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Clinical Pathway: Balance

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The Recovr Rehabilitation System (RRS) can be used to facilitate increased standing balance, sitting balance, and postural control for increased independence with functional mobility and self-care.


Impacted ADL: Mobility: GG0170

Impacted Outcome: Balance During Transitions and Walking: G0300

  • Moving from seated to standing position: G0300A
  • Walking: G0300B
  • Turning Around: G0300C
  • Moving on and off toilet: G0300D
  • Surface-to-surface transfer: G0300E


Functional Abilities & Goals: Increase resident’s standing balance, sitting balance, postural control to decrease risk of falls, and to increase safety and independence.


Indications for RRS use to facilitate balance:

  • Stroke
  • Spinal cord injury
  • Parkinson’s Disease
  • Degenerative neurological conditions
  • Lower extremity orthopedic conditions
  • Total hip and total knee replacements
  • Lower extremity amputation
  • Balance deficit
  • Frequent falls
  • Generalized weakness
  • Endurance training


RRS Set-up for balance:

  1. Determine whether to work on standing or sitting balance and set-up resident with appropriate level of support (e.g. hands on assist, standing with walker, etc…). As balance improves, decrease amount of physical assist and manual facilitation. Consider the use of progressively unstable seating or standing surfaces to increase challenge as appropriate.  
  2. Use Kinect Settings to select the resident you’d like to track.
  3. Use the Lesson Planner to select which arm to use, where targets will appear, and how frequently to provide rest breaks based on resident’s range of motion, endurance, and treatment goals. Targets farther away from mid-line will be more challenging.  
  4. Use Required Elbow extension to determine the amount of elbow extension needed to hit on-screen targets. Selecting a higher percentage will require more elbow extension.
  5. Set the Start Position. Start positions set closer to the resident’s body will require less standing balance and postural control. Start positions farther away will be more challenging.
  6. During game play, provide physical assistance as needed to ensure resident’s safety and modify environmental set-up using adapted equipment and variability in sitting and standing surfaces for just-right challenge.


Tracking Progress Through RRS Data:

Use the shoulder range of motion and minutes played metrics to track the resident’s progress over time with the RRS.