Clinical Pathway: Fall Prevention
(Placeholder for video 23)
The Recovr Rehabilitation System (RRS) can be used to facilitate increased standing balance, strength, and endurance as part of a comprehensive fall prevention program.
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, strength, and endurance to decrease risk of falls and to increase safety and independence.
Indications for RRS use to facilitate fall prevention:
- Spinal cord injury
- Parkinson’s Disease
- Degenerative neurological conditions
- Lower extremity orthopedic conditions
- Total hip and total knee replacements
- Lower extremity amputation
- Generalized balance deficit
- Frequent falls
- Generalized weakness
RRS Set-up for fall prevention:
- Have resident play from standing with appropriate level of physical support. As balance improves, decrease amount of physical assistance and manual facilitation. Consider the use of progressively unstable standing surfaces to increase challenge as appropriate. Gradually increase game-play duration for endurance and strength.
- Use Kinect Settings to select the resident you’d like to track.
- 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.
- 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.
- 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.
- 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 minutes played and shoulder & elbow range of motion metrics to track the resident’s progress over time with the RRS.