Samenvatting physioth. practice: Locomotion

Phys.practice: locomotion: balance & gait

1. FACILITATION
 is a skill
- Capability to feel a change in movement
- Capability to feel how to change a movement
 is never passive
 is goal orientated
 Demands a respons of your patient
 Hands-on <->hands-off

2. Facilitation: TOOLS
 Your hands are the tools by which you facilitate movement
 Your posture controls the dexterity of your hands
 The grip you use facilitates what you feel

3. a CORRECT facilitation
 Let your patient move within his stability limits: do not bring your patient out of balance
 Create an internal displacement
 This activates a feedforward mechanism(= predictive/feedforward reaction)
 This reaction improves the body schema

4. An INCORRECT facilitation
 When you move your patient out of his stability limits
 You create an external displacement
 This activates the feedback mechanism
 The patient will compensate ( head fixation, loss of dynamic legs, fixated arms,..)

5. Facilitaties praktijk
Gait initiation
 T achter P
 Onder oksels vastnemen
 Eerst voelen hoe P reageert bij
- ZW duwen
- AW-VW duwen
 COP verplaatsen
- AW
- ZW
- Glut.medius & tib anteruir activeren door initiatie




Wandelen met P na initiatie
 T achter P
 Handen aan zijkant romp
- Duimen bij vingers houden
 Dicht bij P stappen
 Ritme P aannemen
 Starten via initiatie
- Opnieuw eerst voelen reactie P
 Indien wandelen OK
- Varieren in snelheid
 T mag niet breed stappen
- Anders gaat P dit ook overnemen
Central key point: lifting the trunk

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