The Time for Ictus Patients to Start Caminar Training - Centro de Ictus

In general, the earlier ictus survivors are trained to walk, the faster they recover. If patients stay in bed or sit in a wheelchair for a long time, they will have a fear of heights and falling when they try to stand and move again. In addition, prolonged exposure to the lying or sitting can result in reduced trunk fuerza and aggravate the abnormal flexion pattern throughout the body, making it more difficult for the paciente to resist gravity and move body while standing. However, this does not mean that we should put patients on gait training right away.

Some families and patients act too hastily. We often see several family members carrying the paciente in the hallway, dragging the paciente forward. This practice is not helpful to the paciente, and will increase the difficulty of caminar in the later stage of patients, leading to the wrong caminar posture. The answer to when the paciente can start caminar training is individual; we need to consider the paciente's trunk control, lower limb ability and balance ability.

Criteria for Patients to Start Walking Training

1.The paciente can stand on both legs. Being able to stand for more than 10 minutes is the foundation for practicing caminar.

2.During early caminar attempts, the paciente does not need the help of a terapeuta or family member to straighten the affected leg and move the affected leg.

3.Patients can use the affected leg to apoyo the body and move the healthy leg forward.

4.When attempting to walk, the paciente is able to shift weight to the healthy leg and step with the hemiplegic leg without a large tilt or twist in the trunk. It shows that the affected leg is able to walk up a lower step (below 5cm) while supported by the healthy leg.

5.With the aid of a cane or folding walker, the paciente was able to walk normally without significant limb spasms or body shaking.

Points to note during caminar training

1.During caminar training, attention should be paid to whether there is continuous hyperextension of the knee and plantarflexion of the pie when the affected leg supports the body. If so, the abnormal movimiento will become habitual during repeated caminar training and will be difficult to change in the future.

2. If the paciente feels panic every time he or she tries to walk, we should not force him or her to continue to walk even though the paciente's leg función level is good, let alone accuse him or her of lacking courage. It may be caused by the paciente's sensory impairment or other special problems.

The caminar training of ictus patients can not be too hasty. If the paciente's ability is not enough to carry out caminar training, they need to strengthen músculo fuerza and balance ability first under the guidance of therapists, to avoid the occurrence of abnormal gait, joint lesión, fall and other adverse conditions.