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PT Interventions I > Choosing and Fitting Assisted Devices > Flashcards

Choosing and Fitting Assisted Devices Flashcards

1
Q

what are assisted devices

A

mechanical devices that provide external support for musculoskeletal system

used to maintain an upright posture for ambulation

permit safe gait training for pt w/ impairments

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2
Q

indications for AD use

A

weight-bearing relief for deformity, amputation, injury or disease

support for muscle weakness/paralysis

stability for inadequate balance

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3
Q

AD can provide patients

A

FUNCTIONAL INDEPENDENCE

safety

reasonable energy expenditure w/ ambulation

appropriate assistance

achieve the greatest level of mobility

decrease fall risk

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4
Q

How does an AD support a patient

A

enlarging BOS
redistributing weight from LE to UE
encourages normal gait pattern

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5
Q

determining factors of AD

A

weight-bearing status

strength

ROM

Balance/stability

coordination

general condition

goals

comorbidities

living environment

cosmetics

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6
Q

Common AD (in order from most stable to least stable)

A

parallel bars

walker

bilateral Ax. crutches

lofstrand crutches

bil. canes

hemiwalker

quad cane

single axis cane

No AD

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7
Q

in order from least to most coordination required

A

parallel bars

walker

SAC

crutches

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8
Q

measuring an AD consists of

A

grip level

measure to the height of…

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9
Q

measuring grip level

A

bilateral supported stance

shoulders relaxed

toes slightly out

hip, knee and ankle in neutral

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10
Q

what do you measure an AD to the height of

A

greater trochanter

ulnar styloid process

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11
Q

parallel bars pros

A

can accommodate wheelchair

maximum support

correct LE can be taught

AD can be used inside of P.B.

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12
Q

parallel bar cons

A

not portable

artificial

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13
Q

types of walkers

A

standard

rolling

reciprocal

posterior

tripod

rollator

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14
Q

what are walkers used for

A

impairs balance

generalized weakness

decreased weight bearing

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15
Q

pros to walkers

A

high stability

large BOS

low coordination needed

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16
Q

cons to walkers

A

slow ambulation

can’t be used on stairs

unable to perform normal gait

difficult to use in crowded/tight areas

17
Q

walker attachments

A

gliders (SKIS)

folding seats

tray tables

wide hand grips

forearm platforms (for UE comorbidity)

storage units

18
Q

measuring a walkers

A

same as cane/crutches

assure 4 legs are even

20-30 degrees of elbow flexion

19
Q

types of crutches

A

axillary

lofstrand

platform

20
Q

pros of crutches

A

greater mobility

lateral stability

able to use with every weight-bearing restriction

maneuverability

variety of gait patterns

21
Q

cons of crutches

A

provide less stability than walkers

great energy expenditure

neuro injury possible in axilla if used incorrectly

requires UE strength and trunk control

22
Q

measuring crutches

A

place tips forward 4-6 inches at 45 degree angle anterior and lateral to small toe

pt should have 2-3 finger gap b/w top of crutch and axilla

grip same as cane and walker

23
Q

quick way to measure crutches

A

ATNR

measure from elbow to tip of finger

24
Q

pros of a cane

A

inexpensive

least cumbersome

easy on stairs

25
Q

cones of a cane

A

limited stability and weight bearing

used for slight weakness in LE, slight weight reduction d/t pain/ weakness and balance

cannot be used pwb and nwb

26
Q

types of quad canes

A

wide base

narrow base

27
Q

quad cane characteristics

A

4 pronged

provide wider BOS

wider angle of prongs away from pt

all 4 feet should be on the ground at the same time

may need to turn sideways on stairs

28
Q

hemiwalker (walkcane)

A

broad (4 points)

one hand use

CNA or Hemiplegia

unable to use on stairs

29
Q

reasons for measurement errors

A

not accounting for footwear

not confirmed in standing

optimal standing position not maintained during the measurement

crutches/cane too far/close to LE

feet are too far ant/post in walker

30
Q

effects of poor AD fit

A

decreased stability

increased energy expenditure

decreased functional ability

decreased safety

31
Q

safety w/ AD

A

ensure all screws are tightened

replace worn parts

clean dirt and gravel in tracks

32
Q

sit to stand w/ AD

A

wheels locked

pt moves to front of seat

both feet flat w/ one knee great than 90 degrees

hands on arm rests

pt leans forward and pushes on armrests

33
Q

stand to sit w/ AD

A

pt approaches from edge and turns away

backs up leading w/ uninvolved LE until back of legs touch seat

pt reaches ack for arm rest w/ uninvolved side hand first

PT Interventions I (15 decks)

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