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IM Gait
 Moderated by: shanna  
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geomosley
Instructor
 

Joined: Mon Jan 12th, 2009
Location:  
Posts: 14
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 Posted: Tue Feb 10th, 2009 06:16 pm
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I don't know what the effect on other types of patients would be, but this type of thing has shown promising results with Parkinson's patients.  See article: The immediate effect of attentional, auditory, and a combined cue strategy on gait during single and dual tasks in Parkinson's disease. Baker K; Rochester L; Nieuwboer A; Archives of Physical Medicine & Rehabilitation, 2007 Dec; 88 (12): 1593-600.

Geoff Mosley

Robert Delgado
Instructor
 

Joined: Thu Aug 30th, 2007
Location: Sacramento, California USA
Posts: 14
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 Posted: Tue Jan 27th, 2009 05:26 am
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My reply doesn't address specifically IM or BPM; however I often use music as a method to stimulate and increase the cadence of my patients gait and find it helps distract them from feeling tired or over focusing their gait with too much cognition and not as much automatic procedural walking.  Making PBWSTT more enjoyable as well is a key in performing the mass correct practice for the best carryover.   I often use music that has a similar beat to their walking cadence, or just use music they enjoy.    I  think as a teaching method, auditory feedback is important for the therapist and patient.   I often will have the patient listen if they are rubbing or hitting harder on one foot to the surface of the treadmill so that they can change the gait to and reduce the abnormal sounds and thus improve clearance, step length, or stance time.   Abnormal sounds during swing or initial contact  will often indicate that my patient is getting tired.  I hope this was helpful.

Robert Delgado, PT

Dr. Andrew Ball, PT, DPT, PhD
Instructor
 

Joined: Fri Jan 9th, 2009
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 Posted: Sat Jan 10th, 2009 03:46 am
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I haven't used their newer device, but I have used interactive metranome.  My thought is that I get the results I'm looking for, and with MUCH less expense, by simply buying an electronic metronome with a headphone jack from a music store.  Only drawback is that with my method, the patient doesn't get auditory feedback that helps them realize when they are hitting the ground correctly or not --- so I have to do it (and in so doing, justify to the family why I'm needed in an otherwise automated process).  Also, it takes a little work to translate BPM of the metronome with mph on the treadmill. 

Dr. Andrew M. Ball, PT, DPT, PhD

 

jkelly
Instructor
 

Joined: Fri Jun 20th, 2008
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 Posted: Fri Jan 9th, 2009 06:53 pm
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Has anyone heard of or used the IM Gait, either with our without BWS?  Here is a link: http://www.interactivemetronome.com/IMPublic/Gaitmate.aspx

I was sent this link, and it looks intruiguing...Just wondering if anyone else has had any experience with this.

John Kelly


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