What Is Backward Disequilibrium and How Do I Treat it?

Scheets, Patricia L.; Sahrmann, Shirley A.; Norton, Barbara J.; Stith, Jennifer S; Crowner, Beth E.

doi:10.1097/npt.0000000000000084

Cited by 12 publications

(3 citation statements)

References 31 publications

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“…The four components which are evaluated by means of the Scale for Retropulsion in four subtests cover the different characteristics of retropulsion which we see in neurorehabilitation: spontaneous posterior body tilt with the tendency of backward falling, insufficient reactive postural responses, an active backward pushing with resistance against passive correction, and the difficulty to shift the center of mass actively forward [2,3,9,10,11,13,14]. The Scale for Retropulsion assesses sitting and standing, but also posture transition from sitting to standing and walking.…”

Section: Discussionmentioning

confidence: 99%

“…So far, research on retropulsion is very limited, amongst others due to the absence of an established tool to assess the behavior. It is suggested that the prevalence of retropulsion is quite high among elderly in an inpatient or outpatient clinical setting [14]. However, up to date there are no data available about the incidence and prevalence of retropulsion as well as about its time course.The Scale for Retropulsion provides clinicians, therapists and researchers with a clinical tool to evaluate and investigate postural instability in the sagittal plane.…”

Section: Discussionmentioning

confidence: 99%

“…It is characterized by a spontaneous posterior body tilt with the risk of backward falling, active backward pushing with the inability to shift the centre of mass forward, and resistance against passive correction. So far, research on this postural behavior is very limited, even though it seems quite frequent and relevant for neurorehabilitation [9,14]. Unpublished data of a short survey among 22 therapists at our clinic showed that they are frequently confronted with retropulsion during their work and that the postural behavior hampers the therapy and negatively affects the rehabilitation process.…”

Section: Introductionmentioning

confidence: 95%

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Development of a clinical scale to assess retropulsion in neurological disorders

Bergmann¹,

Krewer²,

Koenig³

et al. 2019

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Summary Retropulsion represents a severe disorder of postural control in the sagittal plane. It is characterized by a posterior displacement of the center of mass with respect to the base of support and active resistance to passive correction of this posture.Although retropulsion seems quite frequent and relevant for neurorehabilitation, research on this postural behavior is limited. One major problem is that there is no established tool available to assess and quantify the behavior. Thus the objective of this Delphi study was to develop a clinical scale to assess retropulsion in neurological disorders. The Delphi method was applied to gather opinions from experts and build consensus on the validity of the content of theScale for Retropulsion. Twelve experts from different countries and disciplines participated in the Delphi study. The Delphi process comprised three rounds. All items of the scale reached consensus in the second round. The final version of the Scale for Retropulsion includes four subtests: A) static postural control, B) reactive postural control, C) resistance, and D) dynamic postural control which are tested in a sitting and a standing (initial) position. High level of international, multidisciplinary overall expert agreement was achieved for the scale (median 9, IQR 1). This bed side test will help clinicians, therapists and researchers to evaluate postural instability in the sagittal plane and to study the epidemiology, the etiology, and the rehabilitation process of patients with retropulsion. The next stage is to evaluate the clinimetric properties of the scale.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 95%

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