1. Locomotor Training: Major Elements of PT Intervention
    1. Prep for Locomotor Training
      1. • Bridging • Quadruped • Sitting • Sit to stand • Kneeling & half kneeling • Modified plantigrade • standing
    2. Parallel Bar Progression
      1. • Moving from sitting to standing & reverse • Standing balance & LOS training • Stepping, sidestepping, cross stepping • Use of appropriate gait pattern, forward progression & turning • Moving from sitting to standing & reverse, with AD • Standing balance & weight shifting activities with AD • Use of AD for fwd progression & turning
    3. Indoor Bar Progression
      1. • Walking forward & backward • Resisted progression • Sidestepping & cross stepping • Breeding • Stairclimbing • Falling techniques
    4. Outdoor Overground Progression
      1. • Opening doors & passing through threshold that lead outdoors • Curb climbing; negotiating ramps, stairs & sloped surfaces • Walking on even & uneven surfaces • Walking within imposed timing requirements • Use of open community environment; outside doors & thresholds • Entering/exiting transportation vehicles • Use of elevators, revolving doors
    5. Locomotor Training using BWS & Motorized TM
      1. • Walking on TM using BWS progressing to no BWS • Production of local motor rhythm: slow speed progression to faster speeds • For propulsion of body • Dynamic balance control of moving body • Reciprocal stepping patterns: assisted movements to unassisted • Strategies to improve speed, symmetry & endurance
    6. Indoor Overground Progression Using BWS
      1. • Indoor walking on level surfaces with BWS progressing to no BWS • Use of AD for ambulation on level surfaces • Elevation activities: step ups • Opening doors & passing through doorways
  2. Preparatory Exercises for Locomotor Training
    1. Bridging, Pelvic Elevation
    2. Quadruped Posture
    3. Sitting
    4. Sit-to-Stand
    5. Kneeling & Half-kneeling
    6. Modified Plantigrade
    7. Standing
  3. Locomotor Training Strategies
    1. Parallel Bar Progression
    2. Indoor Overground Progression
    3. Outdoor Overground Progression
    4. Locomotor Training Using BWS & Motorized TM
    5. Overground Locomotor Training Using BWS
    6. Locomotor Training Using Assistive Devices
    7. Adjunct Training Devices