Posts Tagged ‘Gait Deviation’
Walk this way – Run this way
What way should we walk? What way should we run? Mel Brooks and Gene Wilder wrote the script for the movie “Young Frankenstein” in which the character Igor the hunchback shows Dr. Frankenstein “this way”, and hands him his cane, expecting Dr. Frankenstein to mimic his hunched, contorted shuffle, which Dr. Frankenstein cordially does. This…
Read MoreHow 2D video motion analysis facilitates problem solving, reflective learning, & identification of novel interventions
The referral of this gentleman in the video below was for an exercise program for chronic right knee pain. The patient and the referring Physician Assistant expressed expectations that an exercise program would help decrease his pain so he could return to playing recreational basketball. There is ongoing controversy about whether high-intensity quadriceps strengthening exercises…
Read MoreSensory preference & learning optimal movement
There are many cognitive strategies to cue, prompt, and provide feedback to improve movement. Theory of focus of attention The dominant theory proposed by Gabriele Wulf and colleagues is providing cueing, prompting, or feedback to facilitate learning to move in a more optimal way is using an external focus of attention is more effective and…
Read MoreCatch 22 – Underutilization of 2D Slow-Motion Video Analysis
Why is there low utilization of 2D slow motion video analysis of movement by Physical Therapists? There are many advantages for using 2D slow-motion video analysis for management of movement disorders including increased accuracy of diagnosing movement impairments; improved communication with patients and healthcare team; increased engagement of the patient; and improved understanding of movement…
Read MoreOptimizing human movement requires clarity of description of movement
To know where you are going you must first know where you are. To optimize human movement, analysis of human movement is required. To identify optimal human movement clear qualitative and quantitative descriptions are needed. When describing human movement confusion occurs when we fail to clearly identify a frame of reference and reference point. A…
Read MoreWhole vs part method of learning to walk/run a new way: deviant to less deviant
When learning a new physical skill an individual, therapist, or coach can choose to practice a new skill in whole or part. Motor skills learning can be practicing the whole movement or part of the movement. In whole practice acquiring a skill is by practicing the movement in its entirety, whereas the part that practices…
Read MoreGait deviations clustering gait deviations – injury – new data
In a previous blog article, I discussed the question “Is there a gait deviation or cluster of gait deviations which is common across musculoskeletal pain syndromes?” The consensus is currently there is no definitive evidence suggesting one gait deviation or cluster of gait deviations occurs more frequently or is more important than another. More research…
Read MoreSide Effects Occur During Gait Training
A side effect is a secondary effect, typically undesirable effect of a drug or medical intervention. Any intervention that can produce a therapeutic effect can also produce side effects or adverse effects. The current standard of practice is to provide informed consent before beginning evaluation and treatment. Informed consent includes identifying the benefits and…
Read MoreClinical Predictive Rules for Management of Plantar Heel Pain
Medical professionals rely on clinical practice guidelines to have better outcomes, lower utilization of care, and lower costs. These guidelines have limited value since they often fail to keep up with new research findings or recently available diagnostic or therapeutic interventions. For example: clinical practice guidelines are available for plantar heel pain (plantar fasciitis) from…
Read MoreBetter cues & mental practice to improve skillful movements: Are external focus cues better than internal focus cues? It depends
Coaches, athletes, healthcare professionals, verbal cues, use mantras, self-talk, visual imagery, and skill training to improve movement. There are many cognitive strategies commonly used to improve human movement to move faster, farther, injury-free, and/or just look better moving. Types of cues: A substantial amount of research in the area of motor learning examines different types…
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