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DO-15-01-02
BalanceTutor user manual 200824.doc
unplanned COM passive movement. This reactive postural response is intended to stabilize the COM
over the Base of Support by returning it back to initial position or to create new safe BOS for COM
using a compensatory step. In these two cases the body tries to move actively to opposite direction of
the applied perturbation.
There are several guidelines based the above concept how to formulate the appropriate perturbation
according to rehabilitation aims as follows.
Target: Weight bearing encouragement
Technique: Medial /Lateral Unexpected Perturbation
Clinical effect:
Weight bearing through customized reactive response
Proprioceptive and kinesthesis rehabilitation
Target: Ankle flexion rehabilitation
Technique: Forward to Backward unexpected Perturbation
Clinical effect:
Fast and highly intensive activation of Gastrocnemius and Soleus muscles
Unique technique for Forefoot weight bearing
High level coordination of ankle agonist and antagonist muscle activation
Unique facilitation of gait initiation
Target: Ankle extension rehabilitation
Technique: Backward to Forward Unexpected Perturbation
Clinical effect:
Fast and highly intensive activation of ankle extensors muscles
Unique technique for Rearfoot weight bearing
High level coordination of ankle agonist and antagonist muscle activation
Target: Ankle instability rehabilitation
Technique: Multi-Direction Unexpected Perturbation
Clinical effect:
High Level ankle neuromuscular coordination
