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How much to un-weight patient?
 Moderated by: WebKeeper, shanna, nkarman, kdmpt  
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nkarman
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Joined: Sat Jul 15th, 2006
Location: New York USA
Posts: 310
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Mana: 
 Posted: Thu Nov 10th, 2011 08:09 pm
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Question from Kara Stoning:
What is the current recommendation of the percentage to unweight patient?

ANSWER:
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).


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