exam 2: stroke rehab interventions pt 3 (cont.) Flashcards
what are the 3 types of electrotherapy for poststroke interventions?
- EMGBF: record AP and present in visual and/or auditory mode
- NMES: regaining muscle force, motor control & reduce spasticity
- FES: muscle re-education (DF on cue to improve drop foot)
locomotor training leads to improvements in _____ _______. it is one of the most ______ tasks for a patient post-stroke
aerobic capacity
salient
what is overground training?
most or least common form of gait training?
PT facilitated gait training in reciprocal stepping fashion while advancing toward an end goal.
improves gait speed and endurance
most common
when can you start to initiate gait training with a post-stroke patient?
after proximal stability in standing and good postural awareness is met
what are examples of gait training progressions?
functional movements
task-specific skills
activities that involve coincident timing
dual-task activities
what does research say about gait training at these different phases of recovery?
- chronic:
- subacute:
- acute:
- improve walking distance & walking ability but not balance
- improve balance and walking ability but not distance
- did not improve walking. too challenging
what is body weight supported TT (BWSTT)?
- open or closed loop training?
manual assistance can be provided by PT to normalize gait providing external tactile and verbal cues
- closed loop
how is BWSTT used and why is it a good way to introduce gait early to a patient in acute stage?
a harness is used to minimize weight, eliminate use of AD & allows PT to provide manual contacts
–> use it and improve it, repetition matters
research shows that there is no difference in TT vs. overground gait training, however, BWSTT improves _____ and ______
walking velocity and walking distance
what is the rationale for BWSTT?
intensive task-specific locomotor training that may facilitate cortical and subcortical reorganization following cerebral damage
what are the significant differences between treadmill walking and overground ambulation?
- swing phase:
- stance phase:
- lifting up instead of pushing off
- pulled backward instead of trunk advancing weight forward onto it
what are PT considerations for robotic-assisted gait training?
cost
set up time
research limited
carry over of gait without device
an AFO may be required when ________
- inadequate ankle _____ during swing
- _____ ankle instability
- insufficient _____ during late stance
persistent problems prevent safe ambulation
- DF
- mediolateral
- push-off