Body Weight Support Flashcards
1
Q
clinical impairments treated with body weight support:
A
− Balance deficits
− Strength deficits
− Motor control deficits
− Postural control deficits
− Endurance deficits
2
Q
contraindications for harness
A
- When loading of the hip, pelvic, abdominal or chest regions is prohibited by physician orders- harness will compress these regions
− Patients with orders for NWBing or decreased Wbing through legs - Acute fractured rib (until new bone formation begins)
- Over wound vacuum assisted closures in harness region
- Pregnancy
3
Q
strong precautions
A
- DVT
- Spondylolisthesis
- Large disc bulge/rupture with acute or worsening neurological signs
- Abdominal aortic aneurysm
- Known metastasis in harness region
- Wounds under the area of harness contact
4
Q
harness precautions
A
- Gastrointestinal tube
- Colostomy
- Baclofen pump
- Catheter
- Compromised skin integrity
- Absent sensation
- Acute post hip surgery
- Acute abdominal surgery
5
Q
rationale for use
A
- Motor learning paradigm
- Musculoskeletal
- Psychological
- Locomotor Central Pattern Generator
- Safety
6
Q
rationale for use - motor learning
A
- Use of partial body weight support system can provide task specific, whole practice for locomotor training
- Lower metabolic demand of partial body weight support system for locomotor training may allow client to:
− practice for longer time period
− at a faster pace
− thus affording more opportunity for practice
− longer time x faster pace = more steps
7
Q
rationale for use - musculoskeletal
A
- Provides unweighting through joints during gait reduce pain and allowing
for earlier mobilization - Provide unweighting through joints during gait allows for greater range of
motion at joints - Similar concept to use of buoyancy of water in therapeutic pool
8
Q
rationale for use - psychological
A
- Reduction of fear of falling during ambulation
- Impression of “high-tech” equipment
9
Q
rationale for use - central pattern generator
A
- Locomotor Central Pattern Generator relies on specific sensory information for trigger, modification of pattern in response to environment
- Use of partial body weight system may be more optimal environment to provide required sensory information to Central Pattern Generator
10
Q
rationale for use - safety
A
- Allow to safely ambulate patient that may be at high risk to fall for variety of factors
− Size
− Ataxia
− Apraxia
− Impulsivity - Reduce number of staff required to provide safe environment for ambulation
11
Q
parameters
A
percent body weight supported
speed
duration
frequency
12
Q
% body weight supported
A
upper limit of 30% body weight support
13
Q
speed
A
- Greatest improvement in self selected walking velocity noted with fast training speeds (>2 mph)
14
Q
duration
A
- no consensus
- 15-45 mins
- CPG recommends dosing in aerobic zones
15
Q
frequency
A
no consensus
3-5x/week for 3 weeks up to 12 months
