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plor
Instructor
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Posted: Tue May 4th, 2010 09:48 pm |
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Interval training is great for increasing the cardiopulmonary status of your clients as well. In fact for some clients treadmill training will be their route to cardiopulmonary fitness and improved health. This is a caution, too; as you are ramping up make sure you are aware of the client's cardio status, we all need to train in an organized fashion to build speed and endurance.
In addition, though for some the goal may be a community walking speed, I have used (as have others) the lite gait to train runners. Whether an adult is returning to running after a major insult, or a child is learning to run for the first time, the safety factor provides significant freedom.
plo'r
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kaywing
Instructor
| Joined: | Sun Jul 16th, 2006 |
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Posted: Fri Nov 6th, 2009 05:24 pm |
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| This sounds like a good approach John, because the ultimate goal for gait training is the ability of the patient to have functional community gait speed, which is a minimum of 2.0 MPH. Anything you can do to get the patients gait speed up is what !
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nkarman
Instructor
| Joined: | Sat Jul 15th, 2006 |
| Location: | New York USA |
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Posted: Wed Nov 4th, 2009 11:32 pm |
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I've used this for quite a while, just wanted to add that my "last minute" of training (before cool-down), I try and really push it- i.e. achieve new speeds- and tell the client "it's time to run." (not with true float, but to let them know that end of session is near, so we are using up all their "reserves.") They really let loose then, and are pretty excited by the progress of achieving a new record speed.
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jkelly
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Posted: Thu Oct 29th, 2009 03:11 pm |
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Just posting this to share...And to hear any thoughts/feedback, etc.
Lately I have been using the principle of "interval training" more and more as a means of progressing my patients in the LiteGait. Athletes use this principle extensively to improve their muscular and cardiovascular endurance. The basic idea is that the athlete (or patient) will be able to tolerate faster speeds for a short time than they are abe to sustain over longer periods. This is pretty much a no-brainer.
Sometimes, as I begin ramping up the speed in order to improve either walking speed, or gait quality, the patient will require increased rest breaks, or will not tolerate the same distance/time walked at the slower speed. This can be frustrating to the patient, and appear as if they are not making progress. Instead, I have, with some patients, tried using intervals to gradually ramp up the speed. For a 20 minute walking session on the treadmill with LiteGait, an example may be:
2 minutes at .7 mph (warm-up)
4 minutes at 1.3 mph
1 minute at 2.0 mph
4 minutes at 1.3 mph
1 minute at 2.0 mph
4 minutes at 1.3 mph
1 minute at 2.0 mph
3 minutes at 1.3 mph
BWS and facilitation is provided throughout in order to maintain the desired gait characteristics.
If this is tolerated well, then I may increase the "rest" interval speed from 1.3 mph to 1.4 mph on the next visit. In this case, the goal would be to eventually walk the entire 20 minutes at 2.0 mph.
Is anyone else using a similar approach? Let me know your thoughts!
Thanks,
John
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