locomotion Flashcards
high tech therapy better than home strength and balance for gait training in stroke
not superior
keep things high intensity tho
ability to achieve essential movement components depends on
rhythm
timing of rotations
free arm swing
essentail components of gait
stance phase
swing phase
functional walking requires
forward propulsion
weight shift acceptance
alignment of stance leg
single leg stance
are sensory inputs important during gait
yes
evidence to support decreasing falls
sit to stand
symmetrical weight bearing
agility, speed, functional strength
three assessment to assess gait
6 minute walk (end)
10m walk (velocity)
TUG
primary changes in post stroke clients compared to age in gait
decrease velocity, stride length
increased duration of double support phase
major kinetmiatc difference stroke and not
dec hip ext at terminal stance hip flex at swing knee flex at toe off ankle DF at heal contact ankle PF at TO
Increase knee flex at Heal contact
research of gait improvement
most change in first three months, plateau at 6
issue with gait research in stroke
sensitivity of measure an issue
limited community ambulator
.4-.8 m/s
full community ambulator
> 0.8 m/s
Red flag for gait speed
less than .6 m/s
greater than 6.67 seconds to walk 4 meters
they’ll be dependent for ADL, and falls risk
yellow flags gait speed
0.6-1 m/s
can get 6.67 second 4 m
less than .67 m/s can do ADL
need fall risk help
limited community ambulator