Intro to Gait Training

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Introduction to Gait Training

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PTA 200 Modalities and Procedures in Physical Therapy : 

PTA 200 Modalities and Procedures in Physical Therapy Gait Training

Gait Training : 

Gait Training Goal Maximize functional independence and safety at a reasonable energy cost

Preparation for Ambulation : 

Preparation for Ambulation Review medical record Assess and know the patient’s problems and abilities. Establish goals and expectations Determine selection, proper fit Safety belt Explain and demonstrate Body Mechanics

Preparing the Patient : 

Preparing the Patient May need to improve: Balance Coordination Flexibility (ROM) Strength Endurance

Major Muscle Groups : 

Major Muscle Groups Upper Extremity Scapular Stabilizers Shoulder Depressors Shoulder Extensors Elbow Extensors Finger Flexors

Major Muscle Groups : 

Major Muscle Groups Lower Extremity Hip Extensors Hip Abductors Knee Extensors Ankle Dorsiflexors

Progression of Ambulation : 

Progression of Ambulation Initiate in Parallel Bars Maximum security Stability Safety Explain to patient prior to beginning treatment Demonstrate

Progression of Ambulation : 

Progression of Ambulation Remain inside bars to assist decreases risk of injury (patient, self) For PWB status, special devices/scales may be used “Toe-Touch” or “Touch-down” (TTWB) Use heel-strike NOT toe-touch secondary to abnormal gait pattern

Appropriate Guarding Techniques : 

Appropriate Guarding Techniques Gait Belt Position yourself behind, slightly to side of patient 1 hand on gait belt, 1 on shoulder Move in cadence with patient

Appropriate Guarding Techniques : 

Appropriate Guarding Techniques If patient falls backward… pivot toward patient widen stance guide patient to you If patient falls to the side… guide patient to upright If patient falls forward… step forward lower patient to floor with gait belt