PTs will often analyze your gait by watching you get up and walk across the room, but most of the time we are analyzing your gait as soon as you walk into the clinic. If you have been diagnosed with gait abnormalities, these stretches and exercises might help.
There are also tests that can be performed like the 6-minute walk test to see how far you can walk in that time. But there are also more high-tech ways of analyzing your gait like walking on a treadmill with sensors on your body while a camera records you.
The way we walk can predict many things. Some of these things include gross motor delays in children, fall risks in older adults, and even the risk of dementia.
It also might indicate other health issues like premature mortality, cardiovascular disease, or cancer, according to a July 2018 meta-analysis published in the Journal of the American Medical Directors Association (https://www.jamda.com/article/S1525-8610(18)30327-X/abstract). The meta-analysis covered 44 studies with a combined 101,945 participants.
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Doctor Jo is a Physical Therapist and Doctor of Physical Therapy.
00:00 – Improve Gait 00:30 – Why Gait Speed is Important 03:06 – Calf Stretch with Strap 04:38 – Seated Heel/Toe Raises 05:55 – Standing Heel/Toe Raises 07:13 – Heel to Toe Walk 08:40 – Walking with Head Turns
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I know! Hey, everybody is Doctor Jo and Kali in her PJs, and
today I'm going to show you ways to improve your gait and why
it's important. So let's get started. So before we get
started, you will need a piece of equipment. So you're gonna
need a stretch strap, if you don't happen to have a stretch
strap, you can use belt, you can use the dog leash, if you have a
dog leash, you can use a jump rope, you just want it to be
something solid, so not a resistive band, because you're
going to be doing stretching with it. Before we get started
with the exercises in the stretches to help improve your
gait. I really want to talk about why it's important to have
good gait speed and have good balance when you're walking. And
the reason it's important is because when we're when we don't
have that gait speed, or we're kind of off balance, that's
really an indicator of a lot of injuries, sometimes. It can even
predict gross motor skills and functionings in children, it can
also kind of predict fall risk in adults if, you know, they're
having some balance issues when they're walking, or they have
that slow walking or gait pattern, that is an indicator
that there's risk for falls. And then it can even kind of help
predict if you have an injury or not. And you might say well,
most of the time, you know if you have an injury, but
sometimes you can have something out of balance or something
that's tight, and you're not really sure what's going on. And
if you have a professional, assess your gait, then they can
help figure that out. And you can work on fixing that. So it
doesn't cause other problems in the future. It can really also
help like if you, if someone has some cognitive decline, it can
be a predictor of even something like dementia. So that's
something really important as well, it can also kind of be a
predictor of other health issues like cancer and things like
that. So if your gait pattern significantly changes, and you
see that, you know, hey, I used to be able to walk really fast,
or I was walking and I wasn't having any balance issues. But I
don't know what's going on is really important to go get an
assessment. Usually is some by PT, it can be by your doctor, a
lot of times with us PTs, we might have you during the
assessment stand up, walk across the room and come back so we can
watch it. But in actuality, at least for me, I'm watching you,
when you walk into the clinic, you don't even know that you're
being watched. Because a lot of times people will try and walk a
little bit better when they know someone's watching them. But we
can also do tests like a six minute walk and see how far you
can walk and six minutes. And now with technology is really
cool, because if you go to a specific gait analysis PT,
they'll put a whole bunch of sensors on your body, get you on
a treadmill and record it. And then they can even do
measurements of seeing these little things that we might not
be able to see with our naked eye, but the camera will be able
to record it. So it's really important to know that your gait
speed, and your gait balance is really important of your overall
health. So again, if something's not feeling quite right, I'm
gonna show you these stretches and exercises that should help.
But ideally, go to your doctor, get a referral, go see a PT and
find out specifically what's going on. So let's start with
some stretches, I know that's what you're looking for. The
first one is going to be a calf stretch. When we don't have good
motion in our ankles, a lot of times our gait pattern will be
off, you might kind of have to stutter step because you're not
getting that full motion. So get grabbing that stretch strap.
There's a lot of different ways you can stretch your calf. But
this one is nice, because you can just kind of relax your
whole body. These stretch straps are nice, because they have a
loop on them. Make sure and try and get it on the ball of your
foot there. Not on your toes because it might slip off not
down at your arch because you're not going to get a good stretch.
So with this, you're relaxed and you're using the strap the strap
to stretch out your calf area. So I'm going to pull, pulling my
toes towards me. And again, my foot's relaxed, and I'm using
the strap to pull it, I'm feeling that stretch in my calf
area. I'm feeling it even a little bit behind my knee
because those calf muscles cross that knee joint. And you might
feel it at your ankle if your ankle's really tight. So you
might feel in a couple different places, you might feel it in all
of those places. Hold that for 30 seconds, relax that down. And
do that three times on each side. If you want to alternate
you can sometimes it's a little easier just to do them all on
one side of the strap is always already there. But give yourself
a little bit of a break in between maybe 10 to 15 seconds,
and then again, getting that nice pull and holding it there
for 30 seconds, make sure it's comfortable. Stretching
shouldn't be painful, but it should have some tension in it
might not feel the best but it shouldn't be painful. So after
you get those stretched out, just sitting on the edge of your
chair, your bed or your couch. These are just going to be
seated heel toe raises. So this is kind of starting off, maybe
getting it a little bit loosen up. We're gonna do some standing
up stuff as well, but maybe you might not be quite ready for
those. So just sitting, bring your feet out just a little bit,
maybe about knee hip width apart. And then just like it
sounds, lift up your heels nice and slow, come down, and then
lift up your toes. So it's just heel toe raises, kind of going
back and forth. This is a getting getting that ankle
movement, getting that ankle mobility, starting to strengthen
the calf muscles a little bit, but you're sitting if you have
some balance issues, so really just trying to start getting
things moving. If I go nice and slow, and controled, I'm not
just doing this going through the motions, that's not really
doing anything. But really focus on getting the heels as high as
you can come down, get those toes as high as you can, you're
really going to feel it in your legs. You can do it for a time,
and just do as many as you comfortably can, in 30 seconds,
or you can do it for reps, you know, do maybe two sets of 10 to
15. And then kind of progress the reps each time until you get
to 20-25. And then you're kind of ready to stand up. So let's
go ahead and stand up and do some exercises standing up. So
then the progression to standing is going to now be standing heel
toe raises. Make sure when you start off with these, you're
holding on to something like your countertop in the kitchen,
maybe next to the wall holding onto the wall, get a nice sturdy
chair, but make sure you're holding on to start off with,
you might see that I'm a little bit wobbly when I'm not holding
on to stuff. But eventually you can do it without holding on as
long as you feel comfortable and strong. So it's again, just kind
of like it sounds, you're going to be doing heel toe raises
standing. So I'm just coming up, lifting up my heels as high as I
can nice and slow coming down. So really try and control the
coming down part instead of just popping out and then pulling my
toes up. Now when you pull your toes up, it's not sticking your
booty back to get those up. Your toes aren't going to come very
high. But make sure your booty is tucked in, and your toes come
up and down. And then heels, toes just kind of rocking back
and forth. But a lot of times, people think they have to get
their toes higher, and they really kind of do this, that's
not really getting the muscles working, you're just kind of
changing the position of your body. So really try and control
those movements. Again, it doesn't have to be super high,
but you're trying to control it. So again, you can do that for
time. Or you can do that for reps. Once you get that down and
doing well. Now we're going to start doing some movements.
Again, if you have some balance issues, if you have some gait
issues, if you've got your cane or your walker, make sure and
use that you know, use your assistive device. And then you
know maybe as you get better and maybe you're working with your
therapist, you can you can not use them. But use that to start
off with. So this one's just going to be an exaggerated heel
to toe walk. When we walk, we start we hit our heel. And then
we were roll through and then we push off on our toes, that's how
we do a heel strike is what we call it and then pushing off
with our toes. So really just exaggerate that while you walk,
I'm you know, hitting my heel, rolling onto my toes, getting
that exaggeration, but looking trying to look for so try not to
look at your toes. Now I'm really getting that heel pushing
off on my toe, and then heel to toe like that. So I don't want
to zoom off into the the white cloud back there. But you can
make it you know, go down your hall. Or if you got an open
space, if you got some nice space outside where it's smooth,
you can do that as well. But again, really kind of exaggerate
that heel to toe. So that's also going to stretch out everything
when you do it as well. So you can do that a couple of times.
You know, if you want to do for distance again, or you know, if
you want to say if you have a length go, you I want to go
there and back twice. Or I'm just going to try this for 30
seconds and see how it goes. If that gets good, and you're doing
well with that, and you're getting your legs stronger, and
getting more mobility in there, so you're getting more movement
and feel more balance, then try doing some normal walking, just
walking, but turning your head. And this is going to help with
your balance. So again, make sure if you're using an
assistant advice to use it, if you've got someone with you have
them close by because sometimes when you turn your head, it does
throw you off balance. So have somebody with you when you're
trying this for the first couple of times. And also, we do this
when we walk anyways, we're walking, and we turn and we talk
to a friend or a partner as we go. So this kind of helps with
that. That's when people get off out there looking and they say
what, and then they kind of get off balance. So all you're doing
is just walking and slowly turning your head back and
forth. So I'm looking each way while I'm walking, I don't have
to walk fast. You can see I wasn't going in a perfect
straight line. But I'm not turning my head really fast
either. It's just a consistent side to side. If you even need
to go a little bit slower and then look ahead, in turn, you
can do that as well. So just go at your own pace.
If you need to go a little bit slower, that's fine. And then
eventually you can pick up your speed if you feel a little bit
stronger and more balanced. And then make your head turns just a
little bit quicker. But make sure you're being safe while
you're done. going on that. So there you have it those were
ways to improve gait and why it's important if you'd like to
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