Exam 3: Patient Skills - Assisted Devices

Question 1

What are WB Restrictions of the LE typically based on

Answer 1

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

Question 2

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

Answer 2

gait

Question 3

What does NWB stand for

Answer 3

non weight bearing

Question 4

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

Answer 4

non weight bearing

Question 5

What does TTWB stand for

Answer 5

toe touch or touch down WB

Question 6

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

Answer 6

TTWB

Question 7

What does PWB stand for

Answer 7

partial WB

Question 8

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

Answer 8

partial WB

Question 9

what does WBAT mean

Answer 9

weight bearing as tolerated

Question 10

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

Answer 10

weight bearing as tolerated

Question 11

what does FWB stand for

Answer 11

full weight bearing

Question 12

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

Answer 12

full weight bearing

Question 13

List the assisted devices from most to least supportive

Answer 13

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

Question 14

List the assisted devices from lest to most coordination

Answer 14

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

Question 15

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

Answer 15

always; supinated

Question 16

What three factors does guarding a patient include

Answer 16

1. verbal cues
2. monitoring the environment
3. physical assistance

Question 17

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

Answer 17

uninvolved

Question 18

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

Answer 18

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

Question 19

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

Answer 19

The clinician should stand in stride and slightly behind the patient

Question 20

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

Answer 20

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.

Question 21

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

Answer 21

gait pattern

Question 22

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

Answer 22

two point

Question 23

What type of WB does 2 point gait pattern require

Answer 23

WBAT or FWB

Question 24

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

Answer 24

three point

Question 25

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

Answer 25

a walker or bilateral crutches

Question 26

What is the sequence of a three point gait pattern

Answer 26

walker/crutches, involved leg, uninvolved leg

Question 27

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

Answer 27

4 point

Question 28

What is another term for a 4 point gate pattern

Answer 28

deliberate 2 point gait pattern

Question 29

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

Answer 29

bilateral crutches or canes with WBAT or FWB

Question 30

What is the sequence of a four point gait pattern

Answer 30

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

Question 31

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

Answer 31

Up; down

Question 32

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

Answer 32

involved

Question 33

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

Answer 33

from behind the patient

Question 34

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

Answer 34

from in front of the patient

Question 35

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

Answer 35

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

Question 36

How should a patient be fitted for a standard walker

Answer 36

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

Question 37

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

Answer 37

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

Question 38

How should a patient be fitted for axillary crutches

Answer 38

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

Question 39

How should a patient be fitted for a hemi walker

Answer 39

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

Question 40

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

Answer 40

3

Question 41

A standard walker is meant for a ___ point gait pattern

Answer 41

3

Question 42

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

Answer 42

3

Question 43

Axillary crutches are meant for which point gait pattern

Answer 43

2, 3, or 4

Question 44

A forearm crutch is means for which point gait patterns

Answer 44

2, 3, or 4

Question 45

A hemi walker is meant for a ___ point gait pattern

Answer 45

3

Question 46

A cane can be used for which point gait patterns

Answer 46

3 or 4 if it is bilateral canes