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Once a patient has mastered the functional task of sitting, the next progression is often to standing, with the ultimate goal of walking. Standing is the basis of a number of transitional positions in walking, so if one is unable to stand, they’re likely unable to walk. Join Dr. Wing in the second part of this three-part series as she demonstrates sit-to-stand transitions and walking activities for patients with various neurological disorders. Fundamental principles of motor control to function, safety, and independence will be incorporated as an essential component of sit-to-stand transitions, with an emphasis on the importance of walking speed on quality and length of life.
Kay Wing, PT, DPT, NCS is the owner of Southwest Advanced Neurological Rehabilitation (SWAN Rehab), an outpatient rehabilitation facility specializing in the treatment of stroke, traumatic brain injury, and other neurological diseases. She received her physical therapy degree at Northwestern University and her doctorate of physical therapy from Northern Arizona University. She is a board…
The inability to transfer safely from sitting to standing is a common reason for the admission of elderly patients to care facilities. In this chapter, Dr. Wing demonstrates dynamic motor control strategies throughout the phases of sit to stand. We'll take a look at the four stages of standing and identify missing components of the stages in standing for patients.
Motor control dysfunction limits safe and efficient ambulation in patients with neurological deficits. Effective treatment requires the clinician to address components of gait including range of motion (ROM), step length, walking speed, and postural control in movement. Various over ground gait training activities will be demonstrated in this chapter.
3. Gait Training on the Treadmill
The treadmill is an effective tool to provide a safe environment for the patient and the therapist. The treadmill provides the opportunity to practice new motor patterns and provide the necessary repetitions for neuroplasticity and motor learning.
When treating geriatric patients with neurological impairments, it is helpful to have a consistent, yet flexible approach. In this course, Dr. Kay Wing introduces layers of facilitation which, when used in conjunction with each other, enhance the response of the patient to the therapist's intervention regardless of their diagnosis or deficits. Using these principles of effective intervention within each treatment session will maximize benefit to the patient throughout all stages of recovery. This is the first part in a two-part lecture series on the layers of facilitation and provides the theoretical foundation for interventions in three demonstration-based courses.
When treating geriatric patients with neurological impairments, it is helpful to have a consistent, yet flexible approach. In this course Dr. Kay Wing continues with the remaining layers of facilitation which, when used in conjunction with each other, enhance the response of the patient to the therapist's intervention regardless of their diagnosis or deficits. Using these principles of effective intervention within each treatment session will maximize benefit to the patient throughout all stages of recovery. This is the second part in a two-part lecture series on the layers of facilitation and provides the theoretical foundation for interventions in three demonstration-based courses.
Geriatric patients with neurological deficits will present with a range of functional abilities. Clinicians will benefit from the addition of strategies to their intervention repertoire in order to provide the most efficacious treatment. All patients, regardless of the nuances of their specific neurological diagnosis and their function, need to progress through the basic movement patterns described in this course. Join Dr. Wing to learn how to apply the appropriate strategies for intervention to build on a patient’s current abilities and functional needs toward improving quality of life. A progression of interventions for patients with various neurological disorders will be demonstrated to facilitate motor control and postural transitions through interventions in a variety of postures and activities from the mat to functional mobility.
Older adults with neurological deficits have a greater risk of falling due to balance-related issues. This can lead to fear of falling, which in turn may decrease the patient’s mobility and further increase the risk of falling. This decreased participation and physical activity negatively impacts the patient’s quality of life. Join Dr. Wing as she presents an innovative progression of interventions from simple to complex balance activities to challenge and facilitate balance for function in a variety of environments.