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eg: parkinsonism. The timing, sequencing ,amplitude of strategies all appear normal. but pt is unable to isolate hip and ankle movement.
It is treated by:
1. Step marching
2.ask the pt to stand near a wall as in Romberg sign testing.ask him to sway forward with hip and knee held in extension and moving only ankle.
This problem arise when there is absence of normal preparatory response to environmental stimulus.
All balancing exercises with closed eyes can be used here
SEQUENCING AND TIMING
This is mainly seen in Hemiplegia , cp. Etc.
Electrical Stimulation of weak muscles along with conventional balancing exercise desired here...
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