Week 2 Flashcards

1
Q

Why do we use gait aids?

A

1) Support/posture
2) Structural support (amputation)
3) Weakness
4) Balance (ex:cane) (increase in balance of support)

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2
Q

True or false: Gait aids stay with the affected side.

A

True

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3
Q

True or False: Assistive devices (such as a cane) stay with the affected side.

A

False

  • Assistive device (cane) opposite affected side
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4
Q

What is “amb”/ambulation?

A

walking

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5
Q

What is gait training?

A

teaching walking

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6
Q

What is the most stable gait aid?

A

2 wheeled walker

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7
Q

When would you, and would not, use a 4 wheeled walker with a patient?

A

Would not use:
- grip strength issues
- hand/ROM issues
- weight bearing issues

When to use:
- faster to move around

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8
Q

Fitting of ambulatory assistive devices

A

1) Elbows slightly bent (20 degrees), no locking first
2) Handles should be at wrist creases

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9
Q

Benefits of the reverse walker? When would one use this device?

A

1) Upright posture
2) Access to environment

–> use with younger patients who will be using a walker long term, don’t need as much stability

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10
Q

Benefits of the knee walker?

A

Takes load off the ankles

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11
Q

Benefits of the gutter walker?

A

Takes the load off the wrist and hand

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12
Q

Why use crutches? Why not use crutches?

A

Use:
Faster to get around

Not use:
- Requires upper body strength
- Takes more coordination than a walker

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13
Q

Why use forearm crutches? Why not?

A

Use:
–> access to environment

Not:
–> Requires more arm strength/coordination

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14
Q

Why use a cane?

A

Balance/posture

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15
Q

Fitting for a cane?

A

1)Goes up to wrist crease
2)Close to body

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16
Q

NWB, PWB, WBAT meanings

A

NWB - no weight bearing

PWB - partial weight bearing
–> 20 - 50%

WBAT - weight bearing as tolerated
–> no structural problem as much weight as they can take

–> On NWB or PWB, patient can only use a 2 wheel walker or crutches for ambulation

17
Q

True or false: You can load more on a walker as opposed to a cane

A

True

18
Q

2 point gait pattern

A

The crutches and the involved leg are one point (move together) and the uninvolved leg is the other point. (WBAT or PWB)

19
Q

3 point gait pattern

A

involves three points contact with:
1) the floor the crutches serve as one point (move separate),
2) the involved leg as the second point,
3) the uninvolved leg as the third point.

Gait pattern is used when one side lower extremity (LE) is unable to bear weight.

20
Q

4 point gait pattern

A

used when there’s lack of coordination, poor balance and muscle weakness in both LE.

21
Q

How to progress gait pattern

A
  • Start with quiet/ no distractions to loud and lots of obstacles
  • 3 point to 2 point
  • 2 devices to 1 device to no device
  • no obstacles to obstacles, doorways, stairs
22
Q

What is guarding?

A

standing behind patient and to affected side

stay close so they can’t build momentum

23
Q

Stair training rules

A

Ascending
- up with the good leg first
- stay behind patient

Descending
- down with the bad leg and assistive device first
- stand in front of patient