Analysis

The Push and Release Test is a diagnostic tool used to assess balance and postural stability. It is commonly employed in clinical settings to evaluate an individual’s functional capacity and response to mechanical perturbations.

Objective

The main objective of the Push and Release Test is to evaluate an individual’s ability to maintain balance and respond to external forces applied to the body. The test is often used to identify impairments in balance, posture, and mobility, and is valuable for assessing individuals with motor dysfunction, injuries, or neurological conditions.

Scoring

The patient stands upright with their arms either by their sides or resting on a support. The examiner then applies a light pressure or push to the upper part of the patient’s body (usually on the back or shoulder). Following the push, the patient must attempt to maintain balance and return to a stable position. The patient’s performance is evaluated based on their ability to maintain balance and the speed of their reaction to the push. The test may include measuring the time taken for the patient to regain balance and the quality of their response.

References

Horak, F. B. (2006). Postural orientation and equilibrium. In: Principles and Practice of Neurological Rehabilitation (pp. 255–265). Oxford University Press.
Nashner, L. M. (1982). Adjustments of posture to altered sensory and mechanical conditions. Physiological Reviews, 62(2), 357–414.
Dawson, J., & Vellas, B. (2018). Falls, balance, and mobility in older adults. Journal of Geriatric Physical Therapy, 41(4), 223–231.
Maki, B. E., & McIlroy, W. E. (2006). The role of postural control in falls and balance disorders. Clinical Geriatric Medicine, 22(3), 351–367.