do you know what is gait?
lets know more this presentation.
can physiotherapist help you with your walking abilities. click on the above slide to know more.
2. Gait Pre- requisites
• Bed mobility
• Sitting balance
• Sit to stand
• Standing balance- start on a parallel bar progress to assistive aids and
independent walking
3. How to initiate gait as early as possible?
• BWS - treadmill and over ground walking
• The overhead harness helps- gradual
loading of the weak limbs.
• Avoids excessive upper limb loading while
training.
4. ! Identify the impairments !
Management
Restorative Compensatory
5. Restorative
1. Tone management
2. Stretching
3. Facilitation/ Strengthening
4. Stimulation- Functional Electrical stimulation
5. Break down phases of gait and retrain phase wise
6. Working on the spatiotemporal parameters
7. Break down phases of gait and retrain phase wise
• Give verbal, visual or tactile cues during walking.
• Ex-
• walking on heels
• marching with exaggerate hip flexion to facilitate hip flexion during swing
8. Working on the spatiotemporal parameters
• Give verbal visual cues
10. Functional gait training
Adaptability of gait-
• Walking side ways, backways
• Walking over obstacles
• Taking pivot turns
Dual tasking-
• Walking talking
• Walking while looking around
11. OUTDOOR TRAINING
• Dynamic, real life environment.
• Training here is more meaningful for the patient.
• EX-
• uneven roads, climbing curbs, walking in crowded places, walking while holding onto his bag,
crossing roads.
SAFETY OF THE PATIENT IS THE PRIORITY