Analysis and Training of Walking for Health Conditions Flashcards
Common deviations: gait
- Reduced walking speed
- Reduced step length
- Reduced cadence
- Increased step width
- Increased time in double support phase
Common deviations: early stance
- Lack of heel strike (foot flat or toe strike)
- Reduced knee flexion or hyperextension of knee
- Increased knee flexion
Common deviations: mid stance
- Reduced dorsiflexion
- Hyperextension of knee
- Increased knee flexion
- Reduced hip extension
- Reduced lateral pelvic shift
Common deviations: late stance
- Reduced ankle plantarflexion
- Reduced knee flexion
- Reduced hip extension
Common deviations: early swing
- Reduced ankle dorsiflexion
- Reduced knee flexion
- Reduced hip flexion
Common deviations: mid-late swing
- Reduced ankle dorsiflexion
- Reduced hip flexion
- Circumduction of swing leg
- Decreased knee extension prior to heel strike
What does a walking speed of <0.4m/s indicate?
A physiological walker, limited household walker or unlimited household walker
What does a walking speed of 0.4-0.8m/s indicate?
Most limited community walker or least limited community
What does a walking speed >0.8m/s indicate?
A normal community walker (unlimited)
How can we best train non-ambulatory patients?
By targeting their main impairments through part practice when whole task training is too difficult, and using mechanical assistance to perform whole task training
How can we best train ambulatory patients?
By targeting strength and coordination impairments, and through use of cueing, treadmills, and stairs to support while increasing difficulty
What is the effect of automaticity on walking?
Those who have automatic behaviour (can walk and talk), they are less likely to have a fall than those who are not automatic walkers
