Visual training | Posture exercises in front of a mirror |
Locating the body parts according to the straight line that is drawn on the mirror |
Training in terms of balance and strategy in front of the mirror |
Following a stable object with one’s eyes while walking to avoid collapsing of the body |
Somatosensorial training | Soft tissue mobilization on the sole |
Mobilization of big and small joints forming the foot complex |
Cervical mobilization with the aim of stimulating type 1 proprioceptors in neck |
Using a small device which vibrates when individuals increase their kyphosis |
Bandaging with a non-elastic bandage in the shape of 8 whose midpoint is on the apex of the kyphosis on the back and stretching with the bandage towards a belt on the waist to set the back in the correct position. (moving towards elastic bands from non-elastic bands) |
Kinesiotape application to the trunk extensors and the quadriceps femoris muscle |
Balance education on hard ground and on an uneven ground |
Using weights for walking education |
Vestibular training | Anteroposterior and mediolateral rhythmic weight shift in the sitting and standing position |
Exercises with ball: |
Moving the ball forwards and backwards while sitting on the ball |
Similarly, stimulating the otolith organ by little, slight, up and down jumps while sitting on the ball |
Following with the eye the reference point located half a meter away from to develop vestibulo-ocular activities |
Stimulating vestibular system by activities like jumping on mini trampoline and education on balance board in sitting position |
Sensory motor perceptual integration activities | The walking trail including different surfaces (hard and soft), objects placed close to each other and different height barrier was designed. Initially, the environment containing less objects and different surfaces was created. Firstly, auditory cues were provided to encourage patients to complete the lap. Then the trail was changed to be difficult to walk. Individuals were asked to complete the trail according to the route. Walking time was determined with a stopwatch. When the time was getting shorter, route or surface changes were made. Dual activities (mental and motor) were added in later times. |