Exam 2 Flashcards
(218 cards)
Three Point
NWB
walker if indicated and then progress to bilateral crutches
four point and two point assistive devices and weight bearing status
WBAT to FWB
reciprocal walker, bilateral crutches, bilateral canes
Four Point Gait Pattern
bilateral assistive devices WBAT right crutch, left foot left crutch, right foot Safest pattern in crowded areas Max Stability and requires low energy expenditure
Two-point Gait pattern
bilateral assistive devices
simultaneous reciprocal pattern: left foot and right crutch, then right foot and left crutch
more mobile patient
low energy expenditure
similar to normal gait but it requires coordination
less stability than four point
WBAT and FWB
Three Point modified weight bearing status and assistive device
PWB
walker, bilateral crutches
Two or Four point modified weight bearing status and assistive device
WBAT
axillary crutch or one cane
progression of assistive device
walker to axillary crutches to forearm crutches to bilateral canes to single cane to independent of walking aids
Modified four or two point
not appropriate for true PWB pt
can be used with patient that has only one functional upper extremity or who have a lower extremity medical condition for which less stress is required
Device is held in the opposite UE to the effected LE to widen to base of support, held on the good side
three point gait pattern
NWB, requires use of both UE and one good LE
step through or step to
can use walker or crutches
Ascending Curb with walker
Walker, strong leg, involved leg
Descending Curb with walker
walker, involved leg, uninvolved leg
Ascending Stairs (Cane or crutches on one side)
uninvolved LE, cane AND involved LE or uninvolved LE and cane followed by involved
Descending Stairs (cane or walker)
involved LE and cane then uninvolved LE
Sit to stand: ortho patient PWB or NWB
involved LE needs to be positioned in front of the uninvolved LE
Sit to stand: Hemiplegic patient
Both legs can be positioned symmetrically
Stand to sit in chair: orthopedic patient with PWB or NWB status
make sure that the chair is there by touching the seat with the back of the uninvolved LE. Pt should reach for the armrest or for the seat and control the descent using uninvolved LE muscles
Stand to Sit: hemiplegic patient
have the patient look for the chair behind them.
Chair should not be more than 2 inches away from his/her LE
May reach for the armrest or seat with the uninvolved side
GUARD the patient’s involved side as they use their uninvolved side
Guarding during ambulation: hemiplegic patient
guard the involved side always- also makes patient more aware of the involved side
Sit to stand with crutches
crutches go on the weak side and PT stands on the weak side
what walker should you use with bilateral LE generalized weakness
rolling walker
Pre-gait activities
Use parallel bars or a pick up walker
sit to stand
stand to sit
weight shifting
balance activities (lift one hand, alternate lifting hands off the bars)
making single steps forward and backwards
walking in the parallel bars
when is swing to or swing through gait mostly used
patients with SCI who are unable to actively use lower trunk and LE muscles (use of double upright lower extremity orthoses)
three-point modified
used with TDWB/PWB/WBAT through 1 LE and FWB though the other
use bilateral cane, crutches or walker
crutches/walker with PWB foot, followed by the FWB foot
types of canes
LBQC
SBQC
straight cane