Assistive devices

Question 1

What are the six functions for assistive devices

Answer 1

Decrease Lorex Germany join forces provide aid for muscular weakness provide aid for joint instability decrease fatigue and increased base of support increased dynamic stability

Question 2

What are four types of single end canes

Answer 2

Pistol handle shovel handle offset curved half circle or J handle

Question 3

What is a downside of a hemi walker

Answer 3

Teaches a leaning gate pattern

Question 4

What is the order that you do leg movements with a hemi walker

Answer 4

Hemi walker affected leg not affected leg

Question 5

How do you measure for a cane

Answer 5

Play 6 inches from lateral border toes with 20 to 30° of elbow flexion top of hand grip at approximately the ulnar styloid process

Question 6

What are the different types of crutches

Answer 6

Axillary loft strand also have a platform attachment option

Question 7

What is the collies fracture

Answer 7

A fracture to the distal radius you cannot give them normal axillary crutches if this

Question 8

How do you fit for crutches standing

Answer 8

Elbow should be 20 to 30° of flexion axillary bar to inches below axilla and 2 inches lateral and 6 inches anterior to the middle of the foot

Question 9

How do you measure for crutches if the person is supine

Answer 9

Lay them down and place them 6 to 8 inches lateral from the heel

Question 10

What are some muscles used during crutches

Answer 10

Shoulder depressor’s shoulder add doctors shoulder flexors elbow extensors wrist flexors extra music finger and thumb flexors

Question 11

How many inches of space should there be between the patient’s arm pit and the crutch

Answer 11

2 inches

Question 12

One fitting axillary crutches and standing where should the crutch tips be placed

Answer 12

2 inches lateral and 6 inches anterior to the patients foot

Question 13

What are some pros and cons of loft strand crutches

Answer 13

The pro is they are more mobile arms are free and there is no axillary compression the cons is all force is through the hand they are not as stable and they are more difficult to use.

Question 14

Where should loft strand crutches be placed at the elbow

Answer 14

1 to 1 1/2 inches below the elbow or at the proximal 1/3 of the forearm

Question 15

What is a con of a standard walker

Answer 15

It does not allow for a reciprocal gait pattern

Question 16

What is another name for a cardiac walker

Answer 16

And EVA walker

Question 17

Why would someone use a cardiac walker

Answer 17

If they have sternal precautions and it can keep the arms in neutral

Question 18

What is a rear or reverse walker used for

Answer 18

Usually for children because it doesn’t limit stride and helps keep them up right and they can get closer to people tables etc.

Question 19

What kind of assistive device would you use for a 65-year-old woman who had a stroke 10 years ago who has difficulty shifting her weight

Answer 19

A quad cane or possible hemi-walker

Question 20

What kind of assistive device would you use for an 83-year-old with balance issues and gets tired walking two blocks

Answer 20

A four wheeled walker

Question 21

What assistive device would you use for a 75-year-old with mild balance issues has some falls and likes to furniture walk

Answer 21

A single end cane

Question 22

What kind of assistive device would you use for a 16-year-old who broke their left ankle nonweightbearing but an active individual

Answer 22

Axillary crutches

Question 23

What kind of assistive device would you use for an eight-year-old with spina bifida but is having a hard time keeping up with friends

Answer 23

Loft strand crutches

Question 24

What kind of assistive device would you use for a 62-year-old total knee who is sedentary

Answer 24

A front wheeled walker

Question 25

What is the definition of minimum assistance

Answer 25

Patient does 75 percent or more physical therapist is 25 percent or less

Question 26

What is the definition of moderate assistance

Answer 26

Participant does 50 to 75 percent physical therapist does 25 to 50 percent

Question 27

What is the definition of maximum assistance

Answer 27

Participant does 25 to 50 percent physical therapist is 50 to 75 percent

Question 28

What is the definition of total assistance or dependent

Answer 28

Participant does less than 25 percent or the physical therapist does more than 75 percent

Question 29

What is the definition of independent

Answer 29

The person is able to consistently and safely perform the skill with or without assistive devices aids modifications or cues

Question 30

What is the definition of modified independence

Answer 30

The patient may need more time safety or an assistive device is needed

Question 31

What is the definition of supervision or standby assistance

Answer 31

Someone needs to be within arms reach as a precaution it is a low probability that the patient will have a problem requiring assistance so no contact is necessary you can queue the item instead of the device

Question 32

What is the definition of contact guard assist

Answer 32

Contact with the patient at gate belt but no assistance although there is a high probability of the patient requiring assistance

Question 33

What is the correct therapist guarding technique

Answer 33

Physical therapist and posterior and lateral to the patient weak side maintaining a wide base of support move their lead leg with the device keeping one hand on the gate belt and the other hand anterior to the patient shoulder on the affected side

Question 34

What is instructional sequence for assistive devices

Answer 34

Verbal instructions and demonstration ask if they have any questions provided verbal queuing and exclamations give feedback mental rehearsal review as needed

Question 35

How do you do sit to stand with the single end cane

Answer 35

Scoot forward put the cane resting on the chair or held in the hand on the uninvolved side stand using the armrests and grasp of the cane

Question 36

How do you go from standing to sitting with the single and cane

Answer 36

Turn toward the uninvolved leg back up into the legs touch the chair reach back with the uninvolved side first then reach with the other hand

Question 37

How do you do a sit to stand with crutches

Answer 37

Crutches together on the involves side lean forward and push off place the crutch under the uninvolved side first then place a garage under the involves side assume tripod stands

Question 38

How do you go from standing to sitting with crutches

Answer 38

Turn toward the uninvolved leg back up in to the legs took the chair move both crutches to the involves side and please see involved side hand on the crutches and the other hand on the armrest

Question 39

How do you do is sit to stand with the Walker

Answer 39

Scoot forward put the walker in front of the chair lean forward and push up using the armrests and then reach for the Walker one hand at a time one standing