Walking training.
I. Commonly used treatment parameters recommended.
1, the degree of weight loss
Generally 0-30% of body weight, the weight loss per walk can be flexibly adjusted according to the patient’s condition.
2, weight loss walking speed
Normal people walk at 4.5-5km/hour. Set according to the specific circumstances of the patient, in the case of poor walking ability of the patient, first start with a lower speed, such as 0.2km / hour.
3 Training time
20 minutes/each time, 5 times/week
4Therapist
2 persons
5Lower limb muscle strength
Grade 2 or above
II. Training walking process
1.Standing period
(1) Foot following the ground → foot flattening
2 levels of muscle strength or above: active power-assisted movement, so that the following changes in the angle of the joint
Pelvis: forward rotation and then backward rotation of 4 ° -5 ° each, and tilt about 5 °
Hip: 30° of flexion
Knee: flexion 0°→15°
Ankle joint: plantarflexion 0°→15°
(2) Foot flattening → mid-standing
Pelvis: neutral stance
Hip joint: flexion 30°→5°
Knee joint: flexion 15°→5°
Ankle joint: plantarflexion 15°→dorsiflexion 10°
(3) Mid-standing → heel off the ground
Pelvis: rotation back 5°
Hip joint: extension 0°→10°
Knee: flexion 5°
Ankle joint: dorsiflexion 10°→0°
(4) Heel off the ground → toe off the ground
Pelvis: rotation back 5°
Hip joint: extension 10°→ neutral position
Knee: flexion 5°→35°
Ankle joint: plantarflexion 0°→20°
2.Swinging period
Acceleration period → mid-step
Pelvis: posterior rotation 5°→ neutral position
Hip joint: flexion 0°→20°→30°
Knee joint: flexion 35°→60°
Ankle joint: plantarflexion 20°→10°→neutral position
Middle stride → deceleration
Pelvis: neutral position → 5° of rotation forward
Hip joint: flexion 30°→20°
Knee: flexion 60°→30°→0°
Ankle joint: neutral position
Each training walk, according to the normal standard, multiple repetitions of normal walking movements, training time 20 minutes / time