Table 1.
Time of Day | Treatment Type | Duration |
---|---|---|
Morning session | Warm-up exercises without PoNS | 10 min |
Balance training† with PoNS | 20 min | |
Gait training‡ with PoNS | 20 min | |
BAT§ with PoNS | 20 min | |
Break | 3-4 h | |
Afternoon session | Balance training with PoNS | 20 min |
Movement control‖ exercises w/o PoNS | 20 min | |
Gait training with PoNS | 20 min | |
Break | ||
Evening session | BAT§ with PoNS | 20 min |
Abbreviations: BAT, breathing awareness training; w/o, without.
Exercises were progressed in difficulty as participants demonstrated mastery.
Balance training focused on developing stable balance while standing in progressively challenging conditions during PoNS treatment. The goal of balance training was to create body awareness, correct postural alignment, and improve stability by recalibrating proprioceptive, tactile, and vestibular inputs. Each balance training session required that the clinician work with participants to determine an appropriately challenging position based on their ability, progressing them during the study as they improved.
Gait training, in which participants walked on a treadmill and over ground at progressive speeds and were challenged to re-establish appropriate dynamic balance and gait patterns during PoNS treatment.
Breathing and awareness training aimed at developing relaxed and mindful respiration and body awareness during PoNS treatment.
Movement control training aimed at helping the participant develop the proper movement patterns and synergies. Emphasis was placed on the quality of movements performed with accurate control. Exercises included lower extremity isolation, core strengthening, and/or upper extremity movement to improve arm swing.