INTERVENTIONS TO IMPROVE LOCOMOTOR SKILLS Flashcards
Objectives
- Collect responses to positional changes and observed balance strategies (Tues & Thur)
- Describe interventions to improve locomotor skills
fyi
important is Antigravity muscles
tactile cueing and approximation
Postural Tone-
Amount or excursion in one direction without losing balance
Limits of Stability
Path of bodies movement during normal standing
Sway envelope
Static postural control
Stability
Dynamic postural control
have to have stability first
Controlled mobility
knowing what adjustments of posture you wil have to make to keep balance
Anticipatory postural control
Vestibular, tactile, proprioceptive, visual with postural stability.
Sensory component
Normal Postural Synergies
Stay within LOS
these kick in first to adjust for balance loss
Ankle strategy
Normal Postural Synergies
Approach LOS
adjustment of balance to not take a step when ankles don’t kick in.
Hip Strategy
Normal Postural Synergies
Stepping
Grasp
ankle and hip strategy is not enought to keep balance
Change of support strategy
:you got pushed beyond BOS and you have to take a step or fall grabbing something.
Common Impairments in Standing?
Box 7.1
Alignment
Weight bearing
Muscle Weakness
Strategies to improve standing control for
- Flexibility and strengthening
- Postural stabilization
this is were neuro meets ortho Dr C said
Table 7.1 and Table 7.2
Flexibility and strengthening
- Core stability
- Extremity strength and flexibility
- Allow pt to use minimal touch down support
Postural stabilization
- Modify BOS, sensory input, etc
- Duel tasking- walking and carrying something
- Encourage awareness of correct position
- Focus augmented feedback on key errors
picking out one or two key things you think will make a difference for your pt.
Verbal Cueing
- WB on all four limbs
- Provides for early upright activities with wide BOS and high COM
What would initial position look like?
How can you progress this?
Modified Plantigrade
standing place both hands on hip height surface instead of paralell bars