Question from Kara Stoning:
What is the current recommendation of the percentage to unweight patient?
We generally don’t recommend unweighting people more than 40% of their body weight, because you lose the normal ground-reaction forces, which actually make the gait pattern that is practiced “less normal.”
That being said, I do occasionally un-weight people more than 40% if that is the ONLY way I can get their legs out-of-phase with each other. If I do un-weight someone more than 40% of their body weight, then my first objective for advancement is to decrease BWS and bring them under 40% off-loading. Then I progress other parameters, with a bias toward increasing speed before decreasing BWS.
I try to progress all my clients to 0% BWS before discharging the LG altogether, because I want good carryover to over-ground where they won’t have the advantage of BWS (specificity of training), and because I want to challenge them beyond their comfort zone (and mine) knowing they are safe from falls (ultimate target 0% BWS with flex-yoke open).