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What is needed to be a successful community ambulator? - 5
Intact pelvis control
B/L 3/5 hip flexors
3/5 in 1 knee extensor
1 KAFO
Reciprocal gait pattern
@ what level can a wheelie be done?
T1-T5
@ what level can pt be a home ambulator w/assist?
T6-T8
@ what level can pt be independent home ambulator?
T9-T12
@ what level can pt be an independent home ambulator & WC community ambulator?
T12-L3
@ what level can pt be a community ambulator w/AFO?
L4-L5
Functional gait @ what level?
T12
Reciprocal hip hiking @ what level?
T10
Crutches @ what level?
T6-T9
Ambulation @ parallel bars @ what level?
C5-T5
T6-T9 SCI - gait pattern
Swing-to gait pattern & Requires assistance
T6-T9 SCI - amb w/what orthoses?
B/L KAFOs & crutches
T6-T9 SCI - ambulation - 2
Supervised ambulation for short distances
Physiological, limited household ambulator
T6-T9 SCI - IND amb where & w/help of what?
IND in swing-to gait in parallel bars w/B/L KAFOs for short distances
T8 or T9 - standing; ambulation
Now have UE & abs
Can get away w/standing & ambulatory - very energy consuming
RGO (very short ambulation)
T12-L3 SCI - gait pattern
Swing-through or 4-point gait pattern
T12-L3 SCI - amb w/what orthoses?
B/L KAFOs & crutches
T12-L3 SCI - IND amb where?
IND amb - all surfaces & stairs
T12-L3 SCI - household ambulation
Household ambulation - IND
T12-L3 SCI - community ambulation
Community ambulation - WC
L4-L5 SCI - amb w/what orthoses?
IND w/B/L AFOs & crutches or canes
L4-L5 SCI - home ambulation
Independent
L4-L5 SCI - community ambulation
IND community ambulators
May use WC for convenience or energy conservation
Indications for Treadmill training (TT) using BWS for SCI
Incomplete injuries (ASIA levels B, C and D)
Exercise prescription for Treadmill training (TT) using BWS - frequency; duration; for how long?
High frequency (4 days/week)
Moderate duration (20-30 minutes)
Typically for 8-12 weeks
Progression for Treadmill training (TT) using BWS - 3
DEC BWS
INC treadmill speed
Eliminate manual assistance
SCI - highest level for IND community ambulator; what aids will be needed?
Low lumbar - L4-L5
B/L AFOs + canes
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Author
Tanuisha
ID
325971
Card Set
Neuro_SCI_Gait
Description
Neuro_SCI_Gait
Updated
2016-11-22T21:22:25Z
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