USE OF DUPATTA/CHUNARI AS A GAIT BELT IN GAIT TRAINING IN HEMIPLEGICS AND BALANCE DISORDERS


Goal is to Prevent the fall during training and walking.

While doing gait training of hemiplegics and patients with balance disorders, they are at high risk of  loss of balance and fall. During imbalance and fall we tend hold the upper limb of patients or trunk. this can lead to injury to upper limb or sometime we don’t get a good grip of upper limb or trunk during the sudden imbalance. in that case we need a stable and good hook to hold and prevent the fall.

What is the solution?

In European countries and America they commonly use gait belt or transfer belt for gait training. but in India it is not commonly available in market. So i had to find a solution which is cheap and easily available. So  started using Dupatta/Chunari which all our Indian women and girls use on their dress of Salwar -Kurta. In each home this is easily available and it is free of cost.

How to use modified gait belt: Dupatta?

I use Dupatta/Chunari while balance and gait training in hemiplegics and patient with balance disorders. I tie is around the wait of patient and hold it from behind. This way patients upper limbs are free, he can use the righting reactions and compensatory balance techniques with upper to control imbalance. this way we can challenge the balance to extremes and we will be assured that the patient will not fall as we can control the imbalance and prevent the fall from the modified gait belt called as Duapatta.

I found it very easy to use , cheap/free and easily available

i suggest you also try this techniques and share your experiences and give suggestions.

PLEASE NOTE: ALWAYS USE COTTON DUPATTA AND TIE A GOOD KNOT.

7 responses to “USE OF DUPATTA/CHUNARI AS A GAIT BELT IN GAIT TRAINING IN HEMIPLEGICS AND BALANCE DISORDERS

  1. Hey Gajanan, it could be a substitute for gait belt, but I feel that Gait belt has its own advantages too. 1] it has got serrations on its buckle so that we can lock it and usually it is made up of firm materiel. 2] I feel we should encourage supply people to market gait belts so that one day even they would be available to everyone like therabands or micropore tapes.
    So while selecting Dupatta , care should be practised to look for its material and the way we put knot to tighten it.

  2. Hey Radhika, i appreciate your suggestion regarding the material and availabilty of gait belts but this will take time and will cost something. Many times patients are not affording orthosis also so this would be added burden. If we use soft cotton material duppatta the caregiver can carry over the same practice session in home environment.

  3. This is very interesting and useful. i am trying to care for my 75 yr old mom who has just had a hip surgery. I could not find a gait belt in India -atleast on my grief google search.
    Could you please elaborate the dupatta technique? Is it enough to just put a knot tight enough that two fingers can slide in (as recommended for gait belt) be sufficient? My mom has arthritis and hence cannot assist with her upper limbs so it would be important that this belt be able to lift/transfer on its own

    Many thanks for this post.
    nan

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