Gait Training
This training improves the ability to walk, with or without help. Before starting gait training, some people need to do exercises that improve strength, range of motion, balance, and coordination. Gait training may be needed after bed rest, a stroke, or the amputation of a leg. A gait belt may also be used during gait training to help prevent falls.
After walking safely on a level surface, the person may be taught to step over curbs or climb stairs. For going up stairs, the stronger or uninjured leg goes first. For going down stairs, the weaker or injured leg goes first. The phrase "good is up, bad is down" can help people remember. If possible, the person should go up and down the stairs with the railing on the uninjured side.
Some people require an assistive device for walking. If a joint does not support weight and buckles readily, a leg or an ankle brace is needed. If the legs are weak or balance is a problem, a cane or walker can be used.
Crutches are seldom recommended for older people because their arms may not be strong enough to use crutches safely. Even when used correctly, crutches can make arthritis in the shoulders worse.
If people cannot walk with a cane or walker, a wheelchair or scooter can help them stay active. A wheelchair or scooter may be needed all the time or only for long distances. Wheelchairs come in many varieties. Choosing the most suitable one, getting one that fits properly, and learning how to use it correctly are important for safety and comfort.
The Wellness Project
