

  5. Postural Strategy Training • Ankle strategy • Broad, stable surfaces • Anterior/Posterior sway • Slow speeds • Small distances • Small perturbations

  6. Ankle Strategy: Examples Stand on floor and sway between closely placed objects (i.e. wall and table) Use metronome or music to drive slow pacing

  7. Postural Strategy Training Hip Strategy: • Surface shorter than foot length • Unstable surfaces • Movement near LOS boundary • Fast sway • Larger perturbations

  8. Hip Strategy: Examples • Stand sideways on balance beam or Half foam roller • Stand on rocker board, dyna disk, or foam • Sway between objects further apart • Metronome or music to drive faster pacing

  9. Postural Strategy Training Stepping Strategy • COG must exceed the LOS boundary • Voluntary to involuntary activities • Down vs. Level vs. Up vs. Over

  10. Forward step strategy from bench surface

  11. Stepping Strategy: Examples • May “fix” stance foot to force swing with opposite leg • Tape on floor provides visual cue for step length/width • Provide large perturbations • Practice stepping in posterior and lateral directions

  12. Start Position Crossover Open Step

  13. Postural Strategy Training Center of Gravity Control Section: Exercises can serve multiple purposes - • Standing Training on altered support surfaces • “Pass the Potato” • Multidirectional Weight Shifts

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