Title: 30-Seconds Therapy: Gait Retraining Essentials
3 days ago
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START:
Visual Feedback: Utilize video or mirror training to incorporate self-correction and emulation of ideal mechanics.
Actionable Verbal Cues: Specific, actionable language helps patients focus on targeted aspects of their gait at specific times. (Excessive External Hip Rotation) “Point your toes slightly inward when I saw NOW.” (Lateral Trunk Lean) “Keep your shoulders directly over your hips as you step forward.”
Haptic Feedback: Apply light resistance with a TheraBand around the patient’s knees to promote proper knee alignment. Use tactile cuing by gently tapping the patient’s hip to emphasize symmetry and control during gait abnormalities.
STOP:
Excessive Forward Trunk Lean: Avoid excessive anterior forward lean as it overloads compensatory muscles like the erector spinae and quadratus lumborum, increasing the low back pain.
2. Hip Compensations: Correct Trendelenburg gait to prevent hip abductor weakness and damage. Stop circumduction by strengthening hip flexion and improving knee flexion to prevent knee or hip cartilage defects.
3. Broad Feedback: Eliminate broad and periodic corrections. Focus on specific and direct correction.
WHY:
1. Modifications like toe-out adjustments reduce medial compartment knee loading, making them effective for patients with knee osteoarthritis.
2. Visual training and tactile reinforcement improve motor learning, allowing patients to adapt to more efficient movement strategies, understand when they are deviating from the ideal pattern and how to correct effectively.
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