Katherine Lang, Fifty, TWO discussed on ANPT Balance and Falls Special Interest Group
You know somebody's balanced. Somebody's balanced skills. Ms balanced capability or ability and also probably their fall risk. But if i have somebody using those throughout the day on. I don't know that it's telling me. Is this person challenging themselves or are they not how difficult is balanced. How much of an issue is balancing their like we can just say compared to all the other people their age and their gender with their condition their ability falls hear on about curve. Same with doing therapy. We can look at somebody and weaken the other sweating. They looked fearful. You know they're screaming whatever measuring when he used for their working too hard or they look forward. Maybe not working hard enough but we have more fine tuned than that to say. I need to make this task harder. Or they're not getting their money's worth out a museum and we're just working fear not actually training an edison. I think those are different measures than the measures the systems that are commercialized currently I love it. And so and the the focus that you have to to try to create something in that gap is rom. But the other pista about would be What's going on quarterly or in the nervous system heavy thought at all about cooking in that. Row miami while we're sensors like we just need to wear this No i understand that but at least in in being able to measure it in in clinic And there are some noninvasive and it's really really intriguing in my brain is not big enough to go both directions at the same time. I know that there are definitely people whose brains are that big. A lot of people would say that makes you a good scientist is at your your circumscribing year. Study or not trying to do too much at one time. But i but. I mean they're intriguing in you know in reading those those studies in talking to people who do those kinds of studies But i have not stopped to figure out how you would put the two together. Because i haven't really figured out this side of things yet you need to add a neuroscientist your land so that sounds like a really worthwhile stop. And i'm so excited about the the underway now recruiting live participants again Validation in stroke. What other populations have you done allegation on are you looking to validate on So the ten point scale. We did do a study in a group of older adults. Fifty and older who sung it was a range of. I don't feel balanced challenged through. I kind kinda worry about my balance. But nobody with a history of falls and i i have not published that one mostly because we then shortly thereafter switch to the seven point scale I have gone back to to publish the results on the ten point scale right one of the problems with measures as you refine it. Then you're like oh man our that our exactly and then. A lot of the initial work was with college students so got it so unhealthy younger younger population. So i've not. There are no other more circumscribed groups of people that i've worked with yet. I have anybody who would like to use it Especially the newer version If anybody who emails. I send it in their welcome so i had people. On in parkinson's clinics use it had people in general fall in and older adult clinics. Use it Something units but not. That's great and in fact it was. is it laura. Tany louder. I think is her name. That does neuro spark Educational i think she attended your presentation. i think that you did that. Csm for years ago as a as part of the bound false sig Presentation product And she loved it and she must have approached you after you emailed it to her cassettes. As you're saying that it's really sparked my memory to say like that's what she was talking which sagana emailed her and she's like could use it. Yeah and i just love this measure. That's great yes. So i'm i'm thrilled. The people using it because really i firmly believe that than in the practice of pt. You should be really dosing. Your interventions appropriately under working people. We shouldn't be over. Working people will have intentional reasons for choosing the doses the activities the interventions that we choose. And if you can't measure it in some meaningful way than you're not choosing your destroying things at somebody in your probably some of the time but not all times well said well said and when you talk about someone's balance We do have some measures right. Even have our course set from the neuro academy but they don't really get at the stability and none of them purport to measure the intensity of the intervention. They are very very clear about what they're measuring in it's it's fall risk or it's a certain type of balance ability or it's the underlying hardware underlying physiology. That goes into balance of the health of those systems. I mean the very very clear about what they are measuring. It's just that none of them are really measuring the intensity of what. You're what you're doing and it's hard to say you know. There are so many studies that say high intensity this produces these kinds of better results or lower intensity this or you know for stretching this dosage often for this amount of time. produces better results. But we can't say that about balance activity. Yeah i love that. I in fact i think it was just In the last couple of days again catching up on my csm presentations and The presentation that tambi but actually was presenting she. She talked about her next steps in her. Research you know looking at. We need to make dose response curves and if if you can train somebody and be less aggressive and put them through less discomfort and they get the same effect right then. That's what you wanna do but right now What you're saying is we have no idea what. The intensity is that they're experiencing and that's patient specific. So you're you've us a a first step a very important for step two to now pay a lot of things that confound that people over report people that under report You know fewer outside gains than than pain perhaps but but there's definitely a whole psychology behind the scale but right and so it boy that brings up another recent presentation and it was katherine lang talking about you know. We know that you'll have this this curve right. And there's the people that under reported the people over report the people that are reporting really accurately. But but you don't know who you've got in front of you so doesn't fix all problems but if someone's an under reporter at is there any evidence that talks about like at least they'll consistently under report and.