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C - Walking

Walking | Body Structure and Function MC Verrier, MHSc; C Craven, MD; HM Flett, MSc; K Guy, MSc; S Nadeau, PhD; and the E-Scan Investigative Team Walking is the ability to move forward over ground while assuming an upright posture and controlling one’s balance, trunk and lower-limb sensorimotor function. Safe and efficient walking allows individuals to purposefully move from place to place to explore and participate in their external environments, with or without the assistance of others and/or assistive technologies – in other words, to be independent moving about their home and community, and in their life activities. For individuals with spinal cord injury (SCI), walking has many long-term health benefits including pressure relief for weight-bearing surfaces of the body and maintenance of fitness levels. The ability to walk is one of the top six articulated goals of individuals with SCI.1 Hence, gait training is a major focus of many rehabilitation programs in Canada and consumes substantial resources at most rehabilitation centres. Individual Internal Biological & Psychological Motor Control Multitasking Capacity Posture and Balance Perceptual Capacity Muscle Tone Range of Motion Strength & Coordination Aerobic Capacity Vision Capacity Self-Efficacy Walking is a complex sensorimotor functional task. Internal individual factors must be aligned with external environmental factors for successful community mobility. When developing best practices in assessment and therapeutic interventions for rehabilitation walking programs, physical therapists use a model for walking that considers the individual in concert with his/her environment. Environmental External Contextual & Circumstantial Collision Avoidance Complexity Requirements Postural Transitions Attention Demands Physical Load Terrain Characteristics Walking Distance Time Constraints Ambient Conditions Safety Conditions Walking Model: Individual and Environmental Influencing Factors WALKING | BODY STRUCTURE AND FNUCTION 47


C - Walking
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