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Balance assessment a Three Dimensional picture

Balance assessment a Three Dimensional picture. Mohammad Shafique AsghAR. Three pillars . Sensory Part Motor part Functional part. Sensory Part. Vision Somatosensory Vestibular system. Central part/integration . Vestibular neucleus Brainstem, Cerebellum Higher centres. Motor Part.

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Balance assessment a Three Dimensional picture

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  1. Balance assessment a Three Dimensional picture Mohammad ShafiqueAsghAR

  2. Three pillars Sensory Part Motor part Functional part

  3. Sensory Part Vision Somatosensory Vestibular system

  4. Central part/integration Vestibular neucleus Brainstem, Cerebellum Higher centres

  5. Motor Part VOR (vestibulooccular reflex) VCR (Vestibulocolic Reflex) VSR (Vestibulospinal reflex)

  6. Central Integration

  7. Functional Aspect Effective utilization of the available senses and adopt a strategy to be upright. Motor control test (MOT): Looks at sequential spinal and long loop responses and coordination of ankle thigh and lower trunk muscles. Sensory organization test (SOT): Looks at patients performance in progressively more difficult situations.

  8. ENG abnormalities and suspected site of lesion

  9. ENG abnormalities and suspected site of lesion

  10. ENG abnormalities and suspected site of lesion

  11. Flow chart Baseline thresholds Shape of audiogram • PTA PTA ABR Ecoch.G VEMP Retrocochlear pathology/ VEMP may add credibility Dizzy battery PTA ABR Ecoch.G ENG Rotary Chair VAT oVEMP cVEMP vHIT • Cochlear N • ABR MD/EH Drop attacks • Ecoch.G • VIII N VAT/Positioning/vHIT Ant.SCC VAT/vHIT ENG oVEMP • Sup. Vest. N Caloric/ Posiit/Rot Chair/vHIT Lat.SCC Utricle oVEMP VAT ENG VEMP Post.SCC VAT/Positioning/vHIT cVEMP Saccule • Inf. Vest. N • Vestibular N

  12. VEMP: literature Review (1994-2006)*

  13. ENG abnormalities and suspected site of lesion

  14. ENG abnormalities and suspected site of lesion

  15. ENG abnormalities and suspected site of lesion

  16. SPINNED PERIPHERAL CENTRAL Carvalho et al. CTU , Oct, 2004

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