QUREWADI = quantified rehabilitation of the walking distance
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= quantified rehabilitation of the walking distance:
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For patients whose walking time is less than 20 minutes. The primary goal is to increase walking distance to fight against aerobic deconditioning and work locomotor balance.
The patient can take his time, but is essential not to lose balance.
Suitable for all pathologies (multipurpose)
The quantified rehabilitation of walking distance allows:
- a quantized work of distance and endurance,
- A search for comfortable walking speed without risk of falling.
This is usually the case in patients whose walking time is less than 20 minutes
At this stage, the search of speed is not recommended because of the risk losing balance.
On the contrary the patient should take his time to make his performance without cheating.
That is to say without holding or touching his therapist.
The therapist must not touch or hold the patient because it would interfere with the self-organization of walking.
It is a real progression of "locomotor balance."
Each meter performed in addition to the previous session is a victory.
These "little" progresses are very important for the patient's motivation and progression of rehabilitation.
Speed tests are not a good indication of the patient's progress at this stage.
For patients who can walk for 20 minutes or more without stopping to rest, we use another rehabilitation protocol which allows a work of quantified walking speed
Knowledge of results (KR) allows patient motivation and set reasonable goals to achieve during the next rehabilitation session.
An excess of precision affects the understanding of the KR.
For example, do not tell the patient: "You have made 132 meters and 28 centimeters."
An average accuracy is necessary and sufficient to motivate the patient.
Example, the therapist made big steps in order to measuring the performance of his patient (each big step = aproximately 1 meter).
He announces to the patient: "You have walked 132 meters." This performance will be recorded.
The purpose of the next meeting will be to improve this "record".
Another possibility to measure distances in the rehabilitation room and adjacent corridors.
Example: a one-way in the corridor = 28 meters
So a roundtrip = 56 meters and 10 roundtrips = 560 meters!
Authors of this article:
Roland SULTANA (Physiotherapist)
Dr. Gilbert Heurley (Specialist in Physical Medicine and Rehabilitation)