Vestibular Assessment
|
|
- Chester Manning
- 7 years ago
- Views:
Transcription
1 Oculomotor Examination A. Tests performed in room light Vestibular Assessment 1. Spontaneous nystagmus 2. Gaze holding nystagmus 3. Skew deviation 4. Vergence 5. Decreased vestibular ocular reflex i. Head thrust test ii. Dynamic visual acuity 6. Visual tracking i. Smooth pursuit ii. Saccadic eye movement iii. VOR cancellation 7. Gait and balance i. Feet together ii. Heel/toe iii. Single limb stance iv. Modified CTSIB v. Timed 10m walk vi. Dynamic Gait Index B. Tests performed using Frenzel lenses or IR goggles 1. Spontaneous nystagmus 2. Gaze holding nystagmus 3. Decreased vestibular ocular reflex vii. Head shaking nystagmus 4. Manoeuvre induced vertigo and eye movement i. Hallpike Dix ii. Head roll test iii. Pressure test F:\Intranet\BIRU website\physiotherapy section\vestibular Testing Handout v.doc 1
2 Oculomotor Examination Prior to testing check eye movement ROM cervical ROM Eye movement ROM 2. Ask the patient to follow your finger (keeping it inches away from the patient s face) to test for full vertical and horizontal eye movements. ROM Conjugate eye movement Vertical movements decrease slightly in older people A small amount of end point nystagmus may be seen at the point of full ocular range in all directions, minimal in young people and increasing with age A. Tests performed in room light 1. Spontaneous Nystagmus 2. Ask patient to look straight ahead at a point several feet away. Nystagmus and note direction. 2. Gaze Holding Nystagmus 2. Ask patient to follow your finger (keeping it inches away from the patient s face) while you move your finger 30 degrees to the left, right, up and down. 3. Pause in each position to observe nystagmus, note direction. 3. Skew Deviation 2. Cover one eye. 3. Switch the cover from one eye to the other eye. a vertical corrective movement of the eye as it is uncovered Effect of direction of gaze on the skew deviation Any spontaneous tilt of the head and the effect of tilt on the skew deviation F:\Intranet\BIRU website\physiotherapy section\vestibular Testing Handout v.doc 2
3 4. Vergence 1. Hold the patient s forefinger in your hand about 2 feet away from the patient s face. 2. Ask the patient to focus on the finger while you move it toward the patient s nose. Convergence of the eyes Conjugate eye movement Pupillary constriction 5. Decreased vestibular ocular reflex (VOR) i. Head thrust test 1. Inform the patient that you will be moving their head very quickly, but only through a small range. 2. Grasp patient s head firmly with both hands on the sides of the head 3. Tilt the head forward 30 degrees so that the horizontal semicircular canal is level in the horizontal plane. 4. Instruct the patient to look at your nose. 5. Move the patient s head side to side slowly, making sure the patient is relaxed. 6. Then, suddenly move the patient s head in one direction and stop. The head movement should be small amplitude with the position held at the end. Patient s ability to maintain visual fixation Corrective saccades to re-fixate to your nose, noting the direction of head movement that caused re-fixation saccades. 7. Repeat the test with visual fixation on a distant target if corrective saccades are found with near target fixation. If the patient has pain or significant restriction of cervical movement, the test should be performed with extreme caution or deferred. ii. Dynamic visual acuity 1. Patient sits the appropriate distance from the acuity chart, wearing their glasses if they need distance correction. 2. Patient reads to the lowest line that they can until they cannot correctly identify all the letters on a given line. 3. Note the line where this occurs and the number of letters the patient incorrectly identifies. 4. Standing behind the patient, grasp patient s head firmly with both hands on the sides of the head. 5. Tilt the head forward 30 degrees so that the horizontal semicircular canal is level in the horizontal plane. F:\Intranet\BIRU website\physiotherapy section\vestibular Testing Handout v.doc 3
4 6. While moving the patient s head side to side at a frequency of 2Hz (2 complete side to side cycles per second) through a ROM of 1-2 inches in each direction, (so as to not restrict the visual field which may occur in patients who wear glasses) ask them to read to the lowest line that they can until they cannot correctly identify all the letters on a given line. 7. Note the line and where this occurs and or the number of incorrect letters. A difference of less than or equal to 2 lines is normal. A difference of greater than or equal to 3 lines is abnormal. (likely vestibular deficit) If the patient has restriction of the cervical movement which limits your ability to perform the head movement the test cannot be properly performed and should be ceased. 6. Visual tracking i. Smooth pursuit eye movements 1. Hold the patient s head with one hand. 2. ask the patient to follow your slowly moving finger (< 20 degrees per second) horizontally, 30 degrees from the centre to the left and to the right 3. Repeat this vertically, moving 30 degrees above and below the horizontal. You may have to hold the eyelids up in order to see the downward eye movement clearly. Smooth conjugate eye movement. Abnormal is jerky (or saccadic) eye movement. Note the direction of pursuit when saccades occurred. Eye movements may be saccadic if you are moving your finger too fast. Slow the speed of your finger to see it the person can follow smoothly. Smooth pursuit eye movements become more and more saccadic with age. Vertical eye movement is often interrupted by a saccade in younger individuals. ii. Saccadic eye movements 1. Hold the patient s head with one hand. 2. Hold your finger about 15 degrees to one side of your nose. 3. Ask the patient to look at your finger and then at your nose several times. Perform this left, right, up and down. The number of eye movements it takes for the patient s eyes to reach the target, normal is less than 2. F:\Intranet\BIRU website\physiotherapy section\vestibular Testing Handout v.doc 4
5 Abnormal is several small movements or a big movement and overshoot. You may have to ask the patient to only make one eye movement. If you can clearly see the eye the saccade is slow. iii. VOR cancellation 1. Grasp patient s head firmly with both hands on the sides of the head. 2. Tilt the head forward 30 degrees so that the horizontal semicircular canal is level in the horizontal plane. 3. Instruct the patient to look at your nose. 4. Move the patient s head from side to side approximately 30 degrees while you move in the same direction so that your face remains directly in front of the patient s face. Patient s ability to maintain visual fixation and/or if the patient makes saccadic eye movements. 7. Gait and balance i. Feet together 1. Position the patient 3 feet from a wall, facing toward it. 2. Patient stands, without shoes if possible, with their ankles touching each other and arms crossed over the chest with hands touching the opposite shoulders. 3. Time how long the patient can maintain this position with eyes opened, looking straight ahead to a maximum of 30 seconds. 4. Repeat the test having the patient close their eyes. Test is stopped if the patient moves their feet on the floor, changes the position of their arms or opens their eyes. In addition to timing the test, it is useful to rate the amount of sway. ii. Heel/toe 1. Position the patient 3 feet from a wall, facing toward it. 2. Patient stands with one foot directly in front of the other in a straight line, and arms crossed over the chest with hands touching the opposite shoulders. 3. Time how long the patient can maintain this position with eyes opened, looking straight ahead, to a maximum of 30 seconds. 4. Repeat the test having the patient close their eyes. Test is stopped if the patient moves their feet on the floor, changes the position of their arms or opens their eyes (for the eyes closed test). F:\Intranet\BIRU website\physiotherapy section\vestibular Testing Handout v.doc 5
6 iii. Single limb stance 1. Position the patient 3 feet from a wall, facing toward it. 2. Patient stands on one leg with their arms crossed over the chest with hands touching the opposite shoulders. 3. Time how long the patient can maintain this position with eyes opened, looking straight ahead, to a maximum of 30 seconds. 4. Repeat the test having patient close their eyes once they are in position. Legs should not touch each other Test is stopped if the patients legs touch each other, the feet move on the floor, the foot touches down or the arms are moved from their starting position or the eyes are opened (for the eyes closed test). iv. Modified CTSIB Patient stands (without shoes if possible) erect without moving, looking straight ahead as long as possible or until the trial is complete. Each test is performed 3 times. Condition 1: (normal vision, fixed support) 1. Patient stands on the floor with arms crossed over their chest and hands on opposite shoulders and feet together. 2. Time for a maximum of 30 seconds. Condition 2: (absent vision, fixed support) 1. Patient stands on the floor with arms crossed over their chest and hands on opposite shoulders with feet together and eyes closed. 2. Time for a maximum of 30 seconds. Condition 4: (normal vision, sway referenced support) 1. Patient stands on a 3 inch high density foam cushion with arms crossed over their chest and hands on opposite shoulders and feet together. 2. Time for a maximum of 30 seconds. Condition 5: (absent vision, sway referenced support) 1. Patient stands on a 3 inch high density foam cushion with arms crossed over their chest and hands on opposite shoulders with feet together and eyes closed. 2. Time for a maximum of 30 seconds. Sway should also be documented as minimal/ mild/ moderate/ or loss of balance. Test is stopped if the patient s arms are moved from starting position, feet are moved or eyes are opened (for eyes closed tests). Results from different pieces of foam cannot be compared. F:\Intranet\BIRU website\physiotherapy section\vestibular Testing Handout v.doc 6
7 v. Timed 10m Walk Patient stands two metres from the start of a 10m walking tack Ask the patient to walk as fast as they can safely past the line Time the patient between the start and finish lines using the same anatomical reference over the line. Time to walk 10m number of steps taken vi. Dynamic Gait Index Refer to assessment sheet. Patient may use an assistive device. Scores of 19 or less are related to falls in older adults. B. Tests performed using Frenzel lenses or IR goggles 1. Spontaneous Nystagmus 2. Ask patient to look straight ahead. Nystagmus and note direction. As for tests performed in room light 2. Gaze Holding Nystagmus 2. Ask patient to move their eyes to look 30 degrees to the left, right, up and down. 3. Pause in each position to observe nystagmus, note direction. If patient looks beyond 20 to 30 degrees, end point nystagmus may be observed rather than gaze holding nystagmus. 3. Decreased vestibular ocular reflex (VOR) i. Head shaking nystagmus test 1. Inform the patient you will be moving their head from side to side. 2. Grasp patient s head firmly with one hand on either side of the head 3. Tilt the head forward 30 degrees so that the horizontal semicircular canal is level in the horizontal plane. 4. Have the patient close their eyes. 5. Move the head side to side 20 times, asking the patient to help with the movement. 6. Ask patient to open their eyes quickly. F:\Intranet\BIRU website\physiotherapy section\vestibular Testing Handout v.doc 7
8 Nystagmus, noting direction 1 or 2 beats of nystagmus is not significant If horizontal head shaking induces persistent nystagmus the procedure should be repeated vertically, but only moving the patient s head 10 times. 4. Manoeuvre induced vertigo and eye movement i. Hallpike Dix 1. Patient long sits on the examination table and head is rotated The head and trunk are quickly taken straight back en bloc so that the head is over the edge of the examination table by Hold for 30 seconds, observing for nystagmus and question for vertigo. 4. Patient is then brought up slowly to a sitting position with the head maintained in 45 0 rotation. 5. Again, observe for nystagmus and question for vertigo. 6. Test is repeated with head rotated 45 0 in opposite direction. Nystagmus, noting direction, latency, and duration. Critical element is position of the head in space (not relative to the body). ii. Head roll test 1. Patient lies supine with the head flexed The head is turned quickly to one side. 3. Hold for 30 seconds, observing for nystagmus and question for vertigo. 4. Roll the head slowly back to the supine position, hold for 30 seconds. 5. Roll the head quickly to the other side. 6. Observe for nystagmus and question for vertigo. Observe nystagmus, noting direction, latency and duration. Ask the patient which side is worse. iii. Pressure test 1. Occlude the external auditory canal by applying pressure to the tragus. Nystagmus or a drift of the eyes, noting direction. F:\Intranet\BIRU website\physiotherapy section\vestibular Testing Handout v.doc 8
BESTest Balance Evaluation Systems Test Fay Horak PhD Copyright 2008
BESTest Balance Evaluation Systems Test Fay Horak PhD Copyright 2008 TEST NUMBER/SUBJECT CODE DATE EXAMINER NAME EXAMINER Instructions for BESTest 1. Subjects should be tested with flat heeled shoes or
More informationGAZE STABILIZATION SYSTEMS Vestibular Ocular Reflex (VOR) Purpose of VOR Chief function is to stabilize gaze during locomotion. Acuity declines if
GAZE STABILIZATION SYSTEMS Vestibular Ocular Reflex (VOR) Purpose of VOR Chief function is to stabilize gaze during locomotion. Acuity declines if slip exceeds 3-5 deg/sec. Ex: Head bobbing and heel strike
More informationA proper warm-up is important before any athletic performance with the goal of preparing the athlete both mentally and physically for exercise and
A proper warm-up is important before any athletic performance with the goal of preparing the athlete both mentally and physically for exercise and competition. A warm-up is designed to prepare an athlete
More informationThis document fully describes the 30 Day Flexibility Challenge and allows you to keep a record of your improvements in flexibility.
Welcome to the StretchTowel 30 Day Flexibility Challenge! You can Be More Flexible in 30 days by following our stretching program for 10 minutes a day. The best part is that you can stretch using the StretchTowel
More informationPhysiotherapy Database Exercises for people with Spinal Cord Injury
Physiotherapy Database Exercises for people with Spinal Cord Injury Compiled by the physiotherapists associated with the following Sydney (Australian) spinal units : Last Generated on Mon Mar 29 16:57:20
More informationExercises for the Hip
Exercises for the Hip Gluteal Sets: Lie on your back, tighten buttocks and hold for 3-5 seconds. Repeat 20 times. Supine Hip ER/IR: Lie on your back with legs straight. Gently rotate knees out and in limited
More informationFact sheet Exercises for older adults undergoing rehabilitation
Fact sheet Exercises for older adults undergoing rehabilitation Flexibility refers to the amount of movement possible around a joint and is necessary for normal activities of daily living such as stretching,
More informationCardiac Rehab Program: Stretching Exercises
Cardiac Rehab Program: Stretching Exercises Walk around the room, step side to side, ride a bike or walk on a treadmill for at least 5 minutes to warm up before doing these stretches. Stretch warm muscles
More informationExercises for older people
Exercise for older people Exercises for older people Sitting Getting started If you ve not done much physical activity for a while, you may want to get the all-clear from a GP before starting. For the
More informationLocomotion Skills. Walking Running Horizontal Jump Hopping Skipping
Locomotion Skills Walking Running Horizontal Jump Hopping Skipping Walking Progressive alternation of leading legs and continuous contact with the supporting surface. Walking cycle or Gait cycle involves
More informationProposed Treatment for Vestibular Dysfunction in Dogs By Margaret Kraeling, DPT, CCRT
Proposed Treatment for Vestibular Dysfunction in Dogs By Margaret Kraeling, DPT, CCRT Vestibular dysfunction in the dog can be a disturbing condition for owners, as well as somewhat confounding for the
More informationExercise 1: Knee to Chest. Exercise 2: Pelvic Tilt. Exercise 3: Hip Rolling. Starting Position: Lie on your back on a table or firm surface.
Exercise 1: Knee to Chest Starting Position: Lie on your back on a table or firm surface. Action: Clasp your hands behind the thigh and pull it towards your chest. Keep the opposite leg flat on the surface
More informationStretching in the Office
Stretching in the Office Legs: Quads, Hamstrings, IT band, Hip flexors, Gluts, Calves Quads: Standing @ desk maintaining upright posture, grab one leg @ a time by foot or ankle and bring it towards backside
More informationLEVEL I SKATING TECHNICAL. September 2007 Page 1
SKATING September 2007 Page 1 SKATING SKILLS The game of Ice Hockey is a fast-paced, complex, team sport, which demands quick thinking, fast reactions and special athletic skills. Skating is the most important
More informationRoutine For: OT - General Guidelines/Energy Conservation (Caregiver)
GENERAL GUIDELINES - 9 Tips for Exercise: Body Mechanics for Helper - To protect back, stay as upright as possible and keep head in line with trunk. - Always position yourself as close as possible to the
More informationLow Back Pain: Exercises
Low Back Pain: Exercises Your Kaiser Permanente Care Instructions Here are some examples of typical rehabilitation exercises for your condition. Start each exercise slowly. Ease off the exercise if you
More informationCoaching Session Plan
Aim of Session To introduce & develop catching a high ball Duration 5 minutes catch & movement Receiver call for the ball Move so that the is under the ball Keep looking at the ball In pairs, 5 metres
More informationSTANDARD OPERATING PROCEDURES (SOP) FOR COMPUTER WORK, DESK TOP
STANDARD OPERATING PROCEDURES (SOP) FOR COMPUTER WORK, DESK TOP General Guidelines-Best Practices: The following guidelines are applicable to office workers who sit at a desk and/or work on computers.
More informationNo Equipment Agility/Core/Strength Program for Full Body No Equip Trainer: Rick Coe
No Equipment Agility/Core/Strength Program for Full Body No Equip Trainer: Rick Coe Introduction Program designed to be performed in a circuit. Perform exercises in sequence without rest 2-3 times. Increase
More informationLower Body Exercise One: Glute Bridge
Lower Body Exercise One: Glute Bridge Lying on your back hands by your side, head on the floor. Position your feet shoulder width apart close to your glutes, feet facing forwards. Place a theraband/mini
More informationSTART FINISH. 5 yards 5 yards
Agility, Plyometric & Conditioning Drills Pro Agility Objectives: Improve athletic ability and body coordination during sudden change of direction 1. Measure out a 10 yard area with 5 yard increments 2.
More informationWhole Hand Activities
Activities Walk & Flip 5 Baton Twirl Rotate the pencil in, around and between all your fingers like it was a baton. 10 Walk your fingers up the pencil (your index will look like an inchworm climbing the
More information12 Week Do-it-Yourself Fitness Program
12 Week Do-it-Yourself Fitness Program Created by Brad Awalt, MS, ACSM Assistant Manager, Health Plus brad.awalt@vanderbilt.edu January 2011 Do you have a goal to begin an exercise routine, but not sure
More informationRange of Motion. A guide for you after spinal cord injury. Spinal Cord Injury Rehabilitation Program
Range of Motion A guide for you after spinal cord injury Spinal Cord Injury Rehabilitation Program This booklet has been written by the health care providers who provide care to people who have a spinal
More informationDo you sit at a desk all day? Does your 9 to 5 leave no time for structured exercise..?
Do you sit at a desk all day? Does your 9 to 5 leave no time for structured exercise..? Staying healthy at work is easier than you might think: Try building the following desk based exercises into your
More informationBasic Stretch Programme 3. Exercise Circuit 4
Basic Stretch Programme 3 Exercise Circuit 4 2 1 Calves Stand approximately 1 metre away from wall with legs straight and heels on floor. Step and lean forward and slowly push hips towards wall. Should
More informationGeneral Guidelines. Neck Stretch: Side. Neck Stretch: Forward. Shoulder Rolls. Side Stretch
Stretching Exercises General Guidelines Perform stretching exercises at least 2 3 days per week and preferably more Hold each stretch for 15 20 seconds Relax and breathe normally Stretching is most effective
More informationInformation. From the LowVision Specialists. Guidelines for the fitting of telescopic systems
Information From the LowVision Specialists Guidelines for the fitting of telescopic systems About a successful fitting Eye care professionals dispensing telescopic spectacles must ensure they have successfully
More informationKNEE EXERCISE PROGRAM
KNEE PROGRAM INTRODUCT ION Welcome to your knee exercise program. The exercises in the program are designed to improve your knee stability and strength of the muscles around your knee and hip. The strength
More informationStrengthening Exercises - Below Knee Amputation
Strengthening Exercises - Below Knee Amputation These exercises will help you strengthen your muscles to best use your prosthetic leg. Do these exercises as directed by your therapist or doctor. Do the
More informationClasp hands behind hips and stretch arms down towards floor. Roll shoulder back to open chest. Do not let back arch. Power Skips
Warm Up Exercises Jump Rope Ankle Bounces Jumping Jacks Using a fast twirl, rapidly jump up and down using spring in the feet and ankles, not in knees. V-Jumps Rapidly jump up and down using spring in
More informationGolf Swing. Golf Swing Mechanics. Address Position. Posture To position the upper body correctly you must have the proper stance as described above.
The golf swing is just that, a swing. In nearly all sports that involve swinging an implement, a bat, a hockey stick or racquet, the object to be struck is moving. In golf, the ball is always stationary.
More informationGait with Assistive Devices
Gait with Assistive Devices Review Last Lecture Weak dorsiflexors? Vaulting? Hip hiking? Weak hip abductors? Hip circumduction? Ataxic gait? Antalgic gait? Explain the line of gravity Ambulation with Assistive
More informationDirections for construction used with permission from Pacific Science Center - Brain Power
Directions for construction used with permission from Pacific Science Center - Brain Power The Vestibular System The vestibular system within the inner ear detects both the position and motion of the head
More informationFollow-up Form B3: Evaluation Form Unified Parkinson s Disease Rating Scale (UPDRS 1 ) Motor Exam
phone: (206) 543-8637; fax: (206) 616-5927 e-mail: naccmail@u.washington.edu website: www.alz.washington.edu NACC Uniform Data Set (UDS) Follow-up Form B3: Evaluation Form Unified Parkinson s Disease Rating
More informationstretches and exercises
stretches and exercises The enclosed sheets contain stretches and exercises which can be used to delay and minimise the development of contractures and deformities occurring in children with Duchenne muscular
More informationCerebellum and Basal Ganglia
Cerebellum and Basal Ganglia 1 Contents Cerebellum and Basal Ganglia... 1 Introduction... 3 A brief review of cerebellar anatomy... 4 Basic Circuit... 4 Parallel and climbing fiber input has a very different
More informationSHOULDER PULL DOWNS. To learn efficient use of the shoulder blades and arms while maintaining a neutral spine position.
SHOULDER INTRODUCT ION Welcome to your shoulder exercise program The exercises in the program are designed to improve your shoulder mobility, posture and the control of the muscles in your neck and shoulder
More informationHELPFUL HINTS FOR A HEALTHY BACK
HELPFUL HINTS FOR A HEALTHY BACK 1. Standing and Walking For correct posture, balance your head above your shoulders, eyes straight ahead, everything else falls into place. Try to point toes straight ahead
More informationName Class Date Laboratory Investigation 4B Chapter 4: Cell Structure
Name Class Date Laboratory Investigation 4B Chapter 4: Cell Structure The Microscope: A Tool of the Scientist You may refer to pages 66-67, 72-73 in your textbook for a general discussion of microscopes.
More informationLeg Strengthening Exercises
Leg Strengthening Exercises This exercise program has been designed for you by your physical therapist. Do only the exercises marked. Do them slowly and smoothly on a firm surface. Never hold your breath
More informationRange of Motion Exercises
Range of Motion Exercises Range of motion (ROM) exercises are done to preserve flexibility and mobility of the joints on which they are performed. These exercises reduce stiffness and will prevent or at
More informationMoving and Handling Techniques
Moving and Handling Techniques Introduction Manual handling involves any activity that requires the use of force exerted by a person to lift, lower, push, pull, carry or otherwise move or hold an object.
More informationQigong. Ba Duan Jin. The Eight Pieces of Brocade
Qigong Ba Duan Jin The Eight Pieces of Brocade by Col and g Hamilton Yiheyuan Martial Arts Contents Page Introduction 2 Preparation 2 1. Hold up the Sky 3 2. The Archer 4 3. Join Heaven and Earth 5 4a.
More informationSelf-Range of Motion Exercises for Shoulders, Arms, Wrists, Fingers
Self-Range of Motion Exercises for Shoulders, Arms, Wrists, Fingers These exercises will help keep your muscles strong and mobile, and your joints flexible. Other benefits of these exercises include: C
More informationThe Physiology of the Senses Lecture 11 - Eye Movements www.tutis.ca/senses/
The Physiology of the Senses Lecture 11 - Eye Movements www.tutis.ca/senses/ Contents Objectives... 2 Introduction... 2 The 5 Types of Eye Movements... 2 The eyes are rotated by 6 extraocular muscles....
More informationSELF-MASSAGE HANDOUTS
SELF-MASSAGE HANDOUTS Self-Massage for the Head and Face Self-Massage for the Low Back and Buttocks Self-Massage for Runners Self-Massage for the Neck Self-Massage for the Feet Self-Massage for the Arms
More informationInfo. from the nurses of the Medical Service. LOWER BACK PAIN Exercise guide
Info. from the nurses of the Medical Service LOWER BACK PAIN Exercise guide GS/ME 03/2009 EXERCISE GUIDE One of the core messages for people suffering with lower back pain is to REMAIN ACTIVE. This leaflet
More informationHEADACHES, NECK & EYE FATIGUE. Deep tissue massage. Regular upper body stretches. Consult Optometrist/Ophthalmologist
HEADACHES, NECK & EYE FATIGUE Headaches Vision concerns Itchy and irritated eyes Overall Neck Pain Muscular tension See NECK PAIN and VISION CONCERNS below Need corrective lenses or new prescription Inadequate
More informationTHE SPEED PROGRAM THE following is A list Of POinTS THAT PRODucE RESulTS in SPEED improvement: CHANGE THE GAME
THE SPEED PROGRAM Remember, perfect technique is the #1 emphasis with the BFS Speed Program. Faster times will follow perfect technique. The Speed Program is as follows: 1. Start with a Sprint Learning
More informationBEACH VOLLEYBALL TRAINING PROGRAM
2008 ELITE PERFORMANCE ATHLETE CONDITIONING BEACH VOLLEYBALL TRAINING PROGRAM Team BC 2008 Steve Van Schubert, CAT(C), CSCS Training Schedule General Outline Phase 1 2 Weeks Phase 2 3 Weeks Phase 3 3 Weeks
More informationISOMETRIC EXERCISE HELPS REVERSE JOINT STIFFNESS, BUILDS MUSCLE, AND BOOSTS OVERALL FITNESS.
ISOMETRIC EXERCISE HELPS REVERSE JOINT STIFFNESS, BUILDS MUSCLE, AND BOOSTS OVERALL FITNESS. By Askari A. Kazmi KazmisBioscienceLabs exercise helps reverse joint stiffness, builds muscle, and boosts overall
More informationVestibular Rehabilitation Therapy (Rationale) Adaptation Guidelines. Substitution guidelines. Habituation exercise guidelines. Substitution guidelines
Vestibular Rehabilitation Therapy Outline: Rationale for the effect of exercises Framework for exercise prescription Exercise progression Preferred prescription patterns Case study General treatment guidelines
More informationLower Body Strength/Balance Exercises
Compliments of (Medical Group Name & Phone # to be inserted here) Lower Body Strength/Balance Exercises Hip Flexion Strengthens thigh and hip muscles. Use ankle weights, if you are ready to. Stand to the
More informationA Stretch-Break Program for Your Workplace! www.healthyworkplaceweek.ca
www.healthyworkplaceweek.ca A Stretch-Break Program for Your Workplace! Why is stretching at work important? Sitting at a desk or computer; or standing at your work station for extended periods of time
More informationOtago Exercise Program
Otago Exercise Program Edited Version Exercise Booklet Created by: Genesee County Coalition Supported by a grant from the Health Foundation for Western and Central New York Otago Exercise Program to Prevent
More informationPreventing Falls. Strength and balance exercises for healthy ageing
Preventing Falls Strength and balance exercises for healthy ageing Exercise should be comfortable and fun. To get the most out of your home exercise book, join a class for older people to check your exercises
More informationTRE TM Template for Level I Trainees June 2013
TRE TM Template for Level I Trainees June 2013 THIS DOCUMENT IS TO BE PROVIDED TO TRE LEVEL I TRAINEES WHO ARE: ENROLLED IN THE TRE ENROLLMENT WEBSITE AND WORKING WITH A LEVEL III TRAINER WITHIN THE TRE
More informationThrowers Ten Exercise Program
Throwers Ten Exercise Program The Thrower s Ten Program is designed to exercise the major muscles necessary for throwing. The Program s goal is to be an organized and concise exercise program. In addition,
More informationSwitch Assessment and Planning Framework for Individuals with Physical Disabilities
Guidance Notes Pre- assessment: It is important to gather together appropriate information before the assessment to inform on possible starting points for the assessment. The Pre-Assessment Form should
More informationStair Workouts Get in Shape: Step up!
Stair Workouts Get in Shape: Step up! Warning: If you feel any knee pains, refrain from continuing that particular exercise. Avoid the no pain, no gain motto and modify with regular walking or any activity
More informationBenign Paroxysmal Positional Vertigo. By Mick Benson
Benign Paroxysmal Positional Vertigo By Mick Benson Definition Benign - not life-threatening Paroxysmal - a sudden onset Positional - response provoked by change in head position Vertigo - sensation of
More informationAgility Training for 4-H Dog Club (Page 1 of 5
Agility Training for 4-H Dog Club (Page 1 of 5 A-Frame (Beginning= 4 apex, Intermediate= 5 apex, and Advanced= 5 6 apex) Step 1. Set A-Frame low or flat. Setting the A-frame flat will let the dog become
More informationSheet 1A. Treating short/tight muscles using MET. Pectorals. Upper trapezius. Levator scapula
Sheet 1A Treating short/tight muscles using MET Pectorals Once daily lie at edge of bed holding a half-kilo can, arm out sideways. Raise arm and hold for 10 seconds, then allow arm to hang down, stretching
More informationStretching the Major Muscle Groups of the Lower Limb
2 Stretching the Major Muscle Groups of the Lower Limb In this chapter, we present appropriate stretching exercises for the major muscle groups of the lower limb. All four methods (3S, yoga, slow/static,
More informationShoulders (free weights)
Dumbbell Shoulder Raise Dumbbell Shoulder Raise 1) Lie back onto an incline bench (45 or less) with a DB in each hand. (You may rest each DB on the corresponding thigh.) 2) Start position: Bring the DB
More informationDo s and Don ts with Low Back Pain
Do s and Don ts with Low Back Pain Sitting Sit as little as possible and then only for short periods. Place a supportive towel roll at the belt line of the back especially when sitting in a car. When getting
More informationHow To Develop Quick Feet
Agility Workout Drills Marker Agility Drills Set the markers in a square with a distance of 30 feet between them. 1. Around the Box To develop quick feet and directional change muscles Sprint from marker
More informationMost Effective Abdominal Exercises
The following abdominal exercises, when done correctly, will give you an incredible workout. They are suitable for both men and women. Most Effective Abdominal Exercises You have full rights to distribute
More informationHarleysville Girls Softball Association Youth Softball 6U League Rules
Harleysville Girls Softball Association Youth Softball 6U League Rules ASA rules will apply except as listed below. It is the responsibility of the coach and parents of children to enforce the rules. Uniform
More informationEGOSCUE CLINIC PAIN/POSTURE STRETCHES 1. Standing Arm Circles: Helps Restore Upper Body Strength
EGOSCUE CLINIC PAIN/POSTURE STRETCHES 1. Standing Arm Circles: Helps Restore Upper Body Strength Two sets of 40 repetitions each. Stand with your feet pointed straight and hip-width apart. Place your fingertips
More informationFUNCTIONAL STRENGTHENING
FUNCTIONAL STRENGTHENING *This group of exercises are designed to increase leg and core endurance and stability as related to bipedal functional activities. *Perform this program for 4-6 weeks. It is ideal
More informationVisual & Auditory Skills Lab
Visual & Auditory Skills Lab Name: Score: Introduction This lab consists of a series of experiments that explore various perceptual, vision, and balance skills that help us understand how we perform motor
More informationThe Role of Physical Therapy in Post Concussion Management. Non Disclosure
The Role of Physical Therapy in Post Concussion Management. Cook Children s Sports Medicine Symposium Ryan Blankenship, PT, SCS Non Disclosure No conflicts of interest. 1 Course Objectives Participants
More informationThe Santa Monica Orthopaedic and Sports Medicine Research Foundation. The PEP Program: Prevent injury and Enhance Performance
The Santa Monica Orthopaedic and Sports Medicine Research Foundation The PEP Program: Prevent injury and Enhance Performance This prevention program consists of a warm-up, stretching, strengthening, plyometrics,
More informationMINDING OUR BODIES. Healthy Eating and Physical Activity for Mental Health
MINDING OUR BODIES Healthy Eating and Physical Activity for Mental Health Facilitators Guide: Background Information (note: tell participants to consult with their doctor before starting to exercise) What
More informationYouth Football Drills
Angle Tackle Drill Combines tackling skills with proper pursuit and leverage and position. Align two cones five yards apart. Divide defenders into two single file lines five yards apart facing one another
More informationPreventing Overuse Injuries at Work
Preventing Overuse Injuries at Work The Optimal Office Work Station Use an adjustable chair with good lumbar support. Keep your feet flat on a supportive surface (floor or foot rest). Your knees should
More informationEnsure that the chair you use is sturdy and stable. Wear comfortable clothes and supportive footwear.
Page 1 Safety Ensure that the chair you use is sturdy and stable. Wear comfortable clothes and supportive footwear. Prepare a space and have your exercise band and a glass of water (for afterwards) ready
More informationFloor/Field Stretches
Floor/Field Stretches 3D Hip Flexor Stretch *Start position* 1. Swing arms above head as front knee drives forward (x 5-10) 2. Swing arms over each shoulder as front knee drives forward 3D Groin Stretch
More informationInstructor Training Program Levels 1 through 4 Uneven Bars
USA Gymnastics Online: Technique: Uneven Bars Page 1 of 9 Instructor Training Program Levels 1 through 4 Uneven Bars Level 1 - Uneven Bars MOUNT: BACK HIP PULLOVER Grasp bar with hands "shoulder width"
More informationABOUT THE FUNCTIONAL FITNESS TEST: ABOUT THE AUTHORS:
The Interactive Health Partner Wellness Program addresses fall prevention with assessments and outcomes tracking in an easy to use, comprehensive online system. Website: www.interactivehealthpartner.com
More informationStand with your feet hip-width apart and your weight equally distributed on both legs (A).
Introduction to balance exercises Balance exercises can help you maintain your balance and confidence at any age. Balance exercises can also help prevent falls and improve your coordination. For older
More information1. Cut & plant 6. Hitch Hiker 5-7 cuts on each side 3 x 20-30s. 2. Single-leg jumping 7. Y-position 5-10 reps 2 x 10 reps each arm
Beach Volleyball program - Level 1 1. Cut & plant 6. Hitch Hiker 5-7 cuts on each side Keep knee over toe 5-7 cuts on each side Squeeze shoulder blades together Lift arms Thumb pointing upwards 2. Single-leg
More informationSAMPLE WORKOUT Full Body
SAMPLE WORKOUT Full Body Perform each exercise: 30 secs each x 2 rounds or 2-3 sets of 8-12 reps Monday & Wednesday or Tuesday & Thursday Standing Squat Muscles: glutes (butt), quadriceps (thigh) Stand
More informationPassive Range of Motion Exercises
Exercise and ALS The physical or occupational therapist will make recommendations for exercise based upon each patient s specific needs and abilities. Strengthening exercises are not generally recommended
More informationStair Workouts Get in Shape: Step up
Stair Workouts Get in Shape: Step up Warning: If you feel any knee pain, refrain from continuing that particular exercise. Avoid the no pain, no gain motto and modify with regular walking or any activity
More informationBASIC EXERCISES AND DRESSAGE MOVEMENTS
Appendix USDF Teaching Manual Articles BASIC EXERCISES AND DRESSAGE MOVEMENTS Excerpted from Principles of Riding The Official Handbook of the German National Equestrian Federation, 1985 edition Reprinted
More informationKnee Conditioning Program. Purpose of Program
Prepared for: Prepared by: OrthoInfo Purpose of Program After an injury or surgery, an exercise conditioning program will help you return to daily activities and enjoy a more active, healthy lifestyle.
More informationDon t. Hamstrings. Calf Muscles. both legs 2-3 times. stretch is felt in the back of the calf. Repeat with both legs 2-3 times.
Remember to: Warm-up your muscles first before stretching (e.g. stretch after walking). Stretch until you feel mild discomfort, not pain. Never bounce or force a stretch. Hold the stretch for 10-30 seconds
More informationJUNIPERO SERRA VOLLEYBALL OFF SEASON TRAINING SCHEDULE
JUNIPERO SERRA VOLLEYBALL OFF SEASON TRAINING SCHEDULE 2007 OFF SEASON WORKOUT Our off season workout is centered around Speed, Agility & Quickness which are athletic attributes that are very trainable
More informationrarecorvettes.com, joe@rarecorvettes.com, (831) 475-4442 Pacific Time Zone
INTRODUCTION TO WHEEL ALIGNMENT A SHORT COURSE ON WHEEL ALIGNMENT, FRONT AND REAR PREPARED FOR THE N.C.R.S. NATIONAL CONVENTION JUNE 29 TO JULY 5, 2012 by: JOE CALCAGNO, RARE CORVETTES rarecorvettes.com,
More information*The steps described are for the right-handed person; adjustments will need to be made for a lefthander.
Archery Study Guide History The origin of archery is unknown; however, archery has been an activity with varied objectives for human beings since the beginning of recorded history. The successful use of
More informationDEFENSE Warm-Up Arm Warm up with starting light and gradually throw harder. Spend 5-15 minutes. OFFENSE
10-12 Year Old Practice Format & Outline (1-2 Hour) Begin each practice with Team Announcements & Warm Up Lap Stretch i.e., Upper & Lower Body Form Run (Agility) i.e., High Knees, Power Skips, Shuffle,
More informationTHE INTERNATIONAL SKEET GUN MOUNT
THE INTERNATIONAL SKEET GUN MOUNT By B J McDaniel Assistant Shotgun Coach As printed in USA Shooting News One of the rules in International Skeet to make the game more challenging is the requirement to
More informationMotor Vehicle Collision Form
Patients Name: Date: / / 1) Please choose the date of the MVC: / / 2) Please the time of the MVC: : am / pm 3) Please enter the number of vehicles involved in the MVC: 1 2 3 4 5 6 7 8 9 4) In dollars,
More informationThe 11+ A complete warm-up program
The 11+ A complete warm-up program Part 1 & 3 A A }6m Part 2 B A: Running B: Jog back B! FIELD SET-UP A: Running exercise B: Jog back The course is made up of 6 pairs of parallel cones, approx. 5-6m apart.
More informationPhysical & Occupational Therapy
In this section you will find our recommendations for exercises and everyday activities around your home. We hope that by following our guidelines your healing process will go faster and there will be
More informationLiving Room Bodyweight Workout Week 1 March or jog in place for 1 min to increase heart rate and lubricate joints.
Warm Up- Living Room Bodyweight Workout Week 1 March or jog in place for 1 min to increase heart rate and lubricate joints. Protocol- All exercises will be done for 2 sets of 10 repetitions. After the
More informationAbove Knee Amputee Exercise Program
Above Knee Amputee Exercise Program It is important that you take an active role in your rehabilitation. The following exercises must be done every day to prevent any complications. After an above the
More information