Which of the following is NOT one of the four primary principles/guidelines of locomotor training as described in the NeuroRecovery Network approach?

Which of the following is NOT one of the four primary principles/guidelines of locomotor training as described in the NeuroRecovery Network approach?

• A. Maximize loading through the lower extremities
• B. Optimize posture and kinematics to resemble normal walking
• C. Encourage upper extremity weight bearing through parallel bars to improve trunk stability
• D. Provide appropriate and consistent sensory cues

Answer: (C)

Locomotor training in the NeuroRecovery Network approach centers on three core ideas: driving leg-driven loading, shaping posture and movement to mirror normal walking, and using consistent sensory cues to guide stepping. Loading through the legs provides the meaningful input the nervous system needs to relearn stepping patterns. Aligning the body to resemble a normal gait helps promote symmetrical, efficient trunk and leg coordination. Consistent sensory cues—such as timing, rhythm, and proprioceptive feedback—facilitate motor learning and help patients develop more normal stepping. The option about encouraging upper-extremity weight bearing through parallel bars is not one of the primary guidelines. While parallel bars may be used for support or safety during early practice, the main principles focus on leg loading, gait-like posture, and sensory guidance rather than relying on arm weight bearing to stabilize the trunk.

Locomotor training in the NeuroRecovery Network approach centers on three core ideas: driving leg-driven loading, shaping posture and movement to mirror normal walking, and using consistent sensory cues to guide stepping. Loading through the legs provides the meaningful input the nervous system needs to relearn stepping patterns. Aligning the body to resemble a normal gait helps promote symmetrical, efficient trunk and leg coordination. Consistent sensory cues—such as timing, rhythm, and proprioceptive feedback—facilitate motor learning and help patients develop more normal stepping.

The option about encouraging upper-extremity weight bearing through parallel bars is not one of the primary guidelines. While parallel bars may be used for support or safety during early practice, the main principles focus on leg loading, gait-like posture, and sensory guidance rather than relying on arm weight bearing to stabilize the trunk.