MEDICAL DISCLAIMER

The information contained on this website is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or qualified health provider with any questions you may have regarding any medical condition, or before beginning any exercise program

Toll Free Senior Line 

 

The toll-free Seniors Information Line provides  a traditional method of speaking with a bilingual, customer-service oriented telephone agent. For basic information on government programs and services for seniors, their families and caregivers please contact:

1-855-550-0552

Tele-Care

 

If you or someone you know requires non-urgent health advice or information, call Tele-Care. A registered nurse will assess your needs and provide information, education and/or advice as required. For access to this confidential and bilingual toll-free telephone service, 24 hours a day, seven days a week please dial:

8-1-1

For medical emergencies, immediately call  911  or visit your local emergency department.

FINDING BALANCE NB © 2016 - FINDING BALANCE CANADA, IN PARTNERSHIP WITH NB TRAUMA PROGRAM | UNDER LICENSE FROM THE INJURY PREVENTION CENTER. 

FINDING BALANCE ALGORITHM

Gait, Balance & Strength

Screening tools such as the Timed Up and Go test can be used to predict risk to fall. Any health care provider trained in their use can do this test.

Once an older adult has been identified as having decreased lower extremity strength or impaired balance and /or gait through initial falls risk screening tools or simple observation, the client should be referred to a physiotherapist for a detailed assessment of the physical factors which may be contributing to falls risk.

Assessment tools are used to evaluate the components of impaired balance, decreased strength and abnormal gait and need to be chosen for how well they are able to detect the individual's impairments. No one test is able to assess all components. Examples of standardized tools available to a physiotherapist include (but not limited to):

  • BERG Balance Scale

  • Fullerton Advanced Balance Scale

  • Dynamic Gait Index

  • 50'/30' walk test

  • Seniors Fitness Test

  • Modified Clinical Test of Sensory Integration of Balance

  • Chair Stand test (also called 30 Second Sit Stand)

 

A comprehensive physiotherapy assessment would include assessment of the systems essential for balance including the motor, sensory and cognitive systems. This assessment could include tests to determine:

  • Balance (dynamic and static)

  • Lower extremity strength

  • Sensory impairment

  • Range of Motion

  • Endurance

  • Posture

  • Coordination

  • Flexibility

  • Functional ability

  • Foot examination

  • Pain

  • Ability to divide attention between two tasks

  • Vestibular Function - Trained physiotherapists are able to provide a vestibular assessment for clients

  • Upper extremity strength. This is an area that has recently received more attention in the literature. Decreased upper extremity (UE) strength has been linked with facial and head injuries resulting from a fall. UE strength can prevent an individual from landing on their face when they fall. UE strength has been shown to be a bigger contributing factor to these injuries than slow protective reactions.