Treatment (gait Reeducation) Flashcards
What are the stages of the gait cycle (stance and swing)
Initial contact, loading response, mid stance, terminal stance
Pre swing, initial swing, mid swing, terminal swing
What does rehab of gait cycle include
Knowledge of gait cycle to identify deficits, deficits can be: muscle weakness, high tone, low tone, spasticity, ataxia, initiation problems, joint stiffness, quality of movement, cardiovascular fitness
How to address muscle weakness
Strengthening work, electrical stimulation
How to address muscle tightness
Stretches, positioning, splinting , soft tissue work
How to address high tone
Medication, soft tissue mobs, stretches, splinting, positioning
How to address low tone
Strengthening work, weight bearing, electrical stimulation
How to address ataxia
Co ordination and core stability
How to address sensory deficit
Sensory stimulation
How to address apraxia
Co ordination and core stability
Examples of walking aids
Sticks, quadripods, tripods, Fischer sticks, Zimmer frames, wheeled Zimmer frames, trolley, stroller, gutter frame, pulpit frame
Why are walking aids a last resort
When a walking aid is provided takes ability for patient to be able to use arms to balance, to use own body weight and reactions in feet and legs, trunk, head and stepping reactions all get lost, best to get off walking aid
Why use mobility aids
To reduce amount of weight taken through the lower limbs I’m standing and walking, to re educate gait, improve balance and reduce fall risk to assist confidence and level of independence of a individual may be required for long term and short term use
Safety considerations of walking aids
Check ferrules, check structure of mobility aid, check measurements, check footwear, check mobility aid is most appropriate
How do you measure for a walking stick
Usually measured in standing with elbows in slight flexion, measure from styloïde process to floor, metal stick can be adjusted
