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Understanding the mCTSIB

The Modified Clinical Test of Sensory Interaction in Balance (mCTSIB) is a test that is used to evaluate the ability of a patient to stand upright and maintain balance under a number of sensory conditions. When looking at the issue of falls amongst those in the elderly population, the impairment of the sensory systems used for balance is an important factor to consider (1). Research has shown that as individuals become older, declines in the function of the vestibular system, visual impairments, impaired somatic sensation, and impairment of the sensory systems involved with balance are all associated with a high risk of falls (1). 

The mCTSIB consists of four specific test conditions. As Goble et al. (2019) describe, “the first condition is the “standard” test condition where all three sensory systems (proprioception, vision, and vestibular) are available to assist in maintaining balance and, therefore, the smallest amount of postural sway is expected. In condition two, the eyes are closed to temporarily eliminate visual feedback, thus, increasing reliance on proprioceptive and vestibular systems. Since proprioception is more heavily utilized for balance than the vestibular system, the typical perspective is that this condition largely measures the contribution of proprioception to balance. In the third condition, the visual and vestibular systems are available, but the proprioceptive system is compromised by having the individual being tested stand on a compliant foam surface. If there is a difficulty maintaining postural sway in this condition, the visual system is typically implicated given its preference over vestibular feedback for balance. In the fourth condition, the eyes are closed and the individual stands on foam. In this case, the visual and proprioceptive systems are compromised, shifting reliance to the vestibular system as the primary sensory source used to maintain balance” (2).

Objective data
Risk of Fall
Automatic Output

Achieve Better Outcomes

Whether you are a trainer looking to isolate areas for improvement for your clients or a practitioner hoping to provide better therapies, the Kinetisense 3D balance testing module is the versatile tool you need.

What We Can Offer

This hands-free assessment is quick and easy to complete. Voice command has been implemented to allow the practitioner the ability to assist older adults and/or those who are at risk of tripping or falling while performing the assessment. Kinetisense scores each balance assessment and provides indexing for each of the sensory systems that is being tested. Trend data can be tracked via Kinetisense’s automated reporting system. PDF’s can be saved or SOAP notes can be copied and pasted into any EMR platform. The video playback feature allows the practitioner to analyze data in the frontal and transverse plane and objectively capture compensatory movement patterns. 

  1. World Health Organization. (2021, April 26). Falls. World Health Organization.
  2. Black S.E., Maki B.E., & Fernie G.R. (1993). Aging, imbalance and falls. In J.A. Sharpe & H.O. Barber (Eds.), The vestibulo-ocular reflex and vertigo (pp. 317-335). Raven Press.
  3. Beauchet, O., Fantino, B., Allali, G., Muir, S. W., Montero-Odasso, M., & Annweiler, C. (2011). Timed up and go test and risk of falls in older adults: A systematic review. The Journal of Nutrition, Health & Aging, 15(10), 933–938.

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