biodex 950-400, Application/Operation Manual, Page: 117 / 120

GAIT TRAINER 3 (v3.X SOFTWARE) 117
Everywhere: Cue
45-108 Initial Contact/
(heelstrike) Metronome/Bass Drum RAS
•
Constant music
•
Facilitates heel strike
45-108 BPM
Metronome/Down
beat of songs Initial Contact
(heel strike) Bass guitar RAS
•
A crisp sound with greater force assists with
increasing stride length
•
tends to get people to stroll
•
At slower movement ranges, it helps with
continuity of movement; (helpful with
Parkinson’s and FOG).
•
(79,89,108bpm) Can use this beat for gait, but can
take a person to
½ time. Helps with increasing
stride length and decreasing walking speed.
•
Cues the patient slow down and take longer steps .
•
Helps to reset the person’s automatic movement
ability (once mastered, cue patient to step/walk
and increase tempo again).
With 89/108 BPM
Piano/Bass together Step length
Weight Shift
Piano /Bass RAS
•
Downbeat to facilitate heel strike and with more
force to encourage step height.
•
Due to the two different alternating notes, weight
shifting will be facilitated
•
Useful with patients with neglect. Unilaterally, PT
can cue lead foot to coincide with sensory cue to
effected side.
BASS & KEYS created to be on opposite side which helps bilaterally during ambulation
42-108 BPM Upper Trunk
Mid Swing Guitar RAS (PSE
provides
anticipatory
pattern for
lift, mild
swing)
•
Facilitates
−
trunk rotation and anterior trunk posture for
those in extension.
−
arm swing and initial swing phase of gait
cycle.
−
more a side-to-side movement (makes a
person want to swing side-to-side).
45-108BPM Mid Trunk
Initial to Mid Swing Saxophone PSE
•
Created as a gently wave – relaxing feeling.
•
Helps with movement initiation. Helpful with
patients with FOG.
•
Pulling sensation at lower walking speeds; for
trunk rotation and upward trunk extension
•
Forward movement and smooth UE swing
(especially at slower tempos).
45-108 Posture elevation Clarinet PSE
•
Higher pitch octave for more trunk elevation.
•
Pulling sensation.
•
More UE/spine/height extension than SAX since
octave is higher.
45-108 Posterior WS
Lower legs
midstance Trombone PSE
•
Facilitates hip/trunk rotation.
•
Forward smooth momentum with pulling through
core and hips.
•
Ground LE movements.
45-108
Endurance Burst Mid way 2-3min cues
built in emotionally
followed clarinet
quicken sound
•
Helps when person is not moving forward.
•
Helps provide “extra boost” when person is
fatiguing.
•
It is only used in short bursts not continuous
sound and movement.
•
Monitor patients prone to ambulating with a
festinating gait pattern.