Modified 4-Stage Balance Test

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Today I discuss a Modified 4-Stage Balance Test that is great for all patients with balance impairments or lower extremity dysfunction. During this video I dive into how to perform the Modified 4-Stage Balance Test, the cues I use, clinical findings to look for, and finally some interventions to tackle any issues you find during the testing.

This Modified 4-Stage Balance Test follows the same four overarching foot placement conditions as done in the 4-Stage Balance Test, but then dives deeper with four more sub-conditions: eyes open, head turns left and right, nodding up and down, and eyes closed. Each of these conditions challenges the three bodily balance systems to different degrees and shows us where the patient needs work. During this testing battery the clinician will also compare left and right lower extremities and determine which side the patient has more balance deficit on.

Additionally, each testing item can be used as an exercise. Thus, the clinician administering the test has a total of 16 basic starter exercises to use and tailor towards the clients impairments all based on test findings.

Watch the video below for more insights on how you can simply and quickly implement this powerful testing tool into your daily practice!


Thanks for reading! Be sure to comment your thoughts below, or let me know if you would like a more in-depth explanation of any part of this video.

Happy falling!

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Motor Strategies for Balance Control

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Base of Support Model