{"id":12363,"date":"2025-06-06T14:00:28","date_gmt":"2025-06-06T12:00:28","guid":{"rendered":"https:\/\/www.wheeleo.eu\/resumption-of-walking-for-hemiplegic-patients\/"},"modified":"2025-06-19T11:59:23","modified_gmt":"2025-06-19T09:59:23","slug":"resumption-of-walking-for-hemiplegic-patients","status":"publish","type":"post","link":"https:\/\/www.wheeleo.eu\/en\/resumption-of-walking-for-hemiplegic-patients\/","title":{"rendered":"Resumption of Walking for Hemiplegic Patients"},"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=\"Premiers pas \u00e0 la rampe\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/UO4QuX6ORlE?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>At the <strong>William Lennox Neurological Hospital Center<\/strong>, <strong>gait rehabilitation<\/strong> for <strong>hemiplegic<\/strong> patients often begins with training at the <strong>handrail<\/strong>, accompanied by a <strong>visual guide<\/strong> drawn on the floor approximately <strong>20 cm from the wall<\/strong>. This simple but effective method offers numerous advantages for patient <strong>stability<\/strong> and <strong>safety<\/strong>. <\/p>\n\n<h3 class=\"wp-block-heading\">Why Use a Handrail and a Line on the Floor?<\/h3>\n\n<p>The <strong>handrail<\/strong> provides a <strong>solid fixed point<\/strong> for the patient to lean on, thus reinforcing <strong>confidence<\/strong> and <strong>safety<\/strong>. The <strong>wall<\/strong> also acts as a <strong>vertical reference<\/strong>, limiting the risk of <strong>lateropulsion<\/strong> (lateral tilting of the body) and offering <strong>natural support<\/strong>. The <strong>line drawn on the floor<\/strong> allows precise positioning of the <strong>foot<\/strong> at an appropriate distance from the wall, preventing the \u201cunaffected\u201d foot from being too close, which would worsen lateropulsion.  <\/p>\n\n<p>By placing the <strong>foot on the line<\/strong> and the <strong>shoulder against the wall<\/strong>, the patient adopts a more stable posture with the <strong>center of gravity<\/strong> aligned above the support. This concrete instruction is often easier to apply than the vague command to &#8220;stand straight&#8221;. <\/p>\n\n<h3 class=\"wp-block-heading\">A Progressive and Secure Learning Phase<\/h3>\n\n<p>In this context, it is possible to have a patient walk for several dozen meters even if they do not yet have sufficient <strong>voluntary motor control<\/strong>. The therapist assists the movement by helping to advance the leg, often by gently pushing behind the thigh with their knee, and using a <strong>Velpeau bandage<\/strong>\u00ae to guide foot placement. This assistance promotes <strong>intensive repetition<\/strong> of steps, a key factor in rehabilitation.  <\/p>\n\n<p>The goal is to maximize the <strong>number of steps<\/strong> taken during each session to stimulate the \u201c<strong>intensity<\/strong> of the work and promote\u201d <strong>autonomy<\/strong>. At the same time, it is crucial to ensure <strong>optimal gait quality<\/strong> to avoid <strong>harmful compensations<\/strong> (negative plasticity). <\/p>\n\n<h3 class=\"wp-block-heading\">Why Avoid Parallel Bars?<\/h3>\n\n<p>Unlike the handrail, <strong>parallel bars<\/strong> are not ideal for several reasons: they can generate a <strong>fear of open spaces<\/strong> that increases lateropulsion, they limit the <strong>available space<\/strong> for the therapist, and their length is often insufficient for sufficiently long walking courses.<\/p>\n\n<h3 class=\"wp-block-heading\">Transitioning to a more Fluid Gait with Wheeleo\u00ae<\/h3>\n\n<p>This initial phase of rehabilitation at the handrail is generally characterized by a <strong>three-step<\/strong> gait, with very secure support but a <strong>slow<\/strong> and not very <strong>natural<\/strong> rhythm.<\/p>\n\n<p>The next phase involves introducing a <strong>one-handed walker<\/strong>, such as the <strong>Wheeleo\u00ae<\/strong>. This innovative tool allows for a transition to a <strong>two-step<\/strong> gait, which is more <strong>fluid<\/strong>, <strong>faster<\/strong>, and closer to a <strong>normal<\/strong> walking pattern. <\/p>\n\n<p>The Wheeleo\u00ae offers <strong>constant support<\/strong> even during movement, facilitating <strong>step reorganization<\/strong>, improving <strong>symmetry<\/strong>, and increasing <strong>cadence<\/strong>. The patient can thus gain <strong>confidence<\/strong> and <strong>autonomy<\/strong>, with a more <strong>natural<\/strong> gait pattern. <\/p>\n\n<h3 class=\"wp-block-heading\">Conclusion<\/h3>\n\n<p>Gait rehabilitation for hemiplegic patients requires <strong>methodical progression<\/strong>, adapted to their current abilities. The <strong>handrail<\/strong> with a floor guide is an essential first step for learning <strong>posture<\/strong> and <strong>foot placement<\/strong> in a <strong>secure<\/strong> environment. Subsequently, using an innovative walker like the <strong>Wheeleo\u00ae<\/strong> allows for optimizing the resumption of a <strong>fluid<\/strong>, <strong>symmetrical<\/strong> gait that is closer to <strong>normal<\/strong>.  <\/p>\n\n<p>Each stage must be adjusted according to the patient&#8217;s needs and progress, always aiming for <strong>quality of movement<\/strong> and <strong>functional autonomy<\/strong>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>From Handrail to Wheeleo\u00ae<\/p>\n","protected":false},"author":1,"featured_media":12361,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[109],"tags":[],"profils-type":[],"expertise":[],"situation":[288],"profils-et-pathologies":[289],"class_list":["post-12363","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-article","situation-rehabilitation","profils-et-pathologies-hemiplegie-en"],"_links":{"self":[{"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/posts\/12363","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=12363"}],"version-history":[{"count":1,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/posts\/12363\/revisions"}],"predecessor-version":[{"id":12364,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/posts\/12363\/revisions\/12364"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/media\/12361"}],"wp:attachment":[{"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/media?parent=12363"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/categories?post=12363"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/tags?post=12363"},{"taxonomy":"profils-type","embeddable":true,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/profils-type?post=12363"},{"taxonomy":"expertise","embeddable":true,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/expertise?post=12363"},{"taxonomy":"situation","embeddable":true,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/situation?post=12363"},{"taxonomy":"profils-et-pathologies","embeddable":true,"href":"https:\/\/www.wheeleo.eu\/en\/wp-json\/wp\/v2\/profils-et-pathologies?post=12363"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}