Locomotor Training Clinicnla Practice Guideline Flashcards
Pertaining to the CPG for improving walking function in ambulatory chronic CVA, iSCI, TBI what are things that clinicians SHOULD perform
- walking training at moderate to high aerobic intensities
- walking training with VR
Pertaining to the CPG for** improving walking function** in ambulatory chronic CVA, iSCI, TBI what are things that clinicians MAY perform (3)
- strength training at >70% 1 rep max
- circuit training , cycling or recumbent stepping at 75-85% HRmax
- balance training with VR
Pertaining to the CPG for improving walking function in ambulatory chronic CVA, iSCI, TBI what are things that clinicians SHOULD NOT perform (3)
- static or dynamic balance activities including pre gait
- body weight supported treadmill training wiht emphasis on kinematics
- robot assisted gait training
What are the 4 principles of neuroplasticity and motor learning that are MOST important
- specificity matters
- rep matters
- intensity matters
- salience matters
Clinicians ____ use moderate
to high intensity walking training
interventions to improve walking
speed and distance
Should
Clinicians ___ use virtual
reality walking training
interventions to improve walking
speed and distance
Should
Clinicians ____ consider strength
training (at ≥70% 1 repetition max), circuit
training, cycling, or recumbent
stepping (up to 85% HR max)
MAY
Clinicians ___ consider balance
training with virtual reality
MAY
Clinicians ___ perform sitting or standing balcne trianing directed toward improving postural stability and WB symmetry to improve walking speed and balance
Shoudl not
Clinicians ____ perform BWSTT with emphasis on kinematics to improve walking speed and distance
Shoudl not
Clinicians ____ perform robot assisted gait trianing to improve walking speed and distances
Should not
T/F: will errors enhance learning
Maybe
Elimations of errors during practice may do what to improvements after stroke
Limit
If we augment errors during learning it may do what
Enhance magnitude and accelerate learning
What improved locomotor performance in subacute stroke
Application of perturbations to augment errors to increased task difficulty to improve
What are the biomechanical subcomponents of gait
- propulsion
- stance control
- lateral stability
- limb advancement
What is the one’s ability to generate sufficient force to move his/her body in an
intended direction
Propulsion
What is the one’s ability to prevent limb or trunk collapse while walking
Stance control
What is the one’s ability to maintain body upright in frontal and sagittal
planes/maintaining balance during walking
Lateral stability
What is the one’s ability to advance the swing limb forward, achieving adequate foot
clearance and a positive step length
Limb advancement
What percent of HR max should a patient be at for intensity level
70-85%
