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Assistive Walking Device Training Tips

Physiotherapy Balancing and Coordination Exercises (In Standing And Walking)

Dr. Vishwas Virmani 91% (22970 ratings)
MPT, BPT
Physiotherapist, Noida
Physiotherapy Balancing and Coordination Exercises (In Standing And Walking)

STANDING ACTIVITIES:

Once the patient has a good head and trunk control one needs to work on thecontrol of the lower limb in order to make the patient stand successfully.Activities like unilateral bridging, crawling, kneeling and half kneeling helps in developing good pelvic and leg control. 

These exercises are progressed from supported position to unsupported position.Sitting to standing can be practiced by making the patient sit on a chair or cot such that the feet are in proper contact with the ground. The patient is advised to lean slightly such that the centre of gravity is brought between the feet, the therapist should stabilize the knee and support the pelvis there after the patient is encouraged to assume standing posture. 

Repetition of this task is essential till the patient masters the activity. The patient may be also taught standing by pulling on to the wall bar or parallel bar but for this the upper limb should be strong, nevertheless in the initial stages the support and assurance by the therapist is very important. Once the patient learns to stand,balance and weight transfer is taught. 

Posturography machine provides the important feedback to the patient which helps in improving the standing balance and control. Approximation given to the pelvis or to the shoulder also helps infacilitating stability in standing. In case the patient has tremor then ankle weights, a weighted belt or theraband can help in reducing them. 

Once the patient is stable in double support phase, weight transfer is practiced. Lastly in standing the patient is made to make a step with either limb in forward,backward and outward direction as a prerequisite to ambulation. 

GAIT TRAINING 

Gait training may be initially given in a parallel bar with foot marks. Footmarks are essential to reduce the tendency of the patient to walk with wide base of support. He needs constant verbal feedback regarding the step length,body rotation, accessory movements and trunk positions if the functional activity does not present itself as a whole procedural program. 

When the patient has to be progressed to walk outside a parallel bar, the therapist decides whether thepatient needs to be given an assistive device, which is based upon the balance of the patient. Although walking aids do provide support to the patient, they also possess a problem because the patient will now need to control the position and movement of the device as well as themselves.Walker or cane may be used depending upon the patient’s comfort.

Various coordination tests were used as assessment tools for incoordination are also used as exercises to improve incoordination. The patient is asked to repeat each activity about 10 to 12 times during each session. 

The patient maybe given these exercises as even home exercise program. At home patient can have multiple sessions with good rest in between them to avoid fatigue.Proximal fixation can be improved by using PNF techniques like rhythmic stabilization and approximation.

1 person found this helpful

Intrauterine Device (IUD) - Which Type Is Better For You?

Dr. Ameya S Kanakiya 87% (10 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, DGO, DNB - Obstetrics & Gynecology, CCGDM
Gynaecologist, Mumbai
Intrauterine Device (IUD) - Which Type Is Better For You?

If you are thinking of adopting one of the effective birth control measures, you can try an intrauterine device (IUD). An IUD is a small plastic device which is placed in the uterus and it helps in preventing the pregnancy. A plastic string is attached to one end for ensuring proper placement and for removal. An IUD can be removed easily and is a reversible birth control method. There are several advantages and disadvantages of using IUDs.

There are two types of IUDs which are commonly used. They are as follows:

  1. Hormonal IUDs: In case of hormonal IUDs, a small amount of progestin is released into the lining of the uterus. This hormone is similar to the progesterone hormone. This hormone helps in thickening the cervical mucus, thereby, making it difficult for the entry of sperm into the cervix. The growth of the uterine lining is slowed down, which makes fertilised eggs inhospitable.
  2. Copper IUDs: In this form of IUD, a tiny amount of copper gets released into the uterus. Sperm is prevented from entering the egg as they get immobilised on the way to the fallopian tubes. Copper has spermicidal action.

Advantages-

1. It is a good method to have spacing between 2 pregnancies. 
2. You will find it comfortable as there is no hassle of remembering to take a pill daily, and does not interfere in the act of intercourse like a condom does. 
3. It can be inserted immediately after delivery or an abortion

4. It does not interfere with breastfeeding. 
5. Hormonal IUDs have an additional advantage of reducing the blood loss during menstruation. 
6. It is easy to both insert and remove an IUD. 
7. You can use IUDs for many years. 

You just need to replace the IUD once its life (3 years or 5 years depending on the type of IUD) is over. 

Disadvantages- 

1. IUD does not prevent against sexually transmitted diseases or HIV
2. It could be a source of infection in females with multiple sexual partners. 
3. Copper IUDs may cause exessive bleeding or pain in abdomen in some patients for the initial few cycles. 
4. Very very rarely the IUD may perforate the uterus and come to lie in the abdominal cavity. 

Nevertheless an IUD is on of the easiest and cheapest methods of birth control available today. Considering the advantages and disadvantages, you may consult your gynaecologist to decide on the best type of IUD for you. In case you have a concern or query you can always consult an expert & get answers to your questions!

3950 people found this helpful

WALKING

Dr. Mool Chand Gupta 91% (35709 ratings)
MD - Pulmonary, DTCD
Pulmonologist, Faridabad
WALKING
Walking is most cost effective method for keeping you fit.

Walking it off!

Dt. Tamanna Narang 91% (5206 ratings)
M.Sc - Dietitics / Nutrition (Delhi University)
Dietitian/Nutritionist, Panipat
Walking it off!
Awake, arise and walk:)


Exercise burns calories. In the case of walking the calories you burn depend much more on the distance you cover and your body weight than on your speed.

This table shows calories burned per mile of walking for people of varying weights:

Your weight approximate calories per mile (1.6 k)
54 kg 85
63 kg 95
72 kg 105
82 kg 115
90 kg 125

People who walk gain significantly less weight gain than those who didn't, the more walking, the less weight gain. And the benefit was greatest in the heaviest individuals.
27 people found this helpful

Metabolic training

Dr. P Nagaraj 90% (3801 ratings)
FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Metabolic training
Metabolic training

Metabolic training is basically about giving people fitness that is time effective which helps them burn fat get lean muscle and improve cardio vascular health. The key about metabolic is taking multiple pieces of fitness techniques combining them together in a way that is fast.
53 people found this helpful

Left Ventricular Assist Device - Understanding Its Usage!

Dr. Sanjib Patra 87% (18 ratings)
Fellowship In Electrophysiology, Fellowship In Interventional Cardiology, DM - Cardiology, MD - Medicine, MBBS
Cardiologist, Delhi
Left Ventricular Assist Device - Understanding Its Usage!

A left ventricular assist device is an electromechanical device used in cases of advanced heart failure. In later stages of heart failure when the heart is weakened and no longer able to pump the necessary amount of blood, a left ventricular assist device can be surgically implanted to assist the heart’s functions.

A left ventricular assist device is often used as a short term solution and is different from a pacemaker, which is a long term cardiac assist device. The cases in which a left ventricular assist device is often used are:

  • As a temporary solution while a cardiac failure patient is on a transplant list or otherwise waiting for a heart transplant.
  • During recovery from cardiac surgery when the heart is not strong enough to function on its own. The device would soon be removed as the patient recovers.
  • During recovery from heart attacks

Having a left ventricular assist device implanted gives the heart time to rest and recover, leading you to the point where your heart can go back to functioning on its own. However, there are cases where a left ventricular assist device can be implanted as a long term solution. This treatment is called Destination Therapy and requires implanting a left ventricular assist device for several months or several years.

How a Left Ventricular Assist Device works?
A Left Ventricular Assist Device can only be surgically implanted. It has both internal and external components with a pump attached to your heart and a controller on the outside of the body. The pump is attached to the heart with a tube that directs blood into the aorta. The pump and the controller are connected through a cable called the driveline. Since the Left Ventricular Assist Device is powered by electricity or batteries, a power source is also worn outside the body and is attached to the controller, powering both the controller and the pump.

How a Left Ventricular Assist Device can affect your lifestyle?
Many people around the world have Left Ventricular Assist Devices implanted on both a temporary and permanent basis. While a person should be resting while recovering from a heart attack or cardiac surgery, it is possible to go about your normal daily life whilst having a Left Ventricular Assist Device implanted. While certain exercises and stress should be avoided when having a heart condition or when implanted with a Left Ventricular Assist Device, with carrying cases for power sources and controller that can operate from various different power sources, it is easy to live a normal productive life. If you wish to discuss about any specific problem, you can consult a Cardiologist.

2224 people found this helpful

Understanding The Usage Of Left Ventricular Assist Device!

Dr. Viveka Kumar 91% (112 ratings)
DM - Cardiology -, MD - General Medicine - , MBBS, FSCAI, MHRS, FACC, FESC , Fellowship in Interventional Cardiology & EP, Interventional Cardiology & EP and Devices, Senior Specialist( Interventional Cardiology), Fellow of southeast Asian Interventional Cardiology Society, International Award of Excellence in Cardiology
Cardiologist, Delhi
Understanding The Usage Of Left Ventricular Assist Device!

A left ventricular assist device is an electromechanical device used in cases of advanced heart failure. In later stages of heart failure when the heart is weakened and no longer able to pump the necessary amount of blood, a left ventricular assist device can be surgically implanted to assist the heart’s functions.

A left ventricular assist device is often used as a short term solution and is different from a pacemaker, which is a long term cardiac assist device. The cases in which a left ventricular assist device is often used are:

  • As a temporary solution while a cardiac failure patient is on a transplant list or otherwise waiting for a heart transplant.
  • During recovery from cardiac surgery when the heart is not strong enough to function on its own. The device would soon be removed as the patient recovers.
  • During recovery from heart attacks

Having a left ventricular assist device implanted gives the heart time to rest and recover, leading you to the point where your heart can go back to functioning on its own. However, there are cases where a left ventricular assist device can be implanted as a long term solution. This treatment is called Destination Therapy and requires implanting a left ventricular assist device for several months or several years.

How a Left Ventricular Assist Device works?
A Left Ventricular Assist Device can only be surgically implanted. It has both internal and external components with a pump attached to your heart and a controller on the outside of the body. The pump is attached to the heart with a tube that directs blood into the aorta. The pump and the controller are connected through a cable called the driveline. Since the Left Ventricular Assist Device is powered by electricity or batteries, a power source is also worn outside the body and is attached to the controller, powering both the controller and the pump.

How a Left Ventricular Assist Device can affect your lifestyle?
Many people around the world have Left Ventricular Assist Devices implanted on both a temporary and permanent basis. While a person should be resting while recovering from a heart attack or cardiac surgery, it is possible to go about your normal daily life whilst having a Left Ventricular Assist Device implanted. While certain exercises and stress should be avoided when having a heart condition or when implanted with a Left Ventricular Assist Device, with carrying cases for power sources and controller that can operate from various different power sources, it is easy to live a normal productive life.

2967 people found this helpful

Left Ventricular Assist Device - What Exactly Is It?

Dr. Vivek Baliga B 92% (40 ratings)
MBBS, MRCP (UK), PG Diploma In Lipid Management, MBA (Healthcare)
Cardiologist, Bangalore
Left Ventricular Assist Device - What Exactly Is It?

A left ventricular assist device is an electromechanical device used in cases of advanced heart failure. In later stages of heart failure when the heart is weakened and no longer able to pump the necessary amount of blood, a left ventricular assist device can be surgically implanted to assist the heart’s functions.

A left ventricular assist device is often used as a short term solution and is different from a pacemaker, which is a long term cardiac assist device. The cases in which a left ventricular assist device is often used are:

  • As a temporary solution while a cardiac failure patient is on a transplant list or otherwise waiting for a heart transplant.
  • During recovery from cardiac surgery when the heart is not strong enough to function on its own. The device would soon be removed as the patient recovers.
  • During recovery from heart attacks

Having a left ventricular assist device implanted gives the heart time to rest and recover, leading you to the point where your heart can go back to functioning on its own. However, there are cases where a left ventricular assist device can be implanted as a long term solution. This treatment is called Destination Therapy and requires implanting a left ventricular assist device for several months or several years.

How a Left Ventricular Assist Device works?
A Left Ventricular Assist Device can only be surgically implanted. It has both internal and external components with a pump attached to your heart and a controller on the outside of the body. The pump is attached to the heart with a tube that directs blood into the aorta. The pump and the controller are connected through a cable called the driveline. Since the Left Ventricular Assist Device is powered by electricity or batteries, a power source is also worn outside the body and is attached to the controller, powering both the controller and the pump.

How a Left Ventricular Assist Device can affect your lifestyle?
Many people around the world have Left Ventricular Assist Devices implanted on both a temporary and permanent basis. While a person should be resting while recovering from a heart attack or cardiac surgery, it is possible to go about your normal daily life whilst having a Left Ventricular Assist Device implanted. While certain exercises and stress should be avoided when having a heart condition or when implanted with a Left Ventricular Assist Device, with carrying cases for power sources and controller that can operate from various different power sources, it is easy to live a normal productive life.

How to House Train Your Puppy

Master of sciences, B.V.Sc. & A.H.
Veterinarian, Salem

House training is accomplished by rewarding your puppy for eliminating where you want him to go (outside) AND by preventing him from urinating or defecating in unacceptable places (inside the house). You should keep crating and confinement to a minimum, but some amount of restriction is usually necessary for your puppy to learn to “hold it.” (To learn how to crate train your puppy, please see our article, Weekend Crate Training.)

How Long It Will Take

Some puppies learn where and where not to eliminate at a very young age, while others take longer to understand. Most puppies can be reasonably housetrained by four to six months of age. However, some puppies are not 100% reliable until they are eight to twelve months of age. Some puppies seem to catch on early but then regress. This is normal. Keep in mind that it may take a while for your puppy to develop bowel and bladder control. He may be mentally capable of learning to eliminate outdoors instead of inside, but he may not yet be physically capable of controlling his body.

How Often Your Puppy Needs to Go Out

All puppies are different, but a puppy can usually only hold his waste for the same number of hours as his age in months. (In other words, a four-month-old pup should not be left alone for more than four consecutive hours without an opportunity to go outside.) He can last longer at night, however, since he’s inactive (just like we can). By the time your pup is about four months old, he should be able to make it through the night without going outside.

House Training Steps

1. Keep your puppy on a consistent daily feeding schedule and remove food between meals.

2. Take the puppy outside on a consistent schedule. Puppies should be taken out every hour, as well as shortly after meals, play and naps. All puppies should go out first thing in the morning, last thing at night and before being confined or left alone.

3. In between these outings, know where your puppy is at all times. You need to watch for early signs that he needs to eliminate so that you can anticipate and prevent accidents from happening. These signs include pacing, whining, circling, sniffing or leaving the room. If you see any of these, take your puppy outside as quickly as possible. Not all puppies learn to let their caretakers know that they need to go outside by barking or scratching at the door. Some will pace a bit and then just eliminate inside. So watch your puppy carefully.

4. If you can’t watch your puppy, he must be confined to a crate or a small room with the door closed or blocked with a baby gate. Alternatively, you can tether him to you by a leash that does not give him much leeway around you (about a six-foot leash). Gradually, over days or weeks, give your puppy more freedom, starting with freedom a small area, like the kitchen, and gradually increasing it to larger areas, or multiple rooms, in your home. If he eliminates outside, give him some free time in the house (about 15 to 20 minutes to start), and then put him back in his crate or small room. If all goes well, gradually increase the amount of time he can spend out of confinement.

5. Accompany your puppy outside and reward him whenever he eliminates outdoors with praise, treats, play or a walk. It’s best to take your puppy to the same place each time because the smells often prompt puppies to eliminate. Some puppies will eliminate early on in a walk. Others need to move about and play for a bit first.

6. If you catch your puppy in the act of eliminating inside, clap sharply twice, just enough to startle but not scare him. (If your puppy seems upset or scared by your clapping, clap a little softer the next time you catch him in the act.) When startled, the puppy should stop in mid-stream. Immediately run with him outside, encouraging him to come with you the whole way. (If necessary, take your puppy gently by the collar to run him outside.) Allow your pup to finish eliminating outside, and then reward him with happy praise and a small treat. If he has nothing to eliminate when he gets outside, don’t worry. Just try to be more watchful of him in the house in the future. If your puppy has an accident but you don’t catch him in the act and only find the accident afterward, do nothing to your pup. He cannot connect any punishment with something he did hours or even minutes ago.

Additional House Training Tips

Clean accidents with an enzymatic cleanser to minimize odors that might attract the puppy back to the same spot.
Once your puppy is house trained in your home, he may still have accidents when visiting others’ homes. That’s because puppies need to generalize their learning to new environments. Just because they seem to know something in one place does NOT mean that they’ll automatically know that thing everywhere. You’ll need to watch your puppy carefully when you visit new places together and be sure to take him out often.
Likewise, if something in your puppy’s environment changes, he may have a lapse in house training. For example, a puppy might seem completely house trained until you bring home a large potted tree—which may look to him like a perfect place to lift his leg!
House training does require an investment of time and effort—but it can be done! If you’re consistent, your hard work will pay off. Hang in there! If you need help, don’t hesitate to contact a qualified professional, such as a Certified Professional Dog Trainer (CPDT), a Certified Applied Animal Behaviorist (CAAB or Associate CAAB) or a board-certified veterinary behaviorist (Dip ACVB). To find one of these experts in your area, please see our article, Finding Professional Help.

What NOT to Do

Do not rub your puppy’s nose in his waste.
Do not scold your dog for eliminating indoors. Instead, if you catch him in the act, make a noise to startle him and stop him from urinating or defecating. Then immediately show your dog where you want him to go by running with him outside, waiting until he goes, and then praising and rewarding him.
Do not physically punish your puppy for accidents (hitting with newspaper, spanking, etc.). Realize that if your puppy has accidents in the house, you failed to adequately supervise him, you did not take him outside frequently enough, or you ignored or were unaware of his signals that he needed to go outside.
Do not confine your puppy to a small area for hours each day, without doing anything else to correct the problem.
Do not crate your puppy if he’s soiling in the crate.
If your puppy enjoys being outside, don’t bring him inside right after he eliminates or he may learn to “hold it” so that he can stay outside longer.
Do not clean with an ammonia-based cleanser. Urine contains ammonia. Cleaning with ammonia could attract your puppy back to the same spot to urinate again. Instead, use an enzymatic cleaner. You can find one at some grocery stores or any major pet store.
20 people found this helpful

Role of Diet in Weight Training!

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Bangalore
Role of Diet in Weight Training!

There are simple dietary rules that must be followed to build muscles and to get stronger. The problems that can be caused by unhealthy nutrition include high body fat, digestive problems and lack of energy. It is very important to include a healthy diet and lose fat. Eating a good breakfast is very important as it provides the required energy for the rest of the day. Eating a healthy breakfast is always best and for that cottage cheese, egg omelet and fresh home-cooked breakfast can be included in the diet.

Good and Healthy Nutrition
A lot of changes occur in the muscles during resistance training. Further, having a protein rich diet is very beneficial. The other two macro-nutrients that are required for bodybuilding include carbohydrates and fat. Without supplementation, hydration and proper nutrition it would be difficult and you cannot witness any gains. Weight training is mainly 80% nutrition and these two factors cannot be separated. These two work synergistically and help in achieving your goals.

Weight Training Regime
It is very important that the weight training regime that is followed fits your lifestyle and it must be followed at least 2-3 times in a week. The weight training regime must include a variety of programs such as full body programs, and upper and lower body splits. The weight training routine must be chosen according to what suits your schedule. Remarkable results can be gained through the weight training program and must be done consistently.

Benefits of Weight Training
The benefits that can be gained include increased ligament strength, increased muscle contractile strength, increased muscle-fiber size and increased tendon strength. All these together are of great use in attaining a healthier body. A combination of proper diet and weight training stimulates various physiological responses. These are known to enhance the function as well as the structure of the skeletal muscle. The benefits of weight training include an increase in metabolism of the body, strength, and increased muscle endurance.

Basically, the way the hormones in our body respond to weight training and affect the muscle growth mainly depends on the nutrition provided to the body. The nutritional needs vary for every individual and when it comes to healthy eating, including a lot of veggies in the diet is very important. It is crucial that water is also included. 

Have a Healthy Diet
Including a healthy diet before pre-work out helps to improve the performance; especially if it is performance related. The snack must be eaten thirty minutes before exercising as it helps to avoid overeating the rest of the day. Including a home-cooked breakfast in the diet is also very beneficial as you can gain fiber, protein all at the same time. In case you have a concern or query you can always consult an expert & get answers to your questions!

2164 people found this helpful
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