biodex 950-401 - Page 117

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.