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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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