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
green light gait speed
> 1m/s
<4 seconds to walk 4 m
functional community ambulatory
to cross two lanes of traffic
<1.14 m/s
intervention aims to optimize walking performance :
prevent adaptive changes in soft tissue elicit voluntary activation increase strength increase velocity make it flexible n adaptive increase CV fitness
Gait treatment optons
task specific whole task or part adaptive equipment strength feedback mental practice virtual reality
do you just train stance and swing
no whole task
is body weight support treadmill good
yes but need ground training too or its not
purpose of orthoses
safety
energy conservation
prevention of damage to joint
steps RCT
body weight supported on treadmill
locotmotor strength (bike)
strength
muscle specific
upper extremity ergo
evidence for EMG biofeedback in retraining strength gait ?
no
promote the capacity to create ____ while moving in all ___ and maintaining __
vertical orientation
directions
balance
is just practicing gait enough
not all factors limiting gait too
ability to achieve essential movement components depends on
rhythm
timing of rotations
free arm swing
