Walking Flashcards
What are the 3 stages of the fitts and posner model of motor learning
Cognitive -> associative -> automatic
What are the 3 stages of the systems model of motor learning
what does each stage change?
Novice-> advanced -> expert
Allows more degrees of freedom
What are the most important principles of neuroplasticity
- Intensity matters
Specificity matters
repetition matters
salience matters
What amount of steps in gait training was shown to induce neuroplasticity
2000-6000
What kind of practice is better for learning, Massed or distributed
distributed
what kind of practice is better for learning, blocked vs random
random
how do we measure intensity for patients
Use cardiovascular parameters unless they have cardiac conditions or are on betablockers, then you use RPE
how do we calculate max HR for pts
208-0.7age
What RPEs are best for gait training
14 or higher out of 20
An orthostatic drop of ________ is contraindicated in gait training
20mmhg
Systolic pressure of ________ or diastolic of ________ is contraindicated for gait training
200mmhg 110mmhg
note: also unstable angina and orthostatic drop of 20mmhg
Which of these training modes did best for gait training:
Low volume, high intensity
Limited progressive treadmill (gradual 20% increase)
or PNF
Low volume, high intensity
T or F: gait training improves performance on non-gait outcome measures
T
but non-gait training does not improve performance on gait outcome measures
Should, May, or Should not: use moderate to high intensity walking training of 60-80% HRR or 70-85% of HRmax
Should
Should, May, or Should not: Virtual reality walking training
should
Should, May, or Should not: virtual reality balance training
May
Should, May, or Should not: recumbent stepping, cycling, strength training
may
Should, May, or Should not: robot assisted gait training
Should not
Should, May, or Should not: Body weight supported treadmill
should not
however, dr. szott says we may do it if we keep intensity high and don’t unload the patient too much
Should, May, or Should not: use sitting or standing balance training to improve gait
should not
What are the 4 biomechanical sub components of gait
Stance control
limb advancement
propulsion
postural stability
T or F: too much feedback can be detrimental to motor learning
T
Should, May, or Should not: Use AFO for QOL, Improving gait speed, improving dynamic balance
should
Should, May, or Should not: Use AFO to control tone or spasticity
Should not
Should, May, or Should not: Use AFO for strength/muscle activation
may provide with decreased stiffness (for partial assistance)
Should provide an AFO if it’s a chronic loss of strength
Should, May, or Should not: Use an AFO for gait kinematics
May
T or F: AFOs are effective for improving plantar flexion spasticity in gait
False
FES should be used for what?
Mainly foot drop,
Improves: QOL
Muscle Activation
dynamic balance
gait speed
walking endurance
mobility
FES may be used for what
Gait kinematics, dorsiflexion in IC, LR, Swing
Why might a FES(functional electrical stimulation) not be helpful
Because patients with foot drop often also have problems in stance phase too that this does not address
