CzMA JEP Home page CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ
Journals - Article
CzMA JEP Home page News About Assocation Publishing Division Medical Journals Searching Supplements Catalogue
 
  Česky / Czech version Rehabil. fyz. Lék., 7, 2000, No. 2, p. 66–73
 
S o m e m e t h o d s a n d m e a n s o f t e c h n i c a l s u p p o r t i n r e h a b i l i- t a t i o n o f g a i t 
Mayer M. 

Oddělení rehabilitačního lékařství, Fakultní nemocnice Olomouc;
 


Summary:

       Recently some new findings regarding the pathophysiology of gait were revealed which in some ways alter our idesa on the control of locomotion. These findings are also a hopeful baseline for new approaches and principles supplementing classical kinesiotherapeutic concepts. In the submitted review the authors discuss some mehods of technical and instrumental support of rehabilitation of patients with impaired gait. Rhythmic stimulation is involved, in particular auditory rhythmic stimula- tion, as well as the problem of suspension with partial body weight support on a treadmill. The authors mention also modern approaches to functional electric stimulation, the use of gait orthoses and gait training. Certain common principles can be traced: – an attempt of most frequently possible verticalization and bipedal locomotion inpatients not walking otherwise, as the vertical position and bipedal locomotion are from the physiological and kinesiolo- gical and psychological aspectmost natural for man; – inhibition of the spasticity in particular in antigravitation muscles, restriction of pahological co-contractions; – external induction of a more physiological rhythm of gait, a more naturalů an more advantageous pattern of locomotion and proportions of the gait cycle, mechanical by various variants of electric stimulation e.g. by sound. In the near future we may foresee further development, more accurate indications, in some instances also wider application in practice. However, the main pillar of hih standard physiotherapy of gait remains the immediate and patient’s cooperation and a skilled, empathic therapist.

        Key words: auditory rhythmic stimulation, EMG feedback, functional electric stimulation,
       

Order this issue

  BACK TO CONTENTS  
 
 
| HOME PAGE | CODE PAGE | CZECH VERSION |
©  1998 - 2008 CZECH MEDICAL ASSOCIATION J. E. PURKYNĚ
Created by: NT Servis, s.r.o., hosted by P.E.S. consulting, s.r.o.
WEBMASTER