Gait Training Physical Therapy

Many people believe that since travel is something that they have been doing for most of their lives, no digit needs to inform them how to walk again after an injury. Unfortunately, most injuries to the spine and lower extremities do alter travel execution and can lead to additional disability if not corrected with physical therapy and fitness training. With or without injury, gait walking mechanics frequently deteriorates with age not necessarily because of age, but most often due to getting weaker.

Gait is a manner of walking, stepping or running. More specifically, it is a program of rhythmical, cyclical movements of the trunk and limbs which result in the forward progression of the center of gravity body. Another way to think of gait is as a program of controlled falls.

How is gait evaluated? We visually notice patients travel on a grinder or up and downbound a long hallway. A grinder allows us to precisely control speed and to notice close-in. If necessary, patients can also be transcribed on video while walking,running. The video can then be slowed down, reversed, and repeated as necessary during a physical therapy session to perform a more detailed assessment of gait.Some of the things we look for during a gait evaluation are symmetry of the gait cycle, step and stride length, cadence, and walking base. Symmetry is one of the most essential 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 effect should all be rattling similar correct vs. left.

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