Gait training Physiotherapy perspective.pptx

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.

1. Gait training

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 !

5. Restorative Tone management Stretching Facilitation/ Strengthening Stimulation- Functional Electrical stimulation Break down phases of gait and retrain phase wise Working on the spatiotemporal parameters

6. STIMULATION - Functional Electrical Stimulation

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

9. COMPENSATORY Orthosis Assistive devices- walker, crutches, or quadpod.

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

12. REFERENCES Physical rehabilitation. O Sullivan 6 th edition Motor control Anne Shumway cook

13. THANK YOU