smooth pursuit exercises pdf

These exercises may provoke dizziness or nausea. %%EOF endstream endobj 71 0 obj <. 0000002538 00000 n The following exercises should be performed twice daily. These exercises work in much thesame way as the exercises skaters or dancers do to keep from becoming dizzy when they spin around rapidly. Saccades Exercise #2. Postural stability training involves the alteration of one or both of the visual, and somatosensory and vestibular environments. Repeat 3 times. Kids can move their eyes from color to color or follow directions to look at the two lights when they change. If any of the exercises increase your symptoms and do not go away within 5 minutes of rest then do not proceed with the next exercise and let your therapist know. 0 Vestibular rehabilitation exercises should be initiated assoon possible. Saccades are also used in reading when a person shifts their line of site from one line they are reading to the next. 0000033604 00000 n Good, smooth pursuits are essential to everyday functions but are particularly important in the mechanics of reading and playing sports. 0000055920 00000 n 614 0 obj <>/Filter/FlateDecode/ID[<75F704863759844CA71C40FB0A30F181>]/Index[603 19]/Info 602 0 R/Length 75/Prev 540411/Root 604 0 R/Size 622/Type/XRef/W[1 3 1]>>stream 0 clinicians should not include voluntary saccadic or smooth-pursuit eye movements in isolation (ie, without head movement) as speci c exer-cises for gaze stability. `FBhZ9 ;D6?;o eD:8FGG6^^^ BJB0w0:F40h 5rt h`$$WQPtl0S@8PLt40U/zH"8Z03q3@-Sa'q)1=-M0q[Ok&ue80CZP .0UEB eC Finger to tip of nose and out (focusing on finger). Keep eyes focused on wall 20 times. Here is more information about visual tracking. During the first few times the exercise is performed, you should have another person present in case the dizzinessbecomes very severe. 3. 0000028716 00000 n Smooth pursuit eye movements allow us to keep a moving target in our fovea and clearly visualize it. Be sure to continue exercises even though you become dizzy. You want to watch the video in full screen mode. Based on moderate evidence and in consider- Smooth Pursuit Exercise #3 - Baseball with Moving Background, Smooth Pursuit Exercise #4 - Multiple Baseballs with Blue Background. Just like yoga brings awareness to the body and a sense of being present, this eye stretch activity is a great way to calm a class during a busy school day. endstream endobj startxref Begin a walking program at home. not . Perform exercise with small head movement (45 degrees on either side). In the smooth-pursuit eye movement with one leg standing, there were higher requirements for balance when the eyes and head move in the opposite direction, therefore, this movement can be recommended to people who need to enhance their balance ability. If a persons saccades are not accurate it can be difficult for them to read and retain information. These exercises are designed to improve the ability to track targets with a variety of backgrounds --progressing from a blue background to picture background then to a moving background. Stopping before complete resolution of dizziness often results in a relapse in symptoms. Saccades Exercise #4. Cornerstone Dizziness Clinic - Vestibular rehabilitation and concussion treatment exercise. 0000003850 00000 n All information on The OT Toolbox Website, its content of all types, including newsletter and social media is presented as informational only and is not a replacement for therapy assessment, diagnosis, intervention, or medical advice. Here are DIY marble run activities that make a great activity in themselves for kids. Saccades Exercise #5. Based on evaluation, these exercises may need to be performed multiple times/day. Intro Pursuit and Saccade Exercises Imagine X Functional Neurology 848 subscribers Subscribe 202 7.9K views 2 years ago Dr. Perman explains that saccades and pursuits are so important for daily. 0000004157 00000 n This activity works well with a large ball such as a kick ball and a sidewalk ramp, too. If too dizzy, slow eye movement down slightly. Smooth Pursuit Exercise #5 - Basketball with Blue Background. Increase the length of walking time by 5 minutes each week until you can walk for 30 minutescontinuously. I; )' x**#/`8wS,Hx)TC'yms@. In particular, in the smooth-pursuit eye movement with one leg standing, there were higher requirements for balance when the eyes and head move in the opposite direction. that these exercises are beneficial to you based on your condition at this time. This study examined the effects of gaze fixation and different kinds of smooth-pursuit eye movements on the trunk and lower extremity muscle activities and center of pressure. Rotate upper body left to right with eyes open, then repeat with eyes closed. learning experiences, activities designed to promote smooth pursuits and eye 127 0 obj <>stream Stop and do not proceed to the next video. 139 0 obj <> endobj xref 139 47 0000000016 00000 n Wall squat exercise with different ankle angles can be used for quadriceps muscle strengthening training for normal people and for recovery training for patellofemoral pain syndrome patients in the rehabilitation stage. Accurate eye movements create an accurate retinotopic map which is literally a stored map of the visual world surrounding us. All works published on this website do so with the consent of the author and establish The OT Toolbox as the copyright holder. 0000007439 00000 n We offer a complimentary phone consultation with a registered physiotherapist to discuss your issue and provide honest advice about treatment options. For safety, standing exercises should be performed next to a counter or next to someone. 621 0 obj <>stream Vestibular Rehabilitation Effectiveness in Unilateral Saccadic or Smooth Pursuit Exercises Effectiveness NOTE:If your symptoms don't settle within 5 minutes between each repetition. 0000016311 00000 n Join us in visual processing Lab! addressing the smooth pursuits of visual input. You will see a baseball move around the screen --follow it as timely and smoothly with your eyes as you can. Saccades are fast eye movement used to shift a persons gaze from one object to another. Double Light Eye Tag- Use two different colored lights (light-topped pens work well). Mark off where the ball should reach and stop so the child works on graded movement at the same time. Click here to learn more about Visual Processing Lab and to sign up. 0000002462 00000 n Lie there for 30 seconds or until symptoms resolve. It is confirmed oculogyration and neck movement by PNF have positive effects on the trunk stability and the standing position balance ability of chronic stroke patients. Continue to perform these exercises at least twice daily until your symptoms resolve. Methods: Twenty-four subjects were selected for the study. Smooth Pursuit Exercise #2 - Baseball with Static Ballfields. Lead your head with your eyes focusing on the floor and the ceiling. Perform first with eyes open then with eyes closed (attempt only with assistance). Speed of head motion should be increased as long as target remains in focus. 18 11 If you feel you cannot, have your nurse contact aninpatient physical therapist for assistance. 0000006742 00000 n Saccades Exercise #6 - Baseball with Moving Background. The point at which one stops the exercises is when one has no dizziness for two consecutive weeks. be offered instead of gaze stabilization (VOR) exercises, which include head movement . Start by walking for 5 minutes. You may make this more challenging by crossing arms across chest. endstream endobj 604 0 obj <. hb```fAd`CK"u/`ic'y}93beh0@QsCUywVu 53/V!.+SU~U6dd}]7*RUM5le $8vF! OHHt00D*`J 2! \CLMiN Dj)LLj7me\ [X5,fc`3MP"@ %D Scroll below to join our free visual processing lab. 0000073625 00000 n Pursuits are slow and steady eye movements that allow you to track a moving object. The Orthoptist will explain which exercises are best for each individual patient and explain how to carry them out. Simply roll a small ball slowly up the ramp and kids can watch the ball as it rolls. 18 0 obj <> endobj Keeping the laser in the target, follow the outer (lighter) pattern with your eyes into each quadrant. These maps are constantly referenced and utilized with every movement we make. This is a normal response to these stimulating exercises. Repeat 3 times. trailer If ill, after resting, try a different exercise. hb```f``5g`c`hab@ ! 800e 72 X.:cl0/fx=Vyy#-.fj( wrK|vHn`nK^n5Ifi|sy\|;cRGdX6un]"vU(ffPtBcl),i&x+qiO*:eCQ-H*y+y=aQn76Yf 0000000516 00000 n As they look up and breath or look to the left and breath, kids can even use this activity as a coping strategy. endstream endobj 2131 0 obj <>stream 0000000787 00000 n 8400 Six Forks Rd, Suite 101Raleigh NC 27615, Eye Movement Exercises to Rewire Connections in Your Brain. The brain interprets information gained from the vestibular or balancesystem. 0 Based on evaluation, these exercises may need to be performedmultiple times/day. Go back and forth 10 times, and then wait for 30 seconds (or until symptoms resolve). SMOOTH PURSUIT EXERCISES Try a Free 10-minute Phone Consult Unsure if our services are appropriate for your problem? By doing these exercisesrepetitively, one can even teach the brain to adapt to an abnormal stimulus. %PDF-1.6 % The exercises are designed to challenge your balancesystem and often cause symptoms of dizziness. 28 0 obj<>stream If possible, project the videos onto a large screen and stand 2-3 feet away so that your visual field is taken up by the screen. Saccades are initiated by the frontal lobes and the burst-velocity signals are then generated from the pontine paramedian reticular formation in the brainstem. Some of the exercises will require "dual tasking" tracking a primary target while also pointing finger at other targets that move . (Slowly first, then quickly.). Onceyou have gained a measure of improvement and control in your practice sessions, seek out sports or othermovement activities that have been difficult and spend increasing lengths of time on them until they no longerproduce any symptoms. 0000000707 00000 n HW]s6}#4c$INhq Mh? Practice with eyes open. Perform first with eyes open, then with eyes closed (attempt only with assistance). Want to learn more about HOW visual pursuits and other aspects of visual processing impact learning (in a really big way)? Perform in the sitting position. The OT Toolbox assumes no responsibility for errors or omissions that may appear in the Website. Only you can build upthe tolerance in your brain to overcome your dizziness. endstream endobj 19 0 obj<> endobj 20 0 obj<> endobj 21 0 obj<>/ProcSet[/PDF/Text]/ExtGState<>>> endobj 22 0 obj<> endobj 23 0 obj<> endobj 24 0 obj<> endobj 25 0 obj<> endobj 26 0 obj<> endobj 27 0 obj<>stream CC BY-NC-SA Last Revised 03/2018 Saccades SMOOTH PURSUIT EXERCISES. This is why the examination of eye movements is a window into brain function and a valuable tool to measure neurological health. Visual pursuits are another term for visual tracking. If this is too hard at first, practice walking almost heel to toe and gradually work to heel to toe touching. \cH>4ahE Gv2Mlfp4MSVD D9@?_;zlU5TB+CST2G@_q7we0l QeH/C*>B*w~]-_? %PDF-1.4 % Now repeat the entire process 3 more times but this time looking at the ceiling or floor. 3. 0000023859 00000 n Visual skills like visual tracking, or smooth visual pursuits are a visual processing skill that allow us to perceive and retrieve visual information. You may make this more challenging by placing feet closer together. Get the latest tools and resources The goal is to stand for the entire 30 seconds without touching the wall. This stimulation produces information to be processed by the brain. You want to keep an upright posture throughout each exercise. To train movement of the eyes, independent of the head. Move eyes to floor and back 20 times. 0000079539 00000 n For Questions or Emergency Care:Call the office at 601-984-5160. %%EOF Based on moderate evidence, clinicians may offer specific exercise techniques to target identified Bend forward and touch ground then sit up. Encourage kids to keep their face steady as they use just the eyes to follow the light. hbbd``b`$;A If these. 01f8QPP ,-]\f3mdec:C]%yIn:$MNb\387rps;8Ys ~qk]C\Xsq}TdVi)rw?}|,|x4"@3'VM,@B%^!M\MV$K m m @SfF.fo@?|HC%&biW=lPz&ukP(8tl${lN{0L,~@BH!2 0000033348 00000 n Progress to standing while performing head exercises. Craft Stick Puppets-Create small craft stick characters puppets to make a visual cue as a visual prompt for follow movement patterns. You will see a baseball move around the screen --follow it as timely and smoothly with your eyes as you can. Rightward OPK is generated by the right brain and leftward OPK is generated by the left brain. 13 Smooth pursuit eye movements (SPEM) are critical to humans' 14 ability to see and interact with the world. 0000003440 00000 n The results showed that fixed backgrounds and stationary gaze fixations attenuated postural sway, and oscillating backgrounds and smooth pursuits increased postural swayed, while there were no differences regarding saccades. 2148 0 obj <>stream xb```f`` Roll a ball up a slanted surface and ask the child to keep their eyes on the ball! 0000000916 00000 n endstream endobj startxref 0000002359 00000 n Exercises demand full concentration. Crossing arm across your chest also makes this more challenging. 6. <<60AD1F37B774974A9E7A1A2B89BDFDF2>]>> Once you have mastered these with eyes open, practice with eyes closed. This reflex is poorly developed in children with neuro-developmental disorders. Let your symptoms settle. You should walk 5 days a week. hbbd```b``.3@$5{0&e#@$y3H2=WN``bd`z7@ & endstream endobj startxref 0000003068 00000 n Flash one color on and then the other. If you wear glasses, wear them while performing exercises. NOTE: If your symptoms don't settle within 5 minutes between each repetition. %PDF-1.5 % Repeat this 10 times. Four Functions of Smooth Pursuit. %%EOF DGd;$Oz` Hopefully, these activities to improve visual pursuits is a helpful addition to your therapy toolbox. No image or information displayed on this site or related domains including social media may be reproduced, transmitted, or copied without the express permission of The OT Toolbox. Combine slow and deep breathing with deliberate eye movements. Clinicians should not offer saccadic or smooth-pursuit exercises as specific exercises for gaze stability to individuals with unilateral or bilateral vestibular hypofunction. You will see a basketball move around the screen --follow it as timely and smoothly with your eyes as you can. Vestibular exercises merely stimulate the vestibular apparatus. better. trailer <]/Prev 530518>> startxref 0 %%EOF 185 0 obj <>stream 2142 0 obj <>/Filter/FlateDecode/ID[<4B9CFADA9D872E4D988130A54A51A8DB>]/Index[2127 22]/Info 2126 0 R/Length 76/Prev 388581/Root 2128 0 R/Size 2149/Type/XRef/W[1 2 1]>>stream View 2 excerpts, references methods and background, Archives of physical medicine and rehabilitation. Throw ball from hand to hand under one knee. hb``e``^01G,30j0209Pgaa+u=t{$Z7p$1MabR!GmaO3 Y A4P@:`cN xQah5B[h&VcQd;_g;gY\Yp~t4:DL&jSHw}FC5Zh8u. Every time a person tracks or follow an object they are using an eye pursuit mechanism. Visual processing skills have a huge impact on learning. In a corner, stand on a couch cushion or several pillows. 0000002597 00000 n . 0000032535 00000 n When the head and eyes moved in opposite. 161 exercises assigned took participants through a series of exercises including: Down-gaze Central 162 No-No, Up-gaze Central No-No, Down Right-Diagonal Saccades followed by Upward Pursuit, . Patient Appointments: 888-815-2005, Department of Otolaryngology Head and Neck Surgery, Facial Plastic and Reconstructive Surgery, Intellectual Property and Commercialization Office. 0000002864 00000 n Visual tracking is an oculomotor skill that is essential for learning, reading, and so many tasks we perform. Do not be afraid of your dizziness. This is an essential eye movement that allows for visual function as the surrounding visual environment passes by. Repeat 3 times. www.umc.edu, General Information: 601-984-1000 Deficits in eye movements can localize the area of neurological compromise and can then be combined appropriate to rehabilitate brain function and symptoms. 2. These barnyard animal puppets make a great DIY puppet tool for a visual pursuit and tracking activity. One of the most common ocular motor deficiencies seen in neuro-developmental disorders and decreased brain function is poor gaze stability. International journal of exercise science. This requires activation of many secondary surrounding brain areas to modulate and check the feedback information on eye movement accuracy and if the motor commands were carried out exactly as it was intended. Its a 3-day series of emails that covers EVERYthing about visual processing. In a sitting position, turn your head to the right and then left, leading your head with your eyes as if you are watching a tennis match. an oculomotor skill that is necessary part of visual processing. Specific eye movement exercises are prescribed for each patient and tailored to address their individualized neurological dysfunction. 101 0 obj <>/Filter/FlateDecode/ID[<558EBA134C5BA141A0FF3DD3C6CD1139><75D6A8F2BEA6BD4F9B0CB8BE2EE71D42>]/Index[70 58]/Info 69 0 R/Length 142/Prev 497468/Root 71 0 R/Size 128/Type/XRef/W[1 3 1]>>stream 0000000016 00000 n Marble run activities- There are many marble run products on the market that provide an opportunity for improving smooth pursuit of the eyes. This brain imbalance is seen in many people with neurological deficits. When this is easy, practice with eyes closed. 0000073094 00000 n At the right end of the bar is a small icon to make the screen larger. All exercises are started in exaggerated slow time and gradually increase speed to a more rapid rate. Vestibular rehabilitation exercises should be initiated as soon as possible. 2. 0kWpvP~Ka H$e]S-jq9mOe>$TXer:`%d)Fd>Rd)Vd)AWd}LJHJ#+*lIY\PDu. Therefore, this movement can be recommended to people who need In the visual processing lab, you will discover how oculomotor skills like smooth pursuits make a big difference in higher level skills like learning and executive function. You should progress by performing this in the most challenging position possible. 0000027668 00000 n Turn your head at a speed brisk enough to generate symptoms but not so fast that you strain your neck. Saccadic exercisesa Strong recommendation against I Smooth pursuit exercisesa Strong recommendation against I Targeted exercises Moderate recommendation II Supervised exercises Moderate recommendation II Gaze stability exercise for 12-20min/dayb Expert opinion V aOffered in isolation. therapy geared toward visual processing skills. Try to stand still without touching the wall for 30 seconds. startxref Where you wont need Bunsen burners or safety goggles! The best thing about this lab (besides all of the awesome info) is that it has a fun lab theme. cf`aX{a6F*apepY$>b,c1&H3520x+ hbbd```b``z "'@$CD2 `{w`#`Xv.$0[D8wH0{HMm"}llzFeV d|$pd`*H%P "30|` aF Try a circle, uppercase letter H, triangle, straight/diagonal lines, etc. Ex: Reading a road sign while driving 2) Cancellation of VOR during head tracking. Based on moderate evidence, clinicians may offer specific exercise techniques to target identified impairments or functional limitations. You will see a circle appear randomly around the screen. Hold your index fingers about 12 inches apart at eye level. Repeat 3 times. For even MORE visual tracking and pursuit activities to use in your occupational therapy practice, you will want to join our free visual processing lab email series. Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin. 0000006317 00000 n The frontal lobe is important in executive functions, attention, and learning. 0000001011 00000 n 0000004600 00000 n In fact, it is one of the visual skills that can impact learning in a way that isnt always directly observable. If any of the exercises increase your symptoms and do not go away within 5 minutes of rest then do not proceed with the next exercise and let your therapist know. The purpose of these exercises is to improve ones central or brains compensation for injuries or abnormalitieswithin the vestibular or balance system. 0000008041 00000 n 2127 0 obj <> endobj various eye exercise that can be done in fun ways as a part of occupational Each hemisphere is responsible for ipsilateral smooth pursuit eye movements, meaning the right hemisphere detects and tracks images as they move to the right and the left hemisphere detects and tracks images as they move to the left. Relaxing breathing eye stretches- This visual tracking activity is a way to work on smooth pursuits in a very mindful way. We take a closer look at visual skills and break things down, as well as covering the big picture of visual needs. You may need to speak with the doctor on-call. The quality of the OPK response can help us determine what side of the brain is not functioning as well. Saccades Exercise #3. Based on moderate evidence, clinicians may offer speci c exercise techniques to target identi ed impairments or functional limitations. Smooth pursuit Holding a single target, keep eyes fixed on the target. Generally, to encourage the re-building of confidence in making easy, relaxed, spontaneous movements. cVU\)/` p Smooth-pursuit eye movement with one leg movement affects balance. Youshould try to work through these symptoms if possible. For safety, standing exercises must be performed close to a counter or next to someone. 0000044606 00000 n To make this activity more fun, try adding a deflated balloon to the top of the flashlight. These exercises should be done at least three times a day for a minimum of 6 to 12 weeks or until the dizzinessgoes away altogether. By clicking accept or continuing to use the site, you agree to the terms outlined in our. when you step with your left you look left, when you step with your right you look right). 0000073747 00000 n nkSYsZu4KiNG@"n*,}kR"aL 5i0im@A"IL$sy44RmX8T3w]} 0000059947 00000 n Do 3 sessions per day. In a hallway or open space, practice walking in a straight line while turning head and eyes left and right with every other step (i.e. Interactive Campus Map The information provided on the Website is provided as is without any representations or warranties, express or implied. I might have had too much fun with this one . Pursuits are slow and steady eye movements that allow you to track a moving object. 5. A persons saccades can be evaluated to determine their level of frontal lobe and brainstem function. 0000020096 00000 n Continue for the length of the hallway or about 20 feet. (.(f&(7TQjqnh{ l!e2*u@3?: 7mQge0. Let your symptoms settle. Just like yoga brings awareness to the body and a sense of being present, this eye stretch activity is a great way to calm a class during a busy school day. Turn shoulders to right and then to left 20 times. Cooksey exercises, developed in the 1940s, consist of a series of eye, head and body movements aimed at treating . Find the circle as quickly as you can and say aloud the number inside the circle. 0000041082 00000 n {ZaQTD`@76H^6O>134E.oS C6Y`. 0000034453 00000 n The following eye movements are measured and used as treatment therapies to remap problematic brain circuits: It is essential that the brain stabilizes the gaze of the eyes for proper focus and attention as well as motor coordination. Encourage kids to keep their face steady while using their eyes only to watch the item fall through the marble run. 1. GKKTz*9 FNi4p9 FNiIt_bL3<3_=Kpg x These visual tracking activities are easy and creative ways to work on eye movement and smooth eye movements. 70 0 obj <> endobj Stop and do not proceed to the next video. Combine slow and deep breathing with deliberate eye movements. Let your symptoms settle. To start, input the password provided to you, and push the play button on the video then a play bar should appear at the bottom. hTj@}l)A{@8nMmJI yPad9 Understanding muscle activation patterns amongst squat variations can be practically applied by therapists, coaches and trainers to aid in reducing risks of arthrokinetic dysfunction via synergistic dominance, faster return to physical activity and normal functions of daily activity. To practice balancing in everyday situations with special attention to developing the use of the eyes and themuscle sense awareness. Avoidingthem will only prolong ones convalescence. Slowly move it side to side for 30 seconds while head stays still. sent right to your inbox! 0000012336 00000 n All Rights Reserved. Based on moderate evidence and in . movement can be helpful. %PDF-1.6 % 0000008097 00000 n Keep provoking your dizziness many timeseach day, realizing that each purposeful, controlled episode of dizziness brings you closer to your last one. 0000002220 00000 n 'L@RH*?GFtIF Sz667n~)N;5S$Y:Bg6"j$ 4j(|a#W|B `r-1mMb0L^m1nK\_. To practice head movements that cause dizziness. It is characterized by smooth, conjugate eye movements. ;E ra3({ qLs]I\V ezRGl.!)%+sGLbjgNAyq!h3JhG)cS,E#e-~ Throw a small rubber ball from hand to hand above eye level. These exercises are to improve the ability to track targets with a variety of backgrounds progressing from a blue background to picture background then to a moving background. The activity of trunk and lower limb muscles (tibialis anterior, lateral gastrocnemius, medial gastrocnemius, vastus midialis obliques, vastus lateralis, biceps femoris, rectus abdominis, and erector spinae) and the COP (center of pressure) (surface area ellipse. 0000051382 00000 n To become accustomed to moving about naturally in daylight and in the dark. Repeat 20 times in each direction per session. When there is an injury or abnormality in any portion of this system, the brain must be retrained or taughtto interpret correctly the information it receives. These exercises include neuromuscular control skills, which have evolved for the focus of vision system on the target and smooth pursuit for the moving target or one target jumping on another . Co-morbidities and vestibular suppressants may limit the success of therapy. Also try having the child to sit in front of the ramp and be in charge of rolling the ball. This study examined the effects of gaze fixation and different kinds of smooth-pursuit eye movements on the trunk and lower extremity muscle . Its a 3 day email series where you will learn SO much about visual processing and how it impacts everything, but especially learning and cognitive skills. ] u EFFECTIVENESS OF SACCADIC OR SMOOTH-PURSUIT EXERCISES IN INDIVIDUALS WITH PERIPHERAL VESTIBULAR HYPOFUNCTION (UNILATERAL OR BILATERAL). Therefore, the purpose of this study was to investigate the effects of oculo-motor exercises on static postural stability in healthy female adults. Tape the target X's on the wall about 3 feet apart. H\n@C =,Yv"?Z'a oST)4LW|nr840S1\[l;sg]3}SUabbmK'pk)%|oz7_}Ifhuj^B~[+n;:fUHzE~~Q___SO rI.jZ l%J`+7uu_[hAa}A>x3GvOOOyYY> Smooth Pursuit Exercise #1 - Baseball with Blue Background You will see a baseball move around the screen --follow it as timely and smoothly with your eyes as you can. What Do Pediatric Occupational Therapists Do. Jackson, MS 39216 Kids can perform these activities as part of a therapy program and while working on functional skills within an occupation. Sling exercises with vibration improved the trunk muscle activities of healthy adults compared to the sling exercises without vibration, and is important for clinicians who use lumbar stabilization exercises as an evaluation tool or a rehabilitation exercise. 0000051962 00000 n In a corner, practice standing heel to toe (one foot in front of the other with the heel of one foot touching the toe of the other foot) with eyes open for 30 seconds.