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PT Science > Exam 3: Patient Skills - Assisted Devices > Flashcards

Exam 3: Patient Skills - Assisted Devices Flashcards

1
Q

What are WB Restrictions of the LE typically based on

A

A percentage of the patients body weight that should be transmitted through the LE

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2
Q

Upper extremity WV restrictions can affect ___ if UEs are being used to compensate for LE difficulty

A

gait

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3
Q

What does NWB stand for

A

non weight bearing

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4
Q

Which term is used to describe a foot that does not touch the ground

A

non weight bearing

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5
Q

What does TTWB stand for

A

toe touch or touch down WB

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6
Q

Which term is used to describe a foot that contacts the ground for balance only, or 10 to 15 kg or up to 20% of BW

A

TTWB

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7
Q

What does PWB stand for

A

partial WB

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8
Q

Which term is used to describe usually 20% to 50% of body weight

A

partial WB

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9
Q

what does WBAT mean

A

weight bearing as tolerated

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10
Q

which term is used to describe pressure limited only by patient tolerance, usually 50% to 100%

A

weight bearing as tolerated

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11
Q

what does FWB stand for

A

full weight bearing

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12
Q

Which term is used to describe 100% weigh bearing with no restrictions

A

full weight bearing

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13
Q

List the assisted devices from most to least supportive

A
  1. Parallel Bars
  2. Walker
  3. Bilateral axillary crutches
  4. Bilateral forearm crutches
  5. Hemi walker
  6. Quad cane
  7. Single point cane
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14
Q

List the assisted devices from lest to most coordination

A
  1. Parallel bars
  2. Walker
  3. 1 Cane
  4. 2 Canes
  5. Axillary crutches
  6. Forearm crutches (most coordination)
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15
Q

When guarding a patient, a gait belt should be used (sometimes/always) and the clinician’s grip should be (supinated/pronated)

A

always; supinated

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16
Q

What three factors does guarding a patient include

A
  1. verbal cues
  2. monitoring the environment
  3. physical assistance
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17
Q

Should initial guarding be on the patient’s involved or uninvolved side

A

uninvolved

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18
Q

Why should initial guarding be on the patient’s uninvolved side

A

Because it is the best position to pull a patient into PT’s base of support, reducing potential of placing weight on involved side. As the patient improves you can switch to involved side

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19
Q

How should a clinician guard a patient during moving in/out of a chair

A

The clinician should stand in stride and slightly behind the patient

20
Q

How should a clinician guard a patient during ambulation on level surfaces

A

The clinician should stand in stride directly behind the patient and the AD on the side on which you are guarding. The clinician should advance the outside foot as the patient advances the AD.

21
Q

Which term is used to describe a selected sequence of movements for the assisted device and lower extremities

A

gait pattern

22
Q

Which point gait pattern is used for muscle weakness, pain, or decreased balance, usually with 2 assistive devices such as 2 canes or crutches

A

two point

23
Q

What type of WB does 2 point gait pattern require

A

WBAT or FWB

24
Q

Which point gait pattern is used with patients that have an impairment on one LE such as Fx, weakness, pain, injury or surgery requiring decreased WB

A

three point

25
Q

What type of assisted devices are used with three point gait patterns

A

a walker or bilateral crutches

26
Q

What is the sequence of a three point gait pattern

A

walker/crutches, involved leg, uninvolved leg

27
Q

Which point gate pattern is for patients with the same impairments as two point but more severe

A

4 point

28
Q

What is another term for a 4 point gate pattern

A

deliberate 2 point gait pattern

29
Q

Which type of assisted device and weight bearing does a 4 point gate pattern require

A

bilateral crutches or canes with WBAT or FWB

30
Q

What is the sequence of a four point gait pattern

A

cane/crutch, opposite LE, second cane/crutch, opposite LE

31
Q

When a patient is transferring up and down stairs, it is important to remember “____ with the good, ____ with the bad.”

A

Up; down

32
Q

When a patient is transferring up and down stairs, the AD generally moves with the (involved/uninvolved) LE

A

involved

33
Q

If a patient is transferring up a staircase with an AD, where should the clinician guard

A

from behind the patient

34
Q

If a patient is transferring down a staircase with an AD, where should the clinician guard

A

from in front of the patient

35
Q

How should a patient be fitted for a front-wheeled/rolling walker

A

The patient should stand within with walker with their shoulders relaxed. The top of the handgrip should be at the patients wrist. The elbows should be flexed 20-30 degrees

36
Q

How should a patient be fitted for a standard walker

A

The patient should stand within with walker with their shoulders relaxed. The top of the handgrip should be at the patients wrist. The elbows should be flexed 20-30 degrees

37
Q

How should a patient be fitted for a four-wheeled walker

A

The patient should stand within with walker with their shoulders relaxed. The top of the handgrip should be at the patients wrist. The elbows should be flexed 20-30 degrees

38
Q

How should a patient be fitted for axillary crutches

A

Two fingers between the crutch and the armpit. The handgrips should fall at the wrist when patient is relaxed and elbows should be flexed 20-30 degrees

39
Q

How should a patient be fitted for a hemi walker

A

The patient should stand within with walker with their shoulders relaxed. The top of the handgrip should be at the patients wrist. The elbows should be flexed 20-30 degrees

40
Q

A front wheeled/rolling walker is meant for a ___ point gait pattern

A

3

41
Q

A standard walker is meant for a ___ point gait pattern

A

3

42
Q

A four wheeled walker is meant for a ____ point gait pattern

A

3

43
Q

Axillary crutches are meant for which point gait pattern

A

2, 3, or 4

44
Q

A forearm crutch is means for which point gait patterns

A

2, 3, or 4

45
Q

A hemi walker is meant for a ___ point gait pattern

A

3

46
Q

A cane can be used for which point gait patterns

A

3 or 4 if it is bilateral canes

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