Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Thursday, December 28, 2023

Benefits of Walking Backwards

Didn't your competent? doctor prescribe you backwards walking years ago?

All this information out there on backward walking and no one in stroke is smart enough to put this all together in a protocol?  WHAT STROKE MEDICAL 'PROFESSIONAL' DO I REAM OUT FOR COMPLETE INCOMPETENCY? It took me 1 minute to find this.

Effect of backward walking treadmill training on walking capacity after stroke: a randomized clinical trial 2005

Effects of partial body weight support while training acute stroke patients to walk backwards on a treadmill-a controlled clinical trial using randomized allocation 2010

A backward walking training program to improve balance and mobility in acute stroke: a pilot randomized controlled trial 2018 

Comparison of forward walking and backward walking in stroke hemiplegia patients focusing on the paretic side 2017

Benefits of Walking Backwards

Walking backwards – also known as “retro walking” – was a past time of sorts in the United States. In 1915, a man named Patrick Harmon was challenged to walk backwards from San Francisco to New York City to win a $20,000 bet. He is said to have conquered the feat in 290 days. Harmon wasn’t the only American to walk backwards for an extreme distance, as newspaper outlets in the early 20th century regularly chronicled these challenges. Walking backwards was often done to win a friendly wager or break a world record.
You’re not likely to hear about such a strange challenge happening today. Perhaps today’s version of the sideshow would be broadcast on Instagram Live. Now, if you see someone at the gym walking backwards on a treadmill, one of two things is probably happening. That person either suffers from knee pain, lower back pain or arthritis and does it to lessen the wear and tear other cardiovascular activities put on their body, perhaps as an extension of physical therapy. Or they’re trying to work different muscles than forward walking or running work. 

Are there any benefits to walking backwards?

Walking backwards has been studied for decades. The reduced range of motion required during backwards walking as opposed to regular walking is appealing to people with certain ailments or conditions. Walking forward begins with heel contact, while walking backward begins with toe contact. A person’s heel may barely touch the ground depending on their motion, resulting in little to no impact in the knee joint.
Janet Dufek, University of Nevada biomechanics expert, has researched backwards locomotion for more than 20 years. In a study Dufek and her colleagues released in 2011, walking backwards for just 10 to 15 minutes per day over a four-week period was found to increase the hamstring flexibility of 10 heathy female students. 
Other studies have concluded that a long-term backward walking regiment reduced pain and improved mobility in people with knee osteoarthritis.
It’s also an activity that can benefit post-stroke patients. One study has indicated that walking backwards for 30 minutes a day, three days a week can improve gait, balance speed of walking and cardiopulmonary fitness. It could be helpful as part of a chronic stroke rehabilitation routine.

What muscles are toned by walking backwards?

Incorporating varied movement into workouts is important. The body adapts to movements and postures it performs most often. When we work the same muscles over and over, they naturally get tight, leading to joint compensation and eventually pain, stiffness and sometimes injury. Adding varied movements to our day-to-day activities or at the gym can help break that monotony.
While forward walking or running ignites a hamstring-dominant motion, backwards walking is generated by activating the quadricep muscles, so it’s a great exercise for the quads. This is a prime example of varied movement.
Additionally, the ankle joint absorbs the most shock while walking in reverse. Studies point to the exercise as one that stimulates the ankles and other muscles in the lower limbs, like the glutes and calves.

How to safely start a backward-walking routine

Whether you choose a treadmill or want to do it outside, starting a backward walking routine is fairly easy. But before you do, beware of the risks involved, most notably the fact you can’t see what’s behind you as you walk. Walking backwards during physical therapy has resulted in falls and serious injuries.
Practice good form by keeping your head and chest upright while rolling from toe to heel. Refrain from constantly peering over your shoulder, which can contort your body and expose you to injury.
If you are walking backwards outdoors, be sure to choose a wide-open area that isn’t crowded, has low elevation and isn’t amid a lot of trees and shrubbery that could collide with you. A large area of patchy grass or a long stretch of boardwalk are two examples. To avoid that peering-over-the-shoulder problem, walk with a forward-walking friend who can serve as your eyes. The two of you can take turns switching roles.
If you are walking backwards on a treadmill, start by holding the handrails and walking at a low speed, advisably below 2.0. As you become more accustomed to this movement, you can increase the speed setting.
Start your routine by walking backwards for 5 to 10 minutes a day several times a week. Or, during 20-minute walks, spend 5 to 10 of those minutes walking backwards. As your body acclimates to the varied movement, you can steadily increase your time. If it’s something you’ve gotten used to, you can eventually graduate to picking up your pace. Some can try challenging themselves by walking backward in a squat or lightly jogging backwards.

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