Tuesday, June 26, 2012

Gait Training bodily Therapy

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Many population believe that since walking is something that they have been doing for most of their lives, no one needs to teach them how to walk again after an injury. Unfortunately, most injuries to the spine and lower extremities do alter walking mechanics and can lead to further disability if not corrected with corporal therapy and fitness training. With or without injury, gait (walking mechanics) oftentimes deteriorates with age....not necessarily because of age, but most often due to getting weaker.

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How is Gait Training bodily Therapy

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What is gait? Gait is a manner of walking, stepping or running. More specifically, it is a series of rhythmical, alternating movements of the trunk and limbs which supervene in the forward progression of the town of gravity (body). Someone else way to think of gait is as a series of "controlled falls".

How is gait evaluated? We visually recognize patients walking on a treadmill or up and down a long hallway. A treadmill allows us to of course operate speed and to recognize close-in. If necessary, patients can also be recorded on video while walking/running. The video can then be slowed down, reversed, and repeated as needed while a corporal therapy session to achieve a more detailed estimate of gait.

Some of the things we look for while a gait estimate are symmetry of the gait cycle, step and tour length, cadence, and walking base. Symmetry is one of the most prominent aspects of gait. The movement of one side of the body should mirror the other side of the body. Arm swing, foot placement, step length, foot impact should all be very similar right vs. Left.

Injuries and or frailness often lead to heavier impact (usually, but not always) on the opposite side. Since the mean human takes 10-15,000 steps each day, expanding the impact of one foot by a force of just 10 lbs (each step) can add up to a lot of extra stress being added to that leg (upwards of 75,000 lbs) every day. No wonder "bad" walking mechanics eventually lead to more injuries.

Another tasteless gait deviation is foot placement. If a outpatient is having difficulty controlling where the foot is landing (for example: too close to the other leg, turned out/in), they may have valuable hip muscle frailness or neurological issues.

The vast majority of gait deviations can be corrected or compensated for with allowable corporal therapy and fitness training. Most corporal therapists are experts in gait estimate and training. Left untreated, valuable gait deviations can lead to injury. Taking that first step, and getting a gait evaluation, could be a step in the right direction for great health.

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