Gait Training, Treatment Planning Flashcards
Week 1
What are the key components of a treatment plan for neuro patients?
ICF model considerations, frequency, interventions, delegation, CPT codes, neuroplasticity principles.
What are the key factors to consider when developing interventions?
Environment, practice structure, feedback type, frequency, and evidence-based dosing.
What is the FITT principle in intervention planning?
Frequency, Intensity, Time, Type (FITT).
What tasks can be delegated to a PTA in neuro rehab?
Basic therapeutic exercises, gait training, transfers, functional mobility tasks under PT supervision.
What tasks can be delegated to a PT aide?
Setup and cleanup of equipment, assisting with positioning, non-skilled exercises (e.g., passive ROM).
What tasks cannot be delegated to a PTA?
Initial evaluations, progress notes, discharge planning, changes in plan of care, manual therapy requiring clinical judgment.
What is CPT code 97110 used for?
Therapeutic exercise: strength, endurance, flexibility training.
What is CPT code 97112 used for?
Neuromuscular re-education: balance, coordination, kinesthetic sense, proprioception.
What is CPT code 97116 used for?
Gait training therapy.
What is CPT code 97530 used for?
Therapeutic activities: dynamic tasks requiring multiple movements.
What is CPT code 97542 used for?
Wheelchair management training.
What are the key variables of gait training?
Locomotor rhythm, postural control, propulsion, adaptability to environment.
What are essential gait requirements?
Weight acceptance, single limb support, symmetry.
What are common gait deviations in neuro patients?
Spastic gait, ataxic gait, hemiparetic gait, foot drop, Parkinsonian gait.
What outcome measures are used to assess gait?
10 Meter Walk Test, 6 Minute Walk Test, Functional Gait Assessment (FGA).
What is the rationale for using BWSTT?
Facilitates repetitive stepping patterns, provides graded weight support, promotes neuroplasticity.
What are key progressions for BWSTT?
Reducing body weight support, increasing treadmill speed, decreasing manual assistance.
What are signs that a patient is ready for BWSTT progression?
Improved postural control, increased step initiation, decreased reliance on harness support.
What are the 10 principles of neuroplasticity?
Use it or lose it
use it and improve it
specificity
repetition matters
intensity matters
time matters
salience matters
age matters
transference
interference.
How many repetitions are required for motor learning improvements?
500-600+ repetitions per session.
Why is external focus important in gait training?
Enhances motor learning, promotes automatic movement control, reduces cognitive load.
What are key gait characteristics assessed in Rancho Los Amigos Observational Gait Analysis?
Step length, step width, stride length, gait speed, cadence, stride time.
What are alternative interventions to traditional gait training?
Virtual reality, exergaming, circuit training, weighted vests, perturbation-based training.
What is High Intensity Gait Training (HIGT)?
Gait training performed at 70-85% HR max to improve endurance, walking speed, and functional mobility.
