How can Parkinson’s disease patients walk with small steps and lunge forward?

The fundamental problem of gait in patients with Parkinson’s disease is mainly “broken step, forward lunge, no arm swing”. Here, experts introduce a few simple training methods that can be operated at home , to help patients with Parkinson’s disease overcome “fluttering gait”.

Visual cues to overcome broken steps

Pakinson’s disease patients The stride length is shorter than normal, which is an important factor leading to gait instability, so when training, the patient should first take a big step. You can use the method of visual prompts to draw a sharp horizontal line every 50-60 cm on the ground, so that the patient steps on a horizontal line every step, and use this as a reminder to make the patient increase the step distance and repeat the training many times Finally, an unconscious habit can be formed, even if there are no reminders of horizontal lines, you can still walk with “stride”.

Aural prompts plus heel landing to overcome forward rush

The formation of the forward gait is mainly caused by two factors. The rhythm of the first gait is not well controlled, and it is getting faster and faster; The center of gravity is forward, which in turn leads to “chasing the center of gravity”. Therefore, the patient must first control the rhythm of walking, and the trainer can shout the password “one, two, one” or “left, right, left”. The patient walks strictly according to this rhythm, so as to avoid walking faster and faster. Forward gait; the second essential point is that when walking, we must remember that our normal gait starts from the heel landing, transitions to the outer edge of the foot, and then to the inner side of the sole, so the patient must heel landing to overcome the full sole of the foot. Even the center of gravity caused by the forefoot landing on the ground can keep the center of gravity still on the rear foot when the front heel lands, and focus on the support of the rear foot to avoid “chasing the center of gravity”.

Arm swing practice

Arm swing is our A natural coordinated movement in walking that helps maintain balance. For patients with mild symptoms, you can use language to supervise and remind you to swing your arms. For heavier patients, arm swing training is required. First, take a stepping posture with one foot in front and the other behind, and practice arm swing movements on the spot, requiring normal amplitude and rhythm; when the patient swings arms on the spot, he can easily After the completion, it is changed to walking in place, and it is also required to achieve the normal arm swing range and coordinate the movements of hands and feet; finally transition to walking arm swing.