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kdmpt
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Posted: Tue Aug 17th, 2010 11:56 pm |
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| The LiteGait would not directly address the vestibular issues. However, it would be an ideal environment to gait train the patient with visual cues and distractions, head turning with gait, etc. because it is a fall-free environment.
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bethmassen
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Posted: Sat Jul 24th, 2010 03:00 pm |
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The patient described in previous post also has vestibular problems (double vision, inner ear issues, vertigo, poor score on Berg balance test)--Would LiteGait be helpful not just for endurance/lightheadedness issues, but also the vestibular issues?
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WebKeeper
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Posted: Mon Jul 19th, 2010 05:43 pm |
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| NKarmen response is right on target. In general LG reduces the energy cost and risk of walking and also upper body mobility activities in standing. This increases the repetition while decreasing the cost per movement. That could be integrated in the care of the described patient.
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nkarman
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Posted: Mon Jul 19th, 2010 02:07 am |
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| With an assumption that she is physiologically stable (and taking in adequate nutrition at this point, and well hydrated), it makes sense that LG would be helpful ona number of counts. By making the work of walking less she should be able to keep it up for longer, building her endurance. Another consideration is efficiency of gait pattern- the more normal the pattern, the more energy-efficient it usually is, and the longer she should be able to keep it up. I find it easier to promote a normal pattern using LG training, ESP over TM (timing and fluidity of motion in particular). From a physiological standpoint, activity which increases venous return (walking, muscle pumping) should help with BP bottoming out IF that is the source of the dizziness. But a lot of these symptoms are red flags- this pt will need serious monitoring based on her history. Last edited on Mon Jul 19th, 2010 05:40 pm by
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bethmassen
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Posted: Sat Jul 17th, 2010 09:00 pm |
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Is the LiteGait helpful for a deconditioned patient who has low exercise tolerance because of significant lightheadedness/near-syncope & balance? (these symptoms worsen during exertion)
This patient has undergone several months of outpatient physical therapy with little progress because of these issues. Patient is wanting to try another approach to make sessions beneficial.
The etiology of patient's symptoms stem from a long-term history of malnutrition (anorexia), dysautonomia, heart rate irregularity, blood pressure irregularity, and adrenal gland dysfunction.
Please note: Patient is able to ambulate without outside help, just not during or after light exercise (i.e. 6 min. on recumbant bike)
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