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Lesley Smith
Instructor
| Joined: | Wed Aug 29th, 2007 |
| Location: | Humarock, MA |
| Posts: | 50 |
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| Mana: |    |
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Posted: Wed May 6th, 2009 12:50 pm |
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The patient actually did very well and was asymptomatic after 8minutes (x 2) with BWS compared to reported tolerance of about 5 minutes overground with an AD. He probably could've kept going but we had to shut him off due to time constraints!
I'm wondering if there was a traction component....?
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Robert Delgado
Instructor
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Posted: Mon May 4th, 2009 11:10 pm |
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hello Lesley,
Typically patients with spinal stenosis do not tolerate lumbar extension and like a flexed posture to open the canal. The amount of unloading should not affect the patient as much as how much the front straps place his spine in extension.
Good luck and like most patients you may need to adjust based on symptoms.
Robert Delgado, PT
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dorischong
Instructor
| Joined: | Sat Jun 14th, 2008 |
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| Posts: | 34 |
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Posted: Wed Apr 29th, 2009 03:33 am |
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Lesley,
If I understand correctly, the weight from LEs redistribute to the chest and trunk region when in body weight support device. Herniated disc is a precaution and we need to get clearance from MDs for loading the spine. In this case if the patient has spinal stenosis, I would think it is either a precaution or contraindication?? Any other thoughts?
Doris
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Lesley Smith
Instructor
| Joined: | Wed Aug 29th, 2007 |
| Location: | Humarock, MA |
| Posts: | 50 |
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Posted: Sun Apr 26th, 2009 01:44 pm |
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I have an upcoming training with the following patient:
78 yo male with h/o low back pain and significant scoliosis. Goal is to get him started on BWSTT for spinal stenosis related issues. Ambulates overground with straight cane community distances.
I haven't had a lot of experience with LG with either of these dx - any suggestions...?
Thanks,
Lesley
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