Gait Training w/ AD Flashcards
before gait training with AD
make sure gait training is needed
consider PMH and Comorbidities
consider purpose
perform screening exam
prep for ambulation
secure and inspect equipment
obstacles clear
explain and demonstrate
discuss precautions
appropriate footwear
gait belts
used for safe guarding
protects against liability
supine grip
guarding the uninvoled side
when a WB restriction is present
guarding the involved side
when no weight bearing restriction is present
pushers syndrome
some neural impairments force the pt to lean towards strong side therefore guard strong side
guarding level surfaces
stand in string w/ wide BOS (slight knee bend)
as the pt advances maintain diagonal string and wide BOS (dont interfere with pt gait and never cross feet)
stand posterolateral (hand on near shoulder)
if a pt loses balance during guarding
step in direction of loss of balance
widen BOS
hug pt to your center
worse case scenario –> rest pt on your knee
patient instructions
demonstrate
simple verbal instructions
feedback
recall (have pt teach you)
teach safely (how to fall)
mental practice (imagery during rest period)
what to consider while AD gait training
patents concentration, WB status, fatigue and monitor responses
tips for AD gait training
teaching neutral posture
encourage head up and look ahead not at toes (can occasionally look at toes for visual feedback)
CCDD (end w/ something the patient can do well)
