Tuesday, January 18, 2011

Gait and stroke rehab

I know that this is stepping on PT responsibilities but I think that all PTs and OTs should have to produce something like this for their patients. Take this with a grain of salt, I do not intend this as medical advice, but education for yourself so you can be a better patient.
When I first got out of the hospital, still in a wheelchair I would sit staring at people walking to see what they were doing right that I couldn't do. My PTs did not have any videos of human gait that would have helped me understand where I was going wrong, all I got was do it this way with no breakdown into smaller pieces. I finally fired that PT and went to one that could at least see what was going wrong. here are some videos I found on the internet if you want to try and look at them and improve on your own.
Also read a complete textbook on human gait, way over my head but at least it gave me a few muscle groups to strengthen at the gym. I still waddle but the leg swing out is significantly reduced.
Gait Analysis: Normal and Pathological Function
by Jacquelin Perry, Bill Schoneberger
Besides a human walking there is a model you can slow down, speed up and turn
http://www.frontiernet.net/~Imaging/gait_model.html
coordination normal gait
Movies from the NeuroLogic Exam and PediNeuroLogic Exam websites are used by permission of Paul D. ****, M.D., University of Nebraska Medical Center and Suzanne S. Stensaas, Ph.D., University of Utah School of Medicine. Additional materials were drawn from resources provided by Alejandro Stern, Stern Foundation, Buenos Aires, Argentina; Kathleen Digre, M.D., University of Utah; and Daniel Jacobson, M.D., Marshfield Clinic, Wisconsin. The movies are licensed under a Creative Commons Attribution-NonCommerical-ShareAlike 2.5 License.
  • Biomechanics of gait walking
http://www.utoledo.edu/hshs/kinesiology/pdfs/Biomech_of_Walking_and_Running.ppt#257,2,Biomechanics of Gait Walking
http://www.cse.ohio-state.edu/research/ ... index.html
A comparison of normal and stiff-legged gaits.This one even includes some stair walking
http://www.youtube.com/watch?v=wkYMLidUO-A
Contains the skeleton walking
http://www.youtube.com/watch?v=8s0FY4D_ ... re=related
  • Muscle Activation During Gait

http://www.youtube.com/watch?v=GV6CAZiv5Zo&feature=endscreen&NR=1

  • Primal Pictures human anatomy demo
sitting to standing, toe flexing, head turning
http://www.youtube.com/watch?v=1Ohpyc2K ... re=related
  • Some free demos available here
http://www.anatomy.tv/
  • Running robot
http://www.youtube.com/watch?v=sv35ItWLBBk
  • animated gait in slow motion
http://www.nsf.gov/news/mmg/media/media/gait_final1.swf
movement analysis here go to site map/gallery
http://www.musculographics.com/index.html
demo video looks good I wish all therapy depts. could have this in order to break down exactly what stroke survivors are doing wrong so the indivdual pieces could be corrected.
http://kine.is/modules.php?op=modload&n ... load&cid=2
  • This gives the various phases of gait
http://moon.ouhsc.edu/dthompso/gait/intro.htm
A lot of this is very pertinent to me because my pre-motor cortex is dead, which means planning of complicated movements is not being automatically done so I have to manually think about and fire the individual muscles. Of course this is my own self diagnosis, which the patient should never do.
http://www.lowerextremityreview.com/news/in-the-moment-stroke
Now if we could get the 3d movements and stroke rehab mapped to standard walking then we might get to where a damage diagnosis could be correlated with the therapy prescriptions.

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