Gait training after stroke (Well-enlightened)

What is the key to long-term motor learning correct answers 1. designing meaningful, goal directed, therapeutic interventions that require the patient to participate and solve problems What is goal-directed physical therapy? correct answers -results in long-lasting change in the CNS -facilitates motor learning What is good therapy? correct answers -goal -meaning -functional What is cardiovascular exercise essential for? correct answers Endurance and conditioning post-stroke and brain injury Balance training correct answers 1. Trains sensory systems required for balance 2. Strengthens lower extremeity muscle groups 3. Improves balance reactions on unstable surface conditions Posture facilitation correct answers 1. Use of manual, verbal, and visual cues for upright posture control 2. Combine posture training with gait, functional mobility, and ADL training Advantages of video games for rehab correct answers 1. Fun 2. Motivating 3. Innovative 4. Goal-directed 5. Limited in scope Gait after stroke correct answers 1. Gait dysfunction is common (80%) 2. Characterized by asymmetry and poor quality forward progression 3. Reduced velocity (0.18-1.03 m/s) 4. 50% remain permanently below community re-integration velocity of 0.8 m/s Central pattern generator defined correct answers 1. Specialized neural circuits that produce rhythmic motion without central control or sensory input 2. Can be used to improved gait What are CPGs in gait triggered by? correct answers 1. Weight bearing in mid stance 2. Elongation of hip flexor muscles in terminal stance 3. Unweighting at end of preswing re-sets the CPG List of interventions for gait correct answers 1. LE strengthening 2. AFO/NMES 3. Rhythmic auditory cues