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,
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