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The Info SOMEBODY Please Teach Us to Turn | Health News

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The Info SOMEBODY Please Teach Us to Turn | Health News

Walking in straight lines in the PT gym and walking around the block at home did not prepare me for the problem solving I need do while walking.  For example, after I got home from rehab I had to teach myself to safely turn after shutting the bathroom door and again after flushing the toilet.  I had to learn to make my body turn in small spaces while handling objects like a door and cane.  

Here is another example.  The photo shows the turns I take to prepare a glass of iced tea and a bowl of cereal with a sliced banana for breakfast.  After I fell and broke my forearm while turning I got scared.  I learned to take itsy bitsy baby steps until I complete a turn before taking normal size steps in the new forward direction. 


Help is emerging.  Chen and associates trained stroke survivors on a straight or a turning-based treadmill (1).  Clients on the round treadmill held onto parallel bars while they walked in one place as the treadmill turned underneath them.  Subjects who trained on the turning-based treadmill were significantly better at turning 360 degrees and standing on a cushion with both eyes closed without losing their balance.  Using balance information from the inner ears is important.  Turning away from a counter is done by stepping backwards as you turn so information about how far away from vertical you have stepped is crucial.  Paradoxically, the turning-based treadmill group also walked significantly faster in a straight line.  Perhaps walking on the turning treadmill forced clients to learn to be more vigilant about where to place each foot so walking in a straight line was easy by comparison.  PTs and OTs need to incorporate these findings into clinical practice.  

1. Chen, I, Yang, Y, Chan, R, Wang, R. Turning-based treadmill training improves turning
    performance and gait symmetry after stroke. Neurorehabilitation and Neural Repair. 2014;28
    (1):45-55.


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