MOBILITY RESEARCH UK
Nechama Karman, PT, MS, PCS, is a physical therapist in NY. She has extensive experience in paediatric and adult rehabilitation, across the continuum of care settings. She has been a LiteGait clinical trainer since 2008, and since 2010 has been responsible for clinical education programs for Mobility Research – including their online Journal Club, Case Reports
& other clinical webinars. She has used LiteGait extensively across populations for gait training and advanced skills training, primarily with acquired brain injuries and other neurological deficits. She was formerly on physical therapy faculty, at New York Institute of Technology and at Hunter College, CUNY.
Braking Bad: Developing Eccentric Control in Clients with CNS Dysfunction
Eccentric muscle contractions are the brakes of the movement system. In the normal gait pattern, the majority of muscle contractions are eccentric, yielding remarkable efficiency: harnessing momentum and ground reaction forces, minimizing the energy cost of walking. In individuals with neurological injuries, movement impairments impede the ability to generate eccentric contractions or to time muscle contractions correctly, yielding co-contraction and inefficiency. We will identify how these impairments impede postural control and gait ability and how to specifically address them using voicing as a mechanism to promote eccentric muscle contractions in intervention programs to minimize negative effects on gait and maximize walking performance. Video cases will allow participants to view application of these methods using a variety of therapeutic handling techniques and functional tasks.
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