Gait training
1. 2. 3. 4. Mobility Stability Dynamic stability Skill
Depending on the level of patient involvement, development of specific anticipated goals for a preparatory exercise program is based on the following general goals: 1. 2. 3. 4. 5. 6. 7. 8. 9. Improve strength, power and endurance Increase or maintain range of motion Improve motor function (motor control and motor learning) Enhance sensory integration Instruct the patient in handling and moving the affected extremity or extremities Develop postural stability in sitting and standing Develop dynamic stability as evidenced by the ability to move within and between postures Improve trunk and pelvic control Develop functional balance responses
Focus of Control: Preparatory Activities for Locomotor training Preparatory Activity Bridging Focus of Control Lower trunk Hips/Pelvis Lower extremities Trunk Proximal and intermediate upper extremities Proximal lower extremities Upper Trunk Pelvis Proximal and intermediate upper extremities Trunk Pelvis Proximal and distal lower extremities (knees and ankle) Reciprocal control of lower extremities Trunk Upper extremities Proximal, intermediate, and distal control of lower extremities Trunk Lower extremities
Quadruped
Sitting
Kneeling/Half Kneeling
Modified plantigrade
Standing