{"id":12353,"date":"2025-06-06T13:50:38","date_gmt":"2025-06-06T11:50:38","guid":{"rendered":"https:\/\/www.wheeleo.eu\/clinical-case-three-phase-or-two-phase-gait\/"},"modified":"2025-07-16T16:09:32","modified_gmt":"2025-07-16T14:09:32","slug":"clinical-case-three-phase-or-two-phase-gait","status":"publish","type":"post","link":"https:\/\/www.wheeleo.eu\/en\/clinical-case-three-phase-or-two-phase-gait\/","title":{"rendered":"Three-Point Gait or Two-Point Gait?"},"content":{"rendered":"\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"De la marche en 3 temps \u00e0 la marche en 2 temps\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/OPnzceQgf1Y?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n<p>This comparative video illustrates the major differences between <strong>the use of a quad cane<\/strong> and that of the <strong>Wheeleo\u00ae<\/strong> in a patient with hemiparesis. The change in walking aid <strong>profoundly modifies gait dynamics<\/strong> and its efficiency. <\/p>\n\n<h3 class=\"wp-block-heading\">With a Quad Cane: a Three-Phase Gait<\/h3>\n\n<p>The gait cycle is broken down into <strong>three distinct phases<\/strong>:<\/p>\n\n<ul class=\"wp-block-list\">\n<li><strong>Phase 1<\/strong>: moving the cane forward. The patient briefly stops in double support, with feet at the same level, to maximize balance. <\/li>\n\n\n\n<li><strong>Phase 2<\/strong>: moving the right foot.<\/li>\n\n\n\n<li><strong>Phase 3<\/strong>: moving the left foot.<\/li>\n<\/ul>\n\n<p>The cycle then begins again in the same manner.<\/p>\n\n<p><strong>Intended advantage<\/strong>: this organization allows the patient to maintain <strong>two points of support on the ground at all times<\/strong>, addressing a <strong>fundamental need for security<\/strong> related to the stroke&#8217;s after-effects. She adapts her gait to remain stable. <\/p>\n\n<p><strong>Disadvantage<\/strong>: this gait pattern is <strong>slow, jerky, and energy-consuming<\/strong>, and deviates considerably from <strong>physiological gait<\/strong>. The compensation used limits autonomy and functional progression. <\/p>\n\n<h3 class=\"wp-block-heading\">With the Wheeleo\u00ae: a Fluid Two-Phase Gait<\/h3>\n\n<p>The gait cycle is simplified into <strong>two phases<\/strong>, closer to a natural gait:<\/p>\n\n<ul class=\"wp-block-list\">\n<li><strong>Phase 1<\/strong>: moving the left foot.<\/li>\n\n\n\n<li><strong>Phase 2<\/strong>: moving the right foot.<\/li>\n<\/ul>\n\n<p>The Wheeleo\u00ae moves <strong>continuously<\/strong>, while offering <strong>stable support<\/strong>, without requiring stops between steps.<\/p>\n\n<p><strong>Advantage<\/strong>: the Wheeleo\u00ae allows for <strong>respecting the need for stability<\/strong>, while <strong>maintaining a fluid and symmetrical gait<\/strong>. The walking speed is significantly increased (<strong>tripled in this clinical case<\/strong>) and the gait becomes more functional. <\/p>\n\n<p><strong>Disadvantage<\/strong>: there is no systematic disadvantage. After a short period of apprehension <\/p>\n\n<h3 class=\"wp-block-heading\">How Does She Manage to Triple Her Speed?<\/h3>\n\n<p><strong>In this clinical case, the effect of the Wheeleo\u00ae is particularly striking.<\/strong> The patient <strong>triples her walking speed<\/strong> simply by switching from a quad cane to a Wheeleo\u00ae. She transitions <strong>from a 3-phase gait pattern to a 2-phase pattern<\/strong>, much closer to normal walking. Her gait becomes <strong>more fluid, more symmetrical<\/strong>, with a <strong>clear increase in step length and cadence<\/strong>. This improvement shows how a well-chosen walking aid can transform a patient&#8217;s autonomy and motor efficiency.   <\/p>\n\n<h3 class=\"wp-block-heading\">Key Takeaways<\/h3>\n\n<p>If your patient walks in three phases with their cane or walker, they are compensating for postural instability with a very decomposed organization. In many cases, <strong>trying a wheeled device<\/strong>, such as a two-handed walker or a <strong>Wheeleo\u00ae<\/strong>, can <strong>restore a more natural gait<\/strong> and <strong>stimulate motor automatisms<\/strong>. <\/p>\n\n<p><strong>To date, 90% of tripod or quad cane users could improve their gait with the Wheeleo\u00ae.<\/strong> The main barrier remains <strong>resistance to change<\/strong>, both in patients and therapists.<\/p>\n\n<p>Would you like advice on choosing the right time to introduce the Wheeleo\u00ae in rehabilitation? I can help you analyze your patient&#8217;s profile. <\/p>\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The impact of Wheeleo\u00ae on gait organization in hemiparetic patients<\/p>\n","protected":false},"author":1,"featured_media":12351,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[109],"tags":[],"profils-type":[],"expertise":[],"situation":[358],"profils-et-pathologies":[289],"class_list":["post-12353","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-article","situation-clinical-cases","profils-et-pathologies-hemiplegie-en"],"_links":{"self":[{"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/posts\/12353","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/comments?post=12353"}],"version-history":[{"count":2,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/posts\/12353\/revisions"}],"predecessor-version":[{"id":12552,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/posts\/12353\/revisions\/12552"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/media\/12351"}],"wp:attachment":[{"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/media?parent=12353"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/categories?post=12353"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/tags?post=12353"},{"taxonomy":"profils-type","embeddable":true,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/profils-type?post=12353"},{"taxonomy":"expertise","embeddable":true,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/expertise?post=12353"},{"taxonomy":"situation","embeddable":true,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/situation?post=12353"},{"taxonomy":"profils-et-pathologies","embeddable":true,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/profils-et-pathologies?post=12353"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}