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Subject:

berg balance test re:

From:

"Michael_F." <[log in to unmask]>

Reply-To:

PHYSIO - for physiotherapists in education and practice <[log in to unmask]>

Date:

Fri, 23 Feb 2001 21:24:35 -1000

Content-Type:

TEXT/PLAIN

Parts/Attachments:

Parts/Attachments

TEXT/PLAIN (572 lines)

ever look at the tinetti test ? the berg balance test is widely known
about in PT circles in the US btw.

aloha

mike








On Sat, 24 Feb 2001, Automatic digest processor wrote:

>There are 13 messages totalling 555 lines in this issue.
>
>Topics of the day:
>
>  1. Occupational Stress Syndrome (2)
>  2. Chi-ward Conditioning & Therapy?
>  3. abbreviations for PT list
>  4. lycra garments
>  5. Alumni Groups
>  6. <No subject given>
>  7. supraspinatus tendonitis - he is back!
>  8. SV: Disc and nerve root
>  9. Balance testing (2)
> 10. pilates courses
> 11. quit
>
>----------------------------------------------------------------------
>
>Date:    Thu, 22 Feb 2001 19:15:09 EST
>From:    [log in to unmask]
>Subject: Occupational Stress Syndrome
>
>On 2/22/01, Anna Lee<[log in to unmask]> writes:
>
><<As I said in a previous posting on 19 & 21.2.01, which do not appear to
>have been circulated, this rose is known by any other name in any other
>country. Many terms/names make it a little confusing and
>
>perhaps we need to standardise internationally......
>
> The term Occupational Overuse Syndrome (OOS) was adopted in Australia
>following consultative public forums co-ordinated by the National
>Occupational Health and Safety Commission, a tripartite body established by
>the Commonwealth Government to develop, facilitate and implement a national
>occupational health and safety strategy.
>
>
>The forums were open to all professionals (and public) interested (not just
>physios) and included ergonomists, doctors, physiologists, psychologists,
>occupational therapists, chiropractors etc etc. They involved long, in depth
>discussions and were held at major cities and regional areas. >>
>
>***This is all beginning to sound like something out of "Alice in
>Wonderland", namely something like "It
>means just what I say it should mean; nothing more, nothing less!", applied
>with just the right hint of authoritarianism and impatience!    Most relevant
>that those words should have been penned by Hodgson (Carroll etc), a
>mathematician and definition specialist, by trade.  How interesting that
>above Oz comment was - with its insistence on precision of definition, it
>still failed to use the correct Latin plural form of forum, namely "fora".
>Ah well, just another case of more theory than practice - but that, of
>course, is one of the sad truths about a great deal of many therapies today,
>anyway :)
>
>Dr Mel C Siff
>Denver, USA
>http://groups.yahoo.com/group/Supertraining/
>
>------------------------------
>
>Date:    Thu, 22 Feb 2001 19:44:25 EST
>From:    [log in to unmask]
>Subject: Re: Chi-ward Conditioning & Therapy?
>
>Dear Nikki,
>Thank you for your reply.  "Muddy the water"?  How come?  I am an advocate of
>any potentially functional movement to recover a function.  I promote goal
>directed movements; performing a session of Tai Chi Chuan is what I call
>goals directed movements: you expect to accomplish what the Chinese tradition
>wants you to express. Recovering the function could mean to get your patient
>to dance if dance means something to him or her...I agree with you we; must
>open our field of practice in order to achieve our goal to help a patient to
>recover his/her function.  I have a lot of interest for yoga and Tai Chi that
>I have been using a lot in my practice.  I had misinterpreted your sentence.
>If I have well understood, we are on the same path.  I mean if I have well
>understood because English is not my 1st language.  Thank you again for your
>reply.  Best regards.  AMVNewman
>
>------------------------------
>
>Date:    Thu, 22 Feb 2001 19:16:50 -1000
>From:    "Michael_F." <[log in to unmask]>
>Subject: abbreviations for PT list
>
>anyone got one for me and/or a link?
>
>please email me direct
>
>
>aloha and thanks from hawaii!
>
>
>mike
>
>
>
>
>
>
>__
>
>Michael Ferdun, M.S.
>http://www.turquoise.net/~paix | [log in to unmask]
>ICQ# 85495629
>__
>Freedom's just another word for nothing left to lose.
>                -- Kris Kristofferson, "Me and Bobby McGee"
>
>------------------------------
>
>Date:    Fri, 23 Feb 2001 16:17:25 +1100
>From:    Anna <[log in to unmask]>
>Subject: Re: Occupational Stress Syndrome
>
>Mel,
>
>
>The definition is the work of the authority, forums is mine - just goes to
>show how uneducated I am.
>
>Cheers,
>
>Anna.
>
>
>Anna Lee
>Principal,
>Work Ready Industrial Athlete Centre
>
>Write to me at: [log in to unmask]
>
>Visit me at: www.workready.com.au
>
>Snail mail:
>Suite 3, 82 Enmore Road,
>Newtown  NSW  2042
>Australia
>
>Phone: (612) 95197436
>Fax:  (612) 95197439
>Mob: 0412 33 43 98
>
>
>
>----- Original Message -----
>From: <[log in to unmask]>
>To: <[log in to unmask]>
>Sent: Friday, 23 February 2001 11:15
>Subject: Occupational Stress Syndrome
>
>
>> On 2/22/01, Anna Lee<[log in to unmask]> writes:
>>
>> <<As I said in a previous posting on 19 & 21.2.01, which do not appear to
>> have been circulated, this rose is known by any other name in any other
>> country. Many terms/names make it a little confusing and
>>
>> perhaps we need to standardise internationally......
>>
>>  The term Occupational Overuse Syndrome (OOS) was adopted in Australia
>> following consultative public forums co-ordinated by the National
>> Occupational Health and Safety Commission, a tripartite body established
>by
>> the Commonwealth Government to develop, facilitate and implement a
>national
>> occupational health and safety strategy.
>>
>>
>> The forums were open to all professionals (and public) interested (not
>just
>> physios) and included ergonomists, doctors, physiologists, psychologists,
>> occupational therapists, chiropractors etc etc. They involved long, in
>depth
>> discussions and were held at major cities and regional areas. >>
>>
>> ***This is all beginning to sound like something out of "Alice in
>> Wonderland", namely something like "It
>> means just what I say it should mean; nothing more, nothing less!",
>applied
>> with just the right hint of authoritarianism and impatience!    Most
>relevant
>> that those words should have been penned by Hodgson (Carroll etc), a
>> mathematician and definition specialist, by trade.  How interesting that
>> above Oz comment was - with its insistence on precision of definition, it
>> still failed to use the correct Latin plural form of forum, namely "fora".
>> Ah well, just another case of more theory than practice - but that, of
>> course, is one of the sad truths about a great deal of many therapies
>today,
>> anyway :)
>>
>> Dr Mel C Siff
>> Denver, USA
>> http://groups.yahoo.com/group/Supertraining/
>>
>
>------------------------------
>
>Date:    Fri, 23 Feb 2001 09:39:44 +0200
>From:    Harries <[log in to unmask]>
>Subject: Re: lycra garments
>
>This is a multi-part message in MIME format.
>
>------=_NextPart_000_002B_01C09D7C.8D92FD60
>Content-Type: text/plain;
>        charset="windows-1255"
>Content-Transfer-Encoding: quoted-printable
>
>dear bodil,
>in the midsixties (1967?), i remember reading an amazing case report on =
>the
>PHYSIOTHERAPY jurnal from england, describing a bandaging technique with
>elastic bandages of an athetotic child. i have tried it myself with very
>good results for reducing the involuntary movements for treatment =
>periods.
>also, much later, i used to make little vests and boots from neopram =
>(divers
>suits material) to help small children with stability of the trunk and =
>feet.
>now i read in the GAIT AND POSTURE jurnal 12 (2000) 1-6, an evaluation =
>of
>lycra garments in the lower limb..... 1999 ESMAC best paper award. the =
>paper
>and research is from england. e-mail [log in to unmask] . maybe they =
>can
>help you with the "know how to get one". i am sorry, but i have no
>experience with adult hemies.
>hope it helps,
>netta harries
>pediatric P.T
>Israel
>
>----- Original Message -----
>From: "Bodil Carle Smedley" <[log in to unmask]>
>To: <[log in to unmask]>
>Sent: Thursday, February 22, 2001 11:55 AM
>Subject: Lycra garments
>
>
>Dear listmembers -  I have read articles about Lycra garments, suitable =
>for
>reducing spasticity and contracture in the hemi upper extremity, =
>apparently
>in use in Australia. I have never seen one, I don=B4t know how to get =
>one, I
>would very much like to get some information from a PT with personal
>experience.
>
>Please, and thank you!
>
>Bodil
>Sweden
>E-mail: [log in to unmask]
>
>
>------=_NextPart_000_002B_01C09D7C.8D92FD60
>Content-Type: text/html;
>        charset="windows-1255"
>Content-Transfer-Encoding: quoted-printable
>
><!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
><HTML><HEAD>
><META content=3D"text/html; charset=3Dwindows-1255" =
>http-equiv=3DContent-Type>
><META content=3D"MSHTML 5.00.2919.6307" name=3DGENERATOR>
><STYLE></STYLE>
></HEAD>
><BODY bgColor=3D#ffffff>
><DIV><FONT face=3DArial size=3D2>dear bodil,<BR>in the midsixties =
>(1967?), i=20
>remember reading an amazing case report on the<BR>PHYSIOTHERAPY jurnal =
>from=20
>england, describing a bandaging technique with<BR>elastic bandages of an =
>
>athetotic child. i have tried it myself with very<BR>good results for =
>reducing=20
>the involuntary movements for treatment periods.<BR>also, much later, i =
>used to=20
>make little vests and boots from neopram (divers<BR>suits material) to =
>help=20
>small children with stability of the trunk and feet.<BR>now i read in =
>the GAIT=20
>AND POSTURE jurnal 12 (2000) 1-6, an evaluation of<BR>lycra garments in =
>the=20
>lower limb..... 1999 ESMAC best paper award. the paper<BR>and research =
>is from=20
>england. e-mail <A =
>href=3D"mailto:[log in to unmask]">[log in to unmask]</A> .=20
>maybe they can<BR>help you with the "know how to get one". i am sorry, =
>but i=20
>have no<BR>experience with adult hemies.<BR>hope it helps,<BR>netta=20
>harries<BR>pediatric P.T<BR>Israel<BR><BR>----- Original Message =
>-----<BR>From:=20
>"Bodil Carle Smedley" &lt;<A=20
>href=3D"mailto:[log in to unmask]">[log in to unmask]</A>&gt;<BR>=
>To:=20
>&lt;<A=20
>href=3D"mailto:[log in to unmask]">[log in to unmask]</A>&gt;<BR>Se=
>nt:=20
>Thursday, February 22, 2001 11:55 AM<BR>Subject: Lycra =
>garments<BR><BR><BR>Dear=20
>listmembers -&nbsp; I have read articles about Lycra garments, suitable=20
>for<BR>reducing spasticity and contracture in the hemi upper extremity,=20
>apparently<BR>in use in Australia. I have never seen one, I don=B4t know =
>how to=20
>get one, I<BR>would very much like to get some information from a PT =
>with=20
>personal<BR>experience.<BR><BR>Please, and thank=20
>you!<BR><BR>Bodil<BR>Sweden<BR>E-mail: <A=20
>href=3D"mailto:[log in to unmask]">[log in to unmask]</A><BR></FO=
>NT></DIV></BODY></HTML>
>
>------=_NextPart_000_002B_01C09D7C.8D92FD60--
>
>------------------------------
>
>Date:    Fri, 23 Feb 2001 04:06:24 EST
>From:    [log in to unmask]
>Subject: Alumni Groups
>
>For those of you who would like to finds old school or university classmates
>or who would like to sign up as alumni, go to the following websites:
>
><http://www.planetalumni.com/>
><http://www.gradfinder.com>
>
>These both offer a wonderful service to anyone who likes to stay in touch
>with old friends after graduation.  Mention these URLs to others.
>
>Dr Mel C Siff
>Denver, USA
>http://groups.yahoo.com/group/Supertraining/
>
>------------------------------
>
>Date:    Fri, 23 Feb 2001 10:31:58 -0000
>From:    Henry Tsao <[log in to unmask]>
>Subject: <No subject given>
>
><html><DIV>
><P>To all:
><P>I have a question that has been puzzling me for a very long time now.
><P>It is with relation to low back pain. From what I have read in the 3 M's (Mckenzie, Maitland, Mulligans) and Dr Bogduk's lumbar spine book, one of the reasons for low back pain is with relation to prolapsed disc compressing on the nerve.
><P>I have done a bit of research myself, which has shown that normal people with no history of back pain may also have disc prolapses compressing on the nerve, but no pain.
><P>This seemed contradictory so I have asked a few people about this. Some people seem to think that "prolonged compression" of the nerve may need to ischaemia and irritation to the nerve, hence leading to low back pain. I have had a lot of people tell me that prolonged compression of nerve roots leads to permanant damage, and hence people with chronic back pain may end up with same pain over and over again.
><P>I have also had a lot of people tell me that prolonged compression of nerves<BR>does not necessarily mean that the person will get low back pain. I am very<BR>confused as to what actually causes back pain. So my question is:
><P>Does prolonged compression necessarily lead to pain either where the compression is, or referred pain?? Long term wise, does nerve root compression as a result of disc lead to permanant damage on the nerve root??</P>
><P>Henry***</P></DIV><br clear=all><hr>Get Your Private, Free E-mail from MSN Hotmail at <a href="http://www.hotmail.com">http://www.hotmail.com</a>.<br></p></html>
>
>------------------------------
>
>Date:    Fri, 23 Feb 2001 11:15:38 -0000
>From:    Henry Tsao <[log in to unmask]>
>Subject: Re: supraspinatus tendonitis - he is back!
>
><html><DIV>
><P>To all: </P>
><P>Once again, the narrow minded doctor has ceased this guy's PT treatment, opting to undergo surgery for his supraspinatus. He says and I listen.... I say and no response! The problem is this patient wants to have surgery despite everything I tell him; all he wants is to get rid off the pain (poor guy). I did not have the courage to disappoint him and tell him that surgery will not be a quick cure.</P>
><P>I feel like talking to this doctor, but as with most Orthopedic Surgeons, he probably will ignore what I say.</P>
><P>Thanx for everyone's help anyway... and I look forward in seeing this patient when he returns feeling worse than before.</P>
><P>Henry***<BR><BR></P></DIV>
><DIV></DIV>
><DIV></DIV>&gt;From: Scott Epsley <[log in to unmask]>
><DIV></DIV>&gt;Reply-To: PHYSIO - for physiotherapists in education and practice <[log in to unmask]>
><DIV></DIV>&gt;To: [log in to unmask]
><DIV></DIV>&gt;Subject: Re: supraspinatus tendonitis - he is back!
><DIV></DIV>&gt;Date: Thu, 22 Feb 2001 08:38:02 +1000
><DIV></DIV>&gt;
><DIV></DIV>&gt;Henry,
><DIV></DIV>&gt;I'mnot sure sure he has a pure nerve root compression. If this were so I would anticipate a more distinct dermatomal pattern. You suggest Axillary nerve, but this would give p+n over the deltoid region. I am still thinking he may have a sympathetic referral from his thoracic spine. It may be cervical though. Thus what you need to do is find out what causes his P+N ( or see if he has them when he comes in). Then mobilise his cervical spine only. If the P+N get better it is the C/S. I would use PPIVMS rather than PAIVMs. Also, assess his neural system. which nerve is sensitive? Does that fit with your assessment. Are they all as bad as each other? If there is no change after c/s treatment, then mobilise his thoracic (Cv/Ct joints). Then note if it is worse. Don't mobilise the thoracic first though. I did this last year and fixed this guys symptoms, only to have them return just as bad very shortly after. X-rays etc. revealed it was his C/S. I got fooled becau!
><DIV></DIV>&gt;se the c/S was referring into his T/s and down his arm simultaneously. Now I have only done his c/s and he has improved out of sight.
><DIV></DIV>&gt;Also, don't mobilise his nerve, but try this glide I came up with. Find the most irritable one, put it on tension in ULTT. Then hold it there and apply and AP glide to the HOH. This should ease his pain. Repeat this for 1 min if it does. Then reassess and you should immediately get an improvement.
><DIV></DIV>&gt;I have rarely seen a tendonitis that causes P+N in the hand. I had a similar guy before christmas and the previous physio had worked on his elbow etc. for severe arm and elbow pain. When I listened to his Hx and Ax him, he appeared to have subluxed his shoulder. I rang a surgeon to try and get his Ax before christmas (he had bad anterior sh pain and I was concerned about his labrum) and he said it was probably just an irritation to the calcific tendonitis that was sitting there (he was a roof tiler so it was likely he could have this incidentally). Anyway, over christmas guess what - he pops his shoulder out again. I love it when I'm right!!
><DIV></DIV>&gt;doctors tend to hold on to their diagnoses for dear life!! Anyway, you can order cervical and thoracic x-rays. why don't you? Sure you can't look at a CT but at least you will get some idea of the state of his C/S.
><DIV></DIV>&gt;
><DIV></DIV>&gt;Keep in touch.
><DIV></DIV>&gt;---
><DIV></DIV>&gt;Scott Epsley
><DIV></DIV>&gt;PHYSIOTHERAPIST
><DIV></DIV>&gt;Northside Sports Injury Centre
><DIV></DIV>&gt;Brisbane, Australia.
><DIV></DIV>&gt;
><DIV></DIV>&gt;e-mail: [log in to unmask]
><DIV></DIV>&gt;
><DIV></DIV>&gt;On Wed, 21 Feb 2001 21:56:10
><DIV></DIV>&gt; Henry Tsao wrote:
><DIV></DIV>&gt;
><DIV></DIV>&gt;
><DIV></DIV>&gt;
><DIV></DIV>&gt;Get your small business started at Lycos Small Business at http://www.lycos.com/business/mail.html
><DIV></DIV><br clear=all><hr>Get Your Private, Free E-mail from MSN Hotmail at <a href="http://www.hotmail.com">http://www.hotmail.com</a>.<br></p></html>
>
>------------------------------
>
>Date:    Fri, 23 Feb 2001 13:37:35 +0100
>From:    =?iso-8859-1?Q?Robert_St=E5lebring?= <[log in to unmask]>
>Subject: SV: Disc and nerve root
>
>Henry!
>
>There is a lot of research on the subject. Try a medline search on the =
>author "Olmarker K". A swede with numerous papers published. I have this =
>summary from a swedish journal (however I think you prefer the summary =
>in english!?). I also picked up two references that I hope will suite =
>you.
>
>Summary:=20
>"Sciatica has long been considered to be solely due to mechanical =
>deformation (compression) of a spinal nerve root by herniating disc =
>tissue. However, recent experimental findings have demonstrated that, =
>even in the absence of mechanical insult, nucleus pulposus- related =
>substances may not only induce significant structural and functional =
>injury to the adjacent nerve root, but also sensitise the nerve root, =
>producing pain in the event of subsequent root compression".
>
>From:
>Disc herniation and sciatica; advances in our knowledge of the =
>pathophysiology and pain mechanisms.
>Olmarker K, Rydevik B, Lakartidningen 1998;95: 5618-22
>
>Also look at:
>Byrod G, Rydevik B, Nordborg C, Olmarker K. Early effects of nucleus =
>pulposus application on spinal nerve root morphology and function. Eur =
>Spine J. 1998;7(6):445-9.
>
>Kikuchi S, Konno S, Kayama S, Sato K, Olmarker K. Increased resistance =
>to acute compression injury in chronically compressed spinal nerve =
>roots. An experimental study. Spine. 1996 Nov 15;21(22):2544-50.
>
>Robert Stalebring
>PT Sweden
>
>------------------------------
>
>Date:    Fri, 23 Feb 2001 14:41:51 +0100
>From:    =?iso-8859-1?Q?=22Jansson_Tobias=2C_PVV_H=C5STEN=22?=
>         <[log in to unmask]>
>Subject: Balance testing
>
>Hi there,
>
>I've been looking for a good test to evaluate small impairments in =
>balance.
>I've been using a test called "Berg's Balance Scale" (probably not =
>known
>outside Sweden?) but it is more suited for e.g acute stroke patients =
>and
>doesn=B4t register the small differences. I'm working in an outpatient =
>clinic
>and the patients I meet are usually too good to be tested with BBS.
>What do you use? Any ideas?
>
>Tobias Jansson
>PT - Sweden
>
>[log in to unmask]
>
>------------------------------
>
>Date:    Fri, 23 Feb 2001 09:07:22 EST
>From:    [log in to unmask]
>Subject: Re: pilates courses
>
>look at the website www.pilatesfoundation.com to see what's there. Its your
>best starting point
>
>richard
>
>------------------------------
>
>Date:    Fri, 23 Feb 2001 14:35:23 +0000
>From:    Sarah Tyson <[log in to unmask]>
>Subject: Re: Balance testing
>
>The Berg balance scale is quite well known and used internationally.
>It has been tested on people with stroke and the general elderly and the
>upper limit of ability is pretty high - if you have elderly patients
>scoring 50-56 you could probably assume that their balance was normal,
>although I have not come across normal values for the Berg scale.
>
>If you are looking for something more demanding then you could consider
>walking speed, or I have just finished developing a test for people
>with stroke which includes step-ups. This is valid, reliable, sensitive to
>change and does not have a ceiling effect. It will not be published for a
>while though, so you would just have to take my word for it for now!
>
>If you want some thing that is more senstive to change - i.e. that detects
>small changes rather than small deficiets then I suggest you use a ratio
>measure rather than an ordianl scale - walking speed over 5 or 10m, walking
>endurance, step-ups or the step test (when patients standn on the weak leg
>and tap their sound leg on and off a block) would all be suitable and are
>valid tests of balance as well as general mobility.
>
>Another possibility is to measure postural sway but this requires special
>equipment and although it is a valid test of balance impairment its
>validity as a measure of balance disability is in some doubt.
>
>Hope this is helpful,
>
>SArah
>
>Sarah Tyson
>Brunel University, UK
>[log in to unmask]
>
>------------------------------
>
>Date:    Fri, 23 Feb 2001 21:45:40 -0000
>From:    Sinisa Poznic <[log in to unmask]>
>Subject: quit
>
>This is a multi-part message in MIME format.
>
>------=_NextPart_000_0009_01C09DE1.F6ECF260
>Content-Type: text/plain;
>        charset="iso-8859-1"
>Content-Transfer-Encoding: quoted-printable
>
>leave [log in to unmask]
>
>------=_NextPart_000_0009_01C09DE1.F6ECF260
>Content-Type: text/html;
>        charset="iso-8859-1"
>Content-Transfer-Encoding: quoted-printable
>
><!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
><HTML><HEAD>
><META http-equiv=3DContent-Type content=3D"text/html; =
>charset=3Diso-8859-1">
><META content=3D"MSHTML 5.50.4134.600" name=3DGENERATOR>
><STYLE></STYLE>
></HEAD>
><BODY bgColor=3D#ffffff>
><DIV><FONT face=3DArial size=3D2>leave=20
>[log in to unmask]</FONT></DIV></BODY></HTML>
>
>------=_NextPart_000_0009_01C09DE1.F6ECF260--
>
>------------------------------
>
>End of PHYSIO Digest - 22 Feb 2001 to 23 Feb 2001 (#2001-55)
>************************************************************
>




__

Michael Ferdun, M.S.
http://www.turquoise.net/~paix | [log in to unmask]
ICQ# 85495629
__
What makes the universe so hard to comprehend is that there's nothing
to compare it with.

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