HIGT CPG

Question 1

Limitations and caveats to HIGT (high intensity gait training) CPG

Answer 1

• Developed for post-stroke patients who had stroke >6 mo back
• Primarily applicable for gait outcomes of ‘speed’ and ‘distance’
• Based on research using individuals who were able to walk without substantial assistance
• May not apply to individuals with limited ambulatory function
• Primarily based on evidence with post-stroke individuals with limited or no direct evidence for iSCI or TBI patients

Question 2

What is the purpose of HIGT CPG

Answer 2

• Purpose is to improve walking speed and distance only

Question 3

Clinicians should perform what when using the HIGT CPG

Answer 3

• Moderate to high intensity (65-85% HRmax/60-80% HRR) gait training to improve
• gait training using virtual reality to improve walking speed & distance

Question 4

Clinicians may consider what when using the HIGT CPG

Answer 4

• LE strength training (>70% 1 rep max) to improve walking speed and distance
• Cycling or recumbent stepping interventions at higher aerobic intensities (75-85% HRmax)
• Circuit training or combined strategies providing balance, strength, & aerobic exercises to improve walking speed/distance
• Static & dynamic (non-walking) balance strategies coupled with virtual reality or augmented visual feedback to improve walking speed & distance

Question 5

Clinicians should not perform what when using the HIGT CPG

Answer 5

• Sitting/standing balance training directed toward improving postural stability & WBing symmetry b/w limbs or with additional vibratory stimuli
• Body weight supported treadmill training
• Walking interventions with exoskeletal robotics on a treadmill or elliptical devices