Monday, April 23, 2012

Analysis of my walking for stroke rehab

I am currently wearing an AFO mainly because it feels safer and stops my foot from rolling. I will have to wean myself off  of it because I need to strengthen my ankle muscles in preparation for running. I have foot slap  and have absolutely no toe-off
From this site come the phases of walking, looking at foot placement.

 http://www.footeducation.com/biomechanics-of-walking-gait



As soon as I start lifting my foot into swing phase I have to counteract the spasticity that tries to invert my ankle. This means I can't concentrate on dorsiflexion and lifting my leg behind me with my hamstrings. Even with my AFO my toe drags on the ground wearing a hole in the sole. The AFO is actually making my gait worse.  This is not medical advice, I'm not worth listening to.
This diagram from NIH gives the complete cycle.
http://www.ncbi.nlm.nih.gov/books/NBK27235/



One would think that PTs would be required to objectively map your gait to normal walking in order to correct your problems. Like this computerized gait analysis.
I posted videos on gait earlier here:
http://oc1dean.blogspot.com/2011/01/gait-and-stroke-rehab.html
Maybe watching them will trigger action observation.

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