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On Site Screening Case Study

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110 people were screened through telephone and out of that many, 64 went to an on-site screening. 41 of those people met the criteria and out of that many 40 were then randomized into a treatment group. Participants were randomized using a “high quality pseudorandom deviate generator in SAS in a 1:1 ratio and a blocked randomized scheme, and placed in a sequentially numbered sealed envelopes.”(Brach, et al.) 18 participants were put into the motor learning group and 20 were put into the standard group. 38 of those participants were able to complete the trial. The two who did not complete the trial had developed unrelated medical conditions and walked more slowly than the rest of the participants. The interventions were given by a physical therapist which lasted for 12 weeks with 60 minutes in …show more content…

Those that were able to complete 2 sets of 15reps with low effort had their resistance increased for progression. Participants in the motor learning group worked on skill or smooth and automatic movement control that included stepping and walking patterns. This was then progressed to a more difficult walking and stepping patterns to increase timing and coordination of stepping. “The stepping patterns were designed to shift the center of pressure posterolateral then forward, encouraging hip extension before stepping, loading the trailing limb, coordination activation of the abductors of the soon-to-be-swung leg with adductors of the stance limb, and shifting the center of pressure in medial stance to unload the stepping limb.”(Brach et al.) The walking patterns helped for muscle coordination and inter limb which were then increased by alternating speed, accuracy of performance, or amplitude. Other complex walking patterns were walking past others with object manipulation tasks of the upper extremity like carrying or bouncing a

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