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dorischong
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Posted: Fri Dec 4th, 2009 12:13 am |
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Haven't done a literature search on PT and hemiballism, but with all other movement disorders, weighing and intensive task practice seem to be the common practice. You can definitely achieve intensive task practice by the body weight support environment. In my experience, trunk weighing is more beneficial than ankle weighing. Also, I would make sure the yoke is not too far from the patient's head (6" is ideal) to minimize the degree of freedom and to increase stability. I would also try having his hands on the handle bars to facilitate trunk co-contraction, although it depends on what goals you want to achieve.
Movement disorders and ataxia are challenging....wish there is majic....
Doris Chong, PT, MSc, NCS
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Sandra Villam
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Posted: Mon Nov 30th, 2009 05:59 pm |
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| By high demand I mean that he is working hard to keep the pace I am setting. He does have body weight support, no hands. I plan to try wieghts on his ankles as well. Yes, his head still moves quite a bit.
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WebKeeper
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Posted: Mon Nov 30th, 2009 05:28 pm |
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| I am trying to understand your present method. Can you further explain "high demand treadmill pace"? Does that mean movements are passive? Heavily facilitated? How much body weight support is provided? I assume the head still moves but is trunk stablized while in LiteGait?
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Sandra Villam
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Posted: Wed Nov 25th, 2009 03:00 am |
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| I am looking for treatment techniques for a gentleman with hemiballismus following a thalamic CVA. His movements are athetoid & choreic on the left and include constant head movements. We have been using body-weight support with a high demand treadmill pace--he fatigues quickly but his movements are far less affected. Any other ideas?
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