Abstract

Action observation (AO) has been used to improve rehabilitation outcomes. We examined the effects of AO gait training on the acquisition of a non-weight-bearing (NWB) gait with crutches. Eighteen h...

Highlights

  • The use of restricted weight-bearing is widespread in adult rehabilitation

  • Participants who underwent Action observation (AO), which was adapted to the learning of the NWB gait, obtained more stable walking, with a significantly smaller trunk fluctuation than that in participants who did not undergo AO in the early phase

  • Post hoc analyses demonstrated a significant increase in gait speed in the 5th and 10th trials compared to that in the 1st trial in both groups

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Summary

Introduction

A non-weight-bearing (NWB) gait pattern may be prescribed following lower extremity injuries and surgeries, fractures, severe sprains, joint replacements, and vascular disorders to assist in independent mobility and promote healing (Kathrins & O’Sullivan, 1984). Three-point NWB gait with crutches has been shown to double the energy expended by patients compared to that in normal walking (Fisher & Patterson, 1981; Waters, Campbell, & Perry, 1987). Three-point ambulation with crutches demonstrates significant increases in oxygen consumption (VO2), carbon dioxide consumption (VCO2), minute ventilation, respiratory rate, and pulse compared to that in normal walking (Patel et al, 2016). Balance problems can be an obstacle in the acquisition of a NWB gait (Kathrins & O’Sullivan, 1984), and learning how to perform a NWB gait is difficult due to the risk of falls

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