Table 1.
Timing and Coordination in Walking | Minutes |
Flexibility (stretching) | 5 |
Stepping pattern | 25 |
Forward and backward steps | |
Step across—forward and backward | |
Step across step—forward and backward | |
Walking patterns | 15 |
Ovals | |
Spirals | |
Serpentines | |
Complex walking patterns | |
Cross path of others | |
Opposite direction of others on ovals | |
With object manipulation—bounce, toss | |
Treadmill paced walking | 15 |
2–3 min usual pace | |
30–60 s at 10% increased speed | |
1–2 min at usual speed | |
Repeat pattern up to 3 times | |
Total min | 60 |
Walking, Endurance, Balance, and Strength Practice | |
Flexibility (stretching) | 5 |
Strength (cuff weights) | 10 |
Ankle dorsi and plantar flexors | |
Knee extensors | |
Hip extensors, abductors, flexors | |
Gait training | 25 |
Heel–toe pattern | |
Lengthen stride and increase speed | |
Walk from feet, trunk centered or upright | |
Balance | 5 |
Standing balance, tandem, one leg | |
Stand with reach forward, up, down | |
Stand with ball catch | |
Endurance | 15 |
Nustep, stationary cycle | |
Total min | 60 |
Note: *All activities progress in difficulty according to a standardized protocol with operational definitions of mastery of each stage.