risk of falling and the consequential way of walking ... · risk of falling and the consequential...
TRANSCRIPT
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Risk of falling and the consequential way of walking.
Perspectives for new evaluationsand treatment
Costanza Garruto
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SINCE FEBRUARY 201861 PATIENTS
NEUROLOGICAL DISEASE
• Emiparesis• Paraparesis• Cerebellar syndrome• Multiple Sclerosis• Guillain- Barrè
ORTHOPEDIC DISEASE
• Hip and knee protesis• Fractures• Politraumas• Ankle traumas
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INCLUSION CRITERIA
Reduced trunkcontrol
Difficulty in multitasking exercises
Deficit of resistence
Deficit of strength
Deficit of :• Balance• Proprioception• Load
Neurological patients Orthopedic patients
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EXCLUSION CRITERIA Cognitive compromission
Height inferior than 1.50m
Cardiac disease
Joint stiffness
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REHAB PROTOCOL
GIVEN BY THE MACHINE GIVEN BY THE OPERATOR
(MOST COMMON CHOICE)
Exercises modifiable in lenght and difficulty
20 sessions, 5 times a week
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OUTCOME MEASURES
At the beginning and in the end
MI; SB; FAC; TCT
Gait analysis
Hunova Evaluation: stabilometric test and limits of stability
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Stabilometric test (open/closed eyes)
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Limits of stability
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RESULTS
0
1
2
3
4
5
6
T0 T1
NEURO
ORTO
Stabilometric test (OE) Limits of stability
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CONCLUSIONS
Hunova as support en rehab
Evidences of recovery
Personalized and editables protocols
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FUTURE GOALS
Enlarge sample
New trials
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THANK YOU FOR YOUR ATTENTION