Contralateral Aerobic Stepper

Neuromuscular Re-Education and Body Mechanics

Documentation and Activity Rationale

The patient engaged in slow contralateral marching to promote neural re-patterning, neural organization, enhancement of cognition, and interhemispheric communication. The patient slowly raised contralateral upper and lower extremity in a holding pattern to maximize intentional motor activation, increase hip, knee, and ankle stability, while also promoting UE strengthening and flexibility. The patient performed 50 marches each side with minimal difficulty and contact gaurd assistance.

Grading Strategies

Grading Up:

  • Use ankle or wrist weights
  • Increase weight of ball
  • Increase rise of aerobic stepper
  • Incorporate dual tasking
  • Use metranome

Grading Down: 

  • Decrease rise of aerobic stepper
  • eliminate weighted ball


Appropriate Diagnoses / Deficits

  • Generalized Weakness¬†
  • SCI
  • CVA
  • TBI
  • Balance deficits