Article
High-Intensity Gait Training: Principles, Protocol, Practice, and Planning for Implementation in Neurological Rehabilitation
Connecticut APTA Chapter
(2019)
Abstract
Presentation:
Evidence has mounted in support of high-intensity gait training (HIT) as a best practice intervention for maximizing functional outcomes in neurological rehabilitation. HIT focuses on direct application of the principles of neural plasticity and prescribes a specific dose of exercise based on the FITT (frequency, intensity, time, type) principle. HIT has resulted in improvements in gait speed, endurance, balance, and functional mobility as demonstrated by significant changes in the 6 minute walk, 10 meter walk, Berg Balance Scale, and Functional Independence Measure. Using current evidence, this interactive course will discuss supporting evidence and rationale behind HIT in the chronic stroke, spinal cord injury, and brain injury populations, describe the HIT protocol, demonstrate use with a patient in a lab-based format, and guide participants to develop a plan to implement HIT in practice.
Keywords
- High intensity training,
- neurological rehabilitation,
- FITT
Disciplines
Publication Date
Fall November, 2019
Citation Information
Andrea Oberlander, DPT, Wendy Romney, DPT, PhD, NCS and Michelle Wormley, PT, PhD, CLT. "High-Intensity Gait Training: Principles, Protocol, Practice, and Planning for Implementation in Neurological Rehabilitation" Connecticut APTA Chapter (2019) Available at: http://works.bepress.com/wendy_romney/17/