Physiology of Walking

A. WALK CYCLE
One cycle walking / gait from heel starts one foot on the floor (heel strike) until the next heel strike of the same leg, called the 100% total walking cycle. Certain points in the cycle can be observed.
a. 0%: heel strike at the beginning phase of standing (stance phase)
b. 15%: front foot touches the floor, also known as flat foot
c. 30%: the heel off the floor (heel off)
d. 45%: knee and hip flexed to accelerate the leg forward, in anticipation of the swing phase (swing phase) called a knee band
e. 60%: fingers off the floor, the end of the phase of the standing to initiate the swing phase, called the toe off. In mid-swing required dorsiflexion of the foot to prevent fingers touching the floor.
f. 100%: back heel touches the floor.
During the total run cycle, phase stands covering 60% and 40% of total cycle is swing phase.

Neurological Aspect of Walking

          In the process of walking / gait there is a complex process that is influenced by a number of mechanisms of the body, and is the result of the collaboration of the various types of reflex. Walk normally usually do not attract attention . Walking impairment can be found in a variety of circumstances . Mechanical factors such as diseases of the muscles, bones, tendons, and joints play an important role in the occurrence of walking impairment .

Medical Treatment and Therapy for Extrapyramidal Syndrome

           General medical treatment and therapy for the extrapyramidal syndrome is patients treated with antihistamines such as difenhidramine , sulfas anticholinergics such as atropine or trihexyphenidil ( ( THP ) , 4 - 6mg per day for 4-6 weeks . Thereafter the dose reduced gradually , ie 2 mg every week , to see if the patient has developed a tolerance to the side effects of extrapyramidal syndrome . severe acute dystonia When the reaction had to be addressed quickly Beztropin generally given IV or IM diphenhydramine . awarded for acathisia anticholinergic and amantadine , and giving propanolol and benzodiazepines such as clonazepam and lorazepam .