1/17
Looks like no tags are added yet.
Name | Mastery | Learn | Test | Matching | Spaced |
---|
No study sessions yet.
mod-high intensity walking should be performed at ___ maxHR
70-80%
locomotor CPG recommendations that should NOT be performed
sitting/standing balance without augmented visual input
robotic-assisted walking training
body weight support treadmill trading w/ physical therapy assist
benefits of HITG
increased gait efficiency & decreased O2 cost
increased average daily steps
improving walking outcomes including gait speed & distance
rapidly assist patient to reach significant outcomes on 6MWT & 10MWT
decrease resource utilization
compared to low-intensity, has greater improvements in: aerobic fitness & motor function and protection from cardiovascular events
who is NOT appropriate for HIGT
severe LE contractures
orthopedic injuries aggravated by gait
significant osteoporosis
cardiovascular or metabolic instability
cognitive impairment (following commands)
untreated major depression
If unsure about cardiovascular history/ability in terms about gait training, you should…
contact physician for clearance
parameters for moderate-high intensity =
60-80% HRR (max HR-resting HR) OR 70-85% max HR
outcome measures for HIGT
6MWT & 10MWT
target RPE for HIGT
15-17
signs to terminate HIGT
drop in SBP >10 mmHg w/ increased workload
SBP >250 mmHg or DBP >115 mmHg
angina
dizziness/near syncope
cyanosis or pallor
patient wants to stop
fatigue, SOB, wheezing, leg cramos, claudication
intrinsic risk factors for falling
advancing age
female
gait & balance impairments!
acute & chronic illnesses
cognitive & functional impairment
depression
visual deficits
muscle weakness!!
polypharmacy
h/o previous falls
extrinsic risk factors for falling
inadequate lighting
slippery floor/ice
loose rugs
uneven surfaces
cluttered walkways
use of ADs
ill-fitting shoes
if a pt does poorly on condition 4 of mCTSIB, this indicates…
vestibular dysfunction - NOT diagnostic
components required to maintain balance
quiet standing- maintain COM within BOS
self-induced perturbations- reposition COM within BOS
external perturbations- able to achieve adequate stepping responses
sensory strategies for balance
vision
somatosensory system
vestibular system
motor strategies for balance
ankle or hip strategy
stepping strategy
medial/lateral weight shifting is primarily controlled by…
hip musculature
anterior/posterior weight shifting is primarily controlled by…
ankle musculature
most difficult directions to weight shift
anterior/posterior