Feedback regarding proper motor patterns is an important tool that can lead to greater movement efficiency, increased activity, and lower risk of injury. After analyzing the different phases of sit to stand (preparatory\/ starting alignment, transitional movements, and the final standing posture), clinicians can use feedback to address both the spatial and temporal parameters of movement that is needed to improve overall performance.<\/p>\n
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Why We Need Feedback<\/strong><\/h4>\nA natural part of performing a skill is to use\u00a0intrinsic feedback<\/strong>, the sensory perceptual information caused by-the movement. Vision, proprioception, touch, pressure, and audition help formulate a person\u2019s internal representation of\u00a0a movement goal.<\/p>\nWhen performing sit- to- stand, proprioceptors indicate the muscle length and tension of the position of the ankles and feet, as well as the amount of pressure through the limbs; visual information orients the individual to the environment; and vestibular inputs, contribute to sense of verticality. If your clients are not receiving the proper intrinsic feedback, they may not be aware of their movements. For example, an individual with impaired ankle proprioception may need extrinsic or augmented feedback to increase the weight and symmetry through their legs.<\/p>\n
Augmented feedback<\/strong> enriches\/enhances intrinsic feedback. It provides information to clients who are unaware of their body position. Augmented feedback can help engage the patient during all phases of sit -to- stand and with different modalities: visual, auditory or tactile.<\/p>\nWhat type of Feedback to Use? <\/strong>Auditory, Tactile, or Visual?<\/strong><\/h4>\nWhen training sit<>stand, what type of feedback and verbal cues would you provide to achieve forward weight shift, symmetry of weight distribution versus increasing speed of transfer?<\/p>\n
Think about your clients who have trouble getting up from sitting and are not sure why they cannot rise on their first attempt. Often patients think the problem is lack of strength.<\/p>\n
Sometimes using the cue \u201cnose over toes\u201d works for these patients. Other times, it is the size and timing of their forward weight shift that needs to be cued?<\/p>\n
Auditory feedback provides an engaging solution in this situation. For example, the Step and Connect’s Balance Matters System<\/a> features auditory feedback about the timing and amount of weight the client shifts forward. The system’s innovative foot pads make a clicking sound when the move is done correctly. The click is nonjudgmental and motivating. The client learns a new way to move without verbal instruction.\u00a0 With practice the correct move becomes automatic.<\/p>\nDuring sit to stand transfers auditory feedback can improve:\u00a0<\/strong><\/p>\n\n- Starting alignment<\/li>\n
- Forward weight shift<\/li>\n
- Timing of weight shift<\/li>\n
- Symmetry of weight distribution<\/li>\n
- Postural control (decrease sway at the ankles)<\/li>\n<\/ul>\n
When performing sit- to- stand, proprioceptors indicate the muscle length and tension of the position of the ankles and feet, as well as the amount of pressure through the limbs; visual information orients the individual to the environment; and vestibular inputs, contribute to sense of verticality. If your clients are not receiving the proper intrinsic feedback, they may not be aware of their movements. For example, an individual with impaired ankle proprioception may need extrinsic or augmented feedback to increase the weight and symmetry through their legs.<\/p>\n
Augmented feedback<\/strong> enriches\/enhances intrinsic feedback. It provides information to clients who are unaware of their body position. Augmented feedback can help engage the patient during all phases of sit -to- stand and with different modalities: visual, auditory or tactile.<\/p>\n When training sit<>stand, what type of feedback and verbal cues would you provide to achieve forward weight shift, symmetry of weight distribution versus increasing speed of transfer?<\/p>\n Think about your clients who have trouble getting up from sitting and are not sure why they cannot rise on their first attempt. Often patients think the problem is lack of strength.<\/p>\n Sometimes using the cue \u201cnose over toes\u201d works for these patients. Other times, it is the size and timing of their forward weight shift that needs to be cued?<\/p>\n Auditory feedback provides an engaging solution in this situation. For example, the Step and Connect’s Balance Matters System<\/a> features auditory feedback about the timing and amount of weight the client shifts forward. The system’s innovative foot pads make a clicking sound when the move is done correctly. The click is nonjudgmental and motivating. The client learns a new way to move without verbal instruction.\u00a0 With practice the correct move becomes automatic.<\/p>\n During sit to stand transfers auditory feedback can improve:\u00a0<\/strong><\/p>\nWhat type of Feedback to Use? <\/strong>Auditory, Tactile, or Visual?<\/strong><\/h4>\n
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