presented by Kay Wing
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 certified specialist in neurological physical therapy. Dr. Wing has taught courses in neurological rehabilitation and mobility training as well as instructed PNF workshops throughout the United States and internationally for many years. Dr. Wing has collaborated with A.T. Still University, Northern Arizona University, and Arizona State University in clinical research to incorporate research into clinical practice and is an adjunct faculty member at Northern Arizona University and A.T. Still University. Dr. Wing is the recipient of the Section on Administration Outstanding Service Award, the Arizona Physical Therapy Association Outstanding Physical Therapist of the Year award, the Neurology Section Award for Clinical Excellence in Neurology, and the Henry O. and Florence P. Kendall Practice Award. She was also a finalist for the 2016 Phoenix Chamber of Commerce Athena award.
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.
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.