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Andrew M. Ball, MS, PT -> Re: Looking for ideas for an orthpaedic inservice (April 2, 2001 5:03:00 AM)
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Check out the Z-Lift system's advantages over traditional therapy.
Advantages of the Z-Lift in Body-Weight Support Therapy and Training:
Z-Lift System is useful in athletic training and aerobic exercise. For example, an athlete, with 20% of body-weight supported by the Z-Lift System, can run nearly 10% faster than at full weight (on a suitable treadmill). This overspeed training conditions the coordination of muscles and nerves at faster rates than the athlete will employ when at full weight on the field. While top speed at full body-weight is increased only slightly, the greater benefit of overspeed training is that the athlete's form will no longer break down when running "flat out". The athlete's reflexes are sharper, allowing faster reactions, which results in better performance on the field and reduced chance of injury. An additional benefit of using a Z-Lift for exercise is the reduced impact stress on the lower extremities. Many athletes use the Z-Lift for training and weight maintenance because of this ("You can run all day without pounding your knees into oblivion"). Further, during aerobic training a target heart rate may be maintained for longer periods by gradually increasing the amount of body-weight support once the desired rate is first reached at full weight. In today's competitive sports environment every "extra edge" is invaluable, and that is why many pro sports and college teams are using the Z-Lift for its benefits in training as well as rehabilitation. The Z-Lift is the only machine of its type capable of smooth, tug-free, body-weight support at the rapid cycle rates created during training exercise.
In clinical trials, our incremental weight-bearing equipment has demonstrated:
A reduction in post-ACL reconstruction recovery time by more than 40 percent. A relief of patient back pain in 7 visits or less. Successful resolution of chronic back pain resulting in discharge in 6 weeks. An identification of pain threshold in patients with lower back pain, a prognostic indicator for recovery. Successful treatment programs for degenerative joint disease (knees, hips, etc.) Rapid recovery from lateral ankle sprains. Shorter rehabilitation cycles.
enhanced athletic performance.
*Rarely is more than 50% of a person's body weight supported. The amount of support should be determined by a qualified professional, such as a physical therapist or athletic trainer. The amount of support is gradually reduced as the patient progresses until the patient can successfully perform tasks on a daily basis without support. Standard Z-Lifts provide up to 100 pounds of support. Up to 200 pounds can be supported on custom-ordered units.
[URL=http://www.zlift.com/]http://www.zlift.com/[/URL]
REFERENCES (I did not do this search, I lifted it from the Z-lift website, but I've read most of this information):
Zander, G.: L'Etablissement de Gymnastique Médicale Méchanique Paris, 1879.
Busquey, Torro S: Gimnastia, Hygienica, Medica y Ortopedica Madrid, 1865.
Colson, John H. C., FCSP FSRG DipTRG DipCOT; Collison, Frank W., MSRG: Progressive Exercise Therapy in Rehabilitation and Physical Education Fourth Edition, 1983, pp. 13-23.
Delpech, Jacques M.: L'Orthomorphie Paris, 1828.
Finch L., Barbeau H., Arsenault B.: "Influence of Body Weight Support on Normal Human Gait: Development of a Gait Retraining Strategy" Physical Therapy, Volume 71, 1991, pp. 842-856.
Flynn, Timothy W.; Canavan, Paul K.; Cavanagh, Peter R.; Chiang, Jin-Hsien: "Plantar Pressure Reduction in an Incremental Weight-Bearing System" Physical Therapy, Volume 77, No. 4, April 1997, pp. 410-416.
Hesse S., Bertlet C., Schaffrin A., Malezic M., Mauritz K.: "Restoration of Gait in Nonambulatory Hemiparetic Patients by Treadmill Training with Partial Body-weight Support" Arch. Phys. Med. Rehab., Volume 75, October 1994, pp. 1087-1093.
Hesse S., Bertlet C., Jahnke, MT, et al.: "Treadmill Training with Partial Body Weight Support Compared with Physiotherapy in Nonambulatory Hemiparetic Patients" Stroke, Volume 26, 1995, pp. 976-981.
Kelsey, D., Tyson E.: "A New Method of Training for the Lower Extremity Using Unloading" The Journal of Orthopaedic & Sports Physical Therapy, Volume 19, No. 4, April 1994, pp. 218-223.
Kelsey D.: "New Advances in Rehabilitation Following Anterior Cruciate Reconstruction" Platform presentation at the American Physical Therapy Association's Annual Combined Sections Meeting, New Orleans, Louisiana. February, 1994.
Kelsey D.: "New Advances in Closed Kinetic Chain Training" Ninety minute presentation at the Joint Congress of the American Physical Therapy Association and The Canadian Physiotherapy Association, Toronto, Canada. June 1994.
Kelsey D.: "Low Back Pain: A New Method of Assessment for Pain-free Weight-bearing Exercise" Platform presentation at the American Physical Therapy Association's Annual Combined Sections Meeting, Reno, Nevada. February 1995.
Kelsey, D.: "New Concepts for the Treatment of Tendinitis and Chondral Injuries of the Lower Extremity" The Dogwood Conference, Alpharetta, Georgia. April 1995.
Kline, Mangione K.; Axen, K.; Haas, F.: "Mechanical Unweighting Effects on Treadmill Exercise and Pain in Elderly People with Osteoarthritis of the Knee" Physical Therapy, Volume 96, 1996, 387-394.
Lagrange, F.: La Médication par l'Exercice Paris, 1894.
Levertin, A.: Dr. Gustav Zander's Medico-Mechanical Gymnastics Stockholm, 1893.
Licht, Sidney, ed. by Basmajian, John V., M.D., F.A.C.A., F.R.C.P.(C.): "History" chp. in Therapeutic Exercise, Fourth Edition, Rehabilitation Medicine Library, Canada. pp. 1-44.
Murray J., Hunter D., Pape M., Kelsey D., Murray T.: "Determination of the Physiological Effects of Unloaded Treadmill Exercise" Cardiopulmonary Physical Therapy, Volume 4, No. 3, Spring 1993, pp. 13-16.
Pillar T., Dickenstein R., Smolinski Z.: "Walking Re-education with Partial Relief of Bodyweight Support in Rehabilitation of Patients with Locomotor Disabilities" Journal of Rehabilitation, Res. Volume 28, No. 4, 1991, pp. 47-52.
Sanders, Barbara, MS, PT, SCS, Assoc. Prof. & Program Dir, Physical Therapy, Southwest Texas State Univ.: "Sports Rehab Concepts" chp. in Sports Physical Therapy, c 1990, Appleton & Lange
Scotece, Gaetano G., MPT, FAAPM: "Physical Therapy and the Management of Pain" Orthopaedic Physical Therapy Clinics of North America, Volume 4:4, December 1995, pp. 541-554. (Address reprint requests to: Gaetano G. Scotece, MPT, FAAPM, Lakewood Health Care Center, 11411 Bridgeport Way SW, Tacoma, WA 98499)
Scotece, Gaetano G., MPT, FAAPM: "Reflex Sympathetic Dystrophy: Description and Multidisciplinary Approach" Orthopaedic Physical Therapy Clinics of North America, Volume 4:4, December 1995, pp. 459-469. (Address reprint requests to: Gaetano G. Scotece, MPT, FAAPM, Lakewood Health Care Center, 11411 Bridgeport Way SW, Tacoma, WA 98499)
Visintin M., Barbeau H.: "The Effects of Parallel Bars, Body-weight Support, and Speed on the Modulation of the Locomotor Pattern of Spastic Paretic Gait" A Preliminary Communication. Paraplegia, Volume 32, 1994, pp. 540-553.
Wernig A., Muller S.: "Laufband Locomotion with Bodyweight Support Improved Walking in Persons with Severe Spinal Cord Injuries" Paraplegia, Volume 30, 1992, pp. 229-238.
Wernig A, Nanassy A, Muller S.: Laufband (treadmill) therapy in incomplete paraplegia and tetraplegia. J Neurotrauma 1999 Aug;16(8):719-26
Wernig A, Nanassy A, Muller S.: Maintenance of locomotor abilities following Laufband (treadmill) therapy in para- and tetraplegic persons: follow-up studies. Spinal Cord 1998 Nov;36(11):744-9
Andrew M. Ball, MS, MBA, PT
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