HIGT

Question 1

Should perform:

Answer 1

• walking training at moderate to high aerobic intensities
• walking training with VR

Question 2

May consider: (CPG)

Answer 2

• strength training at >/= 70% 1RM
• circuit training, cycling or recumbent stepping at 75-85% HRmax
• balance training with VR

Question 3

Should not perform (CPG)

Answer 3

• static or dynamic balance activities including pre-gait
• BWSTT with emphasis on kinetics
• robot-assisted gait training

Question 4

4 most important neuroplasticity principles for HIGT - active ingredients

Answer 4

Specificity
Repetition
Intensity
Salience

Question 5

What are the biomechanical subcomponents of gait?

Answer 5

Propulsion
Stance control
Lateral stability
Limb advancement

Question 6

One’s ability to generate sufficient force to move his/her body in an intended direction

Answer 6

Propulsion

Question 7

One’s ability to prevent limb or trunk collapse while walking

Answer 7

Stance control

Question 8

One’s ability to maintain body upright in frontal and sagittal planes/maintaining balance during walking

Answer 8

Lateral stability

Question 9

One’s ability to advance the swing limb forward, achieving adequate foot clearance and a positive step length

Answer 9

Limb advancement

Question 10

HIGT should be done at ____% of HR max

Answer 10

70-85% HR max

Question 11

There should be ____ steps w/i a training session to see neural changes

Answer 11

2000-6000

Question 12

Intensity (work) = ____ x ____

Answer 12

force x velocity

Question 13

HR & RPE Training Parameters

Answer 13

70-85% HRmax
60-80% HRR
>/= 14/20 RPE

Question 14

Contra to training CVD

Answer 14

• unstable angina
• uncontrolled HTN (SBP >200 or DBP >110)
• orthostatic BP drop >20 with symptoms

Question 15

What is the key mediator of motor learning and rehab after stroke?

Answer 15

BDNF

Question 16

What type of treadmill training is best post stroke?

Answer 16

Speed-dependent treadmill training (low volume, high intensity)

Question 17

What population is the locomotor CPG for?

Answer 17

History of CVA
Motor incomplete SCI
TBI >6 mo

Question 18

What intensity should strength training be at?

Answer 18

> /= 70% 1RM

Question 19

What intensity should circuit training, cycling, or recumbent stepping be done at?

Answer 19

Up to 85% HR max

Question 20

T/F: frequent feedback has a negative effect.

Answer 20

T

Question 21

When should AFO or FES be provided according to CPG?

Answer 21

• gait speed
• dynamic balance
• other mobility
• QOL
• FES: strength/muscle activation
• chronic stroke walking endurance

Question 22

When MAY AFO or FES be provided according to CPG?

Answer 22

• strength/muscle activation (AFO)
• gait kinetics
• acute stroke walking endurance

Question 23

When should AFO or FES NOT be provided according to CPG?

Answer 23

Tone/spasticity

Question 24

FES should primary be used for patients with ____

Answer 24

Foot drop