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Targeting Balance in Vestibular Rehabilitation - The Limits of Stability and Motor-Cognitive Training
Balance Assessment in Vestibular Rehabilitation - Limits of Stability Assessing the Limits of Stability (LOS) allows us to evaluate stability under dynamic conditions. This is especially important because many daily activities challenge these limits, such as leaning forward to reach an object. LOS provides valuable information about voluntary motor control required for safe and independent performance of activities of daily living. Remember that most falls occur during dynami

Ana Souto
Jan 30


Assessing Cervical Proprioception in Dizziness and Instability: The Joint Position Error Test
Neck afferent information is important for coordinated head, neck, and upper-extremity movements , as well as for maintaining body position and spatial orientation. When distorted, it can heavily contribute to altered cervical sensorimotor control, which can heavily affect balance and stability and lead to symptoms of dizziness and unsteadiness (Peng et al., 2021) . Considering this, evaluation of cervical proprioception may be the missing key to better management of dizzy

Ana Souto
Jan 26


Visual‑Vestibular Integration Assessment: Understanding Dizziness and Balance Disorders
Optokinetic stimulation (OKS) is an important tool in this context. OKS consists of exposure to large‑field moving visual stimuli, introducing controlled visual motion that creates a sensory conflict. This conflict forces the brain to reweight sensory information and reveals how effectively visual and vestibular signals are integrated.

Ana Souto
Jan 23


Understanding VOR Functional Testing: Dynamic Visual Acuity & the Gaze Stabilization Test
The vestibulo‑ocular reflex (VOR) helps keep vision stable when the head moves by generating eye movements in the opposite direction. This allows images to remain clear on the retina during everyday activities such as walking, bending, or turning the head.
When VOR performance is reduced, patients often experience blurred vision, oscillopsia, or difficulty keeping objects in focus while moving

Ana Souto
Jan 20


Limits of Stability Test: What It Is, How It Works, and Clinical Benefits
Limits of Stability is a functional and gold-standard test in balance assessment, widely used by clinicians and researchers to evaluate dynamic balance control and fall risk. This method measures how far and how well a person can shift their center of pressure (CoP) within their base of support, critical for maintaining balance during daily activities. It is essential for identifying postural control deficits , predicting fall risks , and tracking patient progress in neurol

Ana Souto
Jun 26, 2025


Advancing Vertigo Diagnosis with HINTS Plus & VNG
How HINTS Plus and VNG are advancing Vertigo Diagnosis

Ana Souto
Mar 12, 2025


5 Main Reasons for Limits of Stability reduction
Limits of stability Limits of Stability are a concept defined as the points at which the center of gravity approaches the limits of the base of support. In other words, it is defined as the maximum distance a person can displace the center of pressure (CoP) by leaning the body within the base of support without having to take a step, without losing balance (Tomita et al., 2021). The range of displacement in the anterior directions is around 6º to 8º, in a mediolateral displa

Ana Souto
Apr 5, 2024


Modified Clinical Test of Sensory Interaction in Balance - mCTSIB. How to perform and interpret the results!
How to perform mCTSIB and how to interpret the results.

Ana Souto
Feb 22, 2024


Neurologic Disorders -Assessment and Treatment of Balance
Part III - Rehabilitation Program with PhysioSensing 1. Balance and Stability – Sagittal Goal : To improve postural control, while trying to distribute body weight equally on both feet to reach a stable (balance) position. Balance and Stability - Sagittal Exercise Interface Balance and Stability - Sagittal Exercise Parameters Definition of exercise’s parameters: Tolerance: 15% - Tolerance is the weight percentage margin allowed so that the indicator remains green. To de

Ana Souto
Oct 2, 2023


One leg test balance! Very challenging!
Unilateral Stance, allows the assessment of the patient’s postural control with left and right foot raised, alternately.

Cláudia Tonelo
Jul 18, 2022


Limits of Stability > The most used protocol for balance assessment
The Limits of Stability (LOS) is perhaps the most used protocol in the literature for balance assessment in a dynamic task.

Cláudia Tonelo
Apr 19, 2022


Sit to Stand balance protocol, how to use it?
The Sit-to-Stand (STS) is a well-known test to quantify the ability of the patient to lift from a sitting position to a standing position.

Cláudia Tonelo
Feb 28, 2022


Balance Error Scoring System with force/pressure platform
Learn how you can perform Balance Error Scoring System (BESS) with Force/Pressure Platform. Check how CoP/Body Sway add value for this test.

Cláudia Tonelo
Oct 12, 2021


12 Protocols for Balance Assessment with force/pressure plate
List of 12 balance assessment protocols with force plate. A brief resume, clinical reports and main applications.

Cláudia Tonelo
Sep 3, 2021


Do you know how to assess the Fall Risk?
A look at the Fall Risk protocol Falls are one of the greatest causes of serious health problems among older adults, representing more than 50% of the hospitalizations due to lesions in this age group [1]. Falls have a multifactorial origin, which includes mobility problems, balance disorders, chronic illnesses, and impaired vision. Thus, it is important to incorporate fall risk screening in the elder’s health monitoring routine. PhysioSensing Balance Software has a protoco

Cláudia Tonelo
Jul 29, 2021


Get a perfect balance assessment
We created a new approach to balance assessment: Total Balance Pro The motive behind As we explained before in one of our articles ( What is Balance? ), balance is the ability to maintain the body’s center of mass over its base of support. Balance is achieved and maintained by a complex set of sensorimotor control systems that include sensory input from vision (sight), proprioception (touch), and the vestibular system (motion, equilibrium, spatial orientation); integration of

Cláudia Tonelo
Jun 28, 2021
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