Luke Depner, OT
Region: US
Monday 28 July 2025 12:09:25 GMT
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joshrunsoncoffee :
I’m afraid it’s not an either or. Encourage high intensity gait training some sessions, focus on correcting compensation in some. We want independence and injury prevention 🤝
2025-07-29 00:01:08
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Cayla Allen :
YES! I’m a PT - HIIT for gait (or other activity if gait isn’t possible) is key for neuroplasticity! Love what you’re doing! Glad to see OT working on gait training 💪
2025-07-30 04:04:27
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Unlikely :
For TBI inpatient rehab I don’t think I ever addressed gait mechanics unless showing medical residents how bracing could help. Other than that we did high intensity gait training and didn’t care what it looked like
2025-07-29 03:50:41
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Jacob, PT :
I will respectfully disagree. In my experience thus far I have found that letting these compensatory patterns stay leads to really limited functional mobility. A lot of the time those gaits can work for flat surface but if they come to a curb, grass, or a ramp then not so much. I think it’s really important to try and correct early. Most of the time I don’t expect a fully “normal” gait pattern, but I feel much more confident sending someone out in the world who has learned things like dynamic knee control and more appropriate alignment in that they will actually be able to handle these obstacles
2025-07-29 02:43:48
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B Rho :
Im not trying to be rude just generally asking to educate myself as a PTA. Is it in OT scope to focus on gait mechanics? I thought that normally leans more PT considering you guys get functional tasks and we aren’t really able to bill for that.
2025-07-29 21:59:09
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not adam :
movement preparation trumps movement quality every time
2025-07-29 12:15:06
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godfather :
hi! would like to know what you’d consider most important to focus on? if this is the case, what do you prioritize first? are there factors more important than others? thanks!!
2025-07-28 22:24:44
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DrBooneA :
Hard agree
2025-07-28 20:07:03
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Matthew Lopez7595 :
I really appreciate you linking the articles!
2025-07-29 12:06:53
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OccupationalTherapyUniversity :
thanks for providing the articles!
2025-09-24 22:08:41
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summitrehab :
It’s like the book by Karen pape.. the boy that could run but not walk. I have got much better gait improvements doing specific strength training and then on the treadmill focusing on speed and high intensity. The brain loves a challenge and a lot of time slower gait can have more habitual patterning!
2025-07-31 11:47:57
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) :
Stick to your scope. At end of the day OTs are not experts in body mechanics unlike other health professionals….
2025-07-29 03:54:51
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Megan Warr :
To be candid, allowing those mechanics is not only cruel but also indicative of a culture of therapists who are reluctant to acquire the necessary skills to handle patients effectively. What skill is involved in holding onto or attaching a harness and monitoring a heart rate? I have watched your videos and am curious about the actual skill involved. You hold onto a harness, encourage the patient, track a heart rate and that is about it. Anyone with sufficient strength can be trained to perform these tasks. Therapists should possess knowledge of the body and its expected movements during activities. “ Not worrying about kinematics” , you are essentially setting up an environment where therapists will not be needed. If knowledge of the body and its expected movements during activities is not crucial, why employ a therapist at all? Consequently, not only is the patient’s potential being compromised, but the career of the therapist is also at risk. I would challenge you or your followers to walk hiking and circumducting your hip for a day and see the strain that puts on your body. Imagine living with that tightness in your shoulder and hand. Orthopedic therapists or work hardening therapists would never allow patients to move with extremely abnormal mechanics because they know it will create problems over time. Why is it acceptable to disregard proper mechanics for a stroke patient? The answer is that it is not acceptable. The idea that the brain will work it all out is not the case. Patients come to me all the time after these programs and their toes are curled, their shoulders and hands are tight, their less affected side is hurting from over use and all of this has to be undone for the patient to improve. The research you cite was conducted an individual who has acknowledged mistakes in past research. How long before we realize that HIT is also a mistake? Research using distance walked as a measure of progress without specifying any criteria for how that walking is done or the potential damage it may cause to the body isn’t good research.
2025-08-04 00:21:36
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Jevs :
Hard disagree
2025-07-28 18:41:06
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