Gait ActivitiesRHS 323lecture 8

Prepared by Mrs. Muneera Al-Murdi

Gait Activities

• When methods of facilitation are used to hasten motor learning, the ability to walk may be enhanced.

• The ability to roll, creep, and stand does not ensure the ability to walk, but the quality of gait pattern may be improved by intensive performance of less advanced activities.

Gait Activities

• Patterns and techniques of PNF are used in gait activities with all types of patients and with various kinds of support, such as parallel bars, braces, crutches, and canes.

Gait Activities

Standing balance:• Standing balance is necessary to maintain

erect posture.• Maintenance of erect posture and postural

adjustments during bipedal activity are dependent on postural and righting reflexes.

Gait Activities

Standing balance:

• Patterns and techniques of PNF are used in training of standing balance, by stimulating the postural responses and groups of muscles.

• Rotation components within the neck, trunk, and extremities may be used to promote security and balance in the erect posture.

Gait Activities

Standing balance:

To facilitate the response of rotation components, pressure is applied in an anterior-posterior direction on one side of the body and at the same time in a posterior-anterior direction on the opposite side of the body.

Gait ActivitiesGait patterns :

The Goal of gait patterns are to assist the patient to develop or restore a gait pattern

that is as normal as possible.

Gait Activities

During Gait training parallel bars, walker, crutches may be used.

Gait Activities

Gait Activities

Combining movements:1. Bilateral symetrical2.Alternating ipsilateral3.Alternating reciprocal4. Diagonal reciprocal

Gait patterns

Combining Movements:1.Bilateral Symmetrical: Upper extremities advance, then lower

extremities follow (Ex, paraplegic patient) name of gait: Swing through

Gait patterns

2. Alternating ipsilateral:Upper extremity and lower extremity of the

same side advance, then the extremities of the opposite side following in a like manner.

(Ex, Arthritic with ankylosed hips)Name of gait: Two-point

Gait patterns

3. Alternating reciprocal:One upper extremity advances, then the other

upper extremity follow; then the lower extremities advance in a like sequence.

(Ex, postoperative Knee)Name of gait: Three point

Gait patterns

4. Diagonal reciprocal:One upper extremity advances as the opposite

lower extremity advances; the other upper extremity and its opposite lower extremity then advance in a like manner.

Name of gait: four point gait

Gait pattern

Walking:• Normal gait involves smooth, rhythmical and

continuous transition among component patterns.

• Walking pattern from swing phase( flexion) through a stance phase (extension). All components of motion within the neck and trunk and extremities are used are necessary.

Gait pattern

Gait training may begin by using parallel bars, walker, crutches, canes, and

freedom without devices.

Gait patterns

Parallel barssitting to standing balanceStanding and walkingCrutchesSuperior region balanceInferior region balanceWalking forward

Gait patterns

StairsAscending forwardDescending forward

Wheelchair and transfer activities

The proper use of a wheel chair by a patient as a means of locomotion may further his recovery.

Maintaining a sitting position, rising to standing from sitting, lowering to squat position, sitting, and transfer to bed or table are closely related to wheelchair activities.

Wheelchair and transfer activities

Use of hand brakePulling to standingFrom chair to bedFrom chair to standing to bed