FROM A PERSONAL AND PROFESSIONAL PERSPECTIVE
TODAY?
             Thomas L. Clouse, M.D.

                                      
                          WALKING WITH ATAXIA   

TOMORROW!
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The nitty gritty (text)
 
   Why do I have to work
          so damn hard?
     You are your enemy.    
     Believe you can.
     Let's begin.
     To move, to walk.
     Stepping out.
     Not shuffling.
     It's not just walking.
     Remember when.
     The dance.

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ALERT & DANGER ITEMS!


1.  Not getting enough exercise.
      Not doing strengthening exercises on a regular basis.

        Not practicing movement skills.

2.            Depending on someone, or something else, for too much of your support.
     You must learn to be your own main support for improved balance.

3.            Starting your movements by first moving your upper body.

     This causes your weight to shift onto the balls of your feet and toes.

 

4.            Starting your movements by first moving your feet. This leads to stiff
     knees and hips. The end result is having your weight on your heels.

 

5.            Head forward or leaning to one side - your body wants to go that way too.

 

6.            Eyes looking at the floor instead of where you are going.

 

7.            Poor posture - hunched, slumped or uneven shoulders

        --- your rump sticking out behind you.

 

8.            Improperly adjusted canes and walkers causing you to lean.

 

9.            Straight, locked knees causing you to be rigid and cumbersome.

 

10. Standing with your body weight on your heels. It's an easy tip backwards.

 

11.    Poor fitting shoes.

 

12.    Stepping on the "outside" of your shoes (foot). It makes you more tipsy.

 

13.    Making your steps too big - means less control, more stumbles.

 

14.    Stepping forward with your toes turned in - the next step will be off the
        "corner" of
your shoe and leads to falls.

 

15.    Not taking a forward step before you try to turn. Two bads created here.
        One - you are trying to step forward off the corner of your foot/shoe.
        Two
- you are "crossing" your legs and shifting your weight to the side.

 

16.    Moving sideways - this is inherently unstable.

 

17.   A floppy back foot. Your trailing foot can cause you to be off balance as

    well. You need to control it as much as you do the one stepping forward.