Is single limb stance time longer in BWS due to elimination of danger of falls, or is the person able to initiate swing prematurely since they are confident that they won’t fall (i.e. before establishing support on the “new stance limb”?)
COMMENT from Rick Doyle from Canada:
I think it often has to do with confidence. If you are in an environment where you are not going to fall and can challenge the child to go beyond their comfort zone then you can extend the to over ground walking as well.
Yes, to advance the limb, with instruction in providing assistance given during the induction period, but further monitoring, advancement and instruction (after the induction period) was performed over the phone, verbally, by the supervising therapist. So assistance probably did not change from induction to post-test.
What mechanism(s) likely contributed to the stride length improvements following washout period in children in the BWSTT group?
Stride length initially declined in both groups, yet was greater for the BWSTT group following the washout period (and maintained gains after washout period).
What does this indicate in terms of qualitative gait changes for children with CP following different types of training?
The study authors surmised sustained gains in walking speed is a result of motor learning. But what mechanism was responsible for increase in stride length after washout period? (did this increase in stride length contribute to maintenance of walking speed gains?) Did it take time for them to integrate the motor learning that occurred as a result of SSTEP participation?
Last edited on Thu Nov 10th, 2011 07:29 pm by nkarman