Gait And Wheelchair

Question 1

What are the sensory systems that contribute to reactive or feedback control of gait

Answer 1

Somatosensory
Visual
Vestibular

Question 2

What is gait cycle

Answer 2

Includes all components of limb advancement, beginning with specific event on one foot and ending when same event is repeated on the same limb

Question 3

What is stance phase

Answer 3

60%
Begins when one foot makes CONTACT with floor and ends when that same foot LIFTS off floor

Question 4

What is swing phase

Answer 4

40%
Begins when one foot LIFTS off floor and ends when same foot makes CONTACT with floor

Question 5

What is step length

Answer 5

How far one foot has travelled in relation to the other

Question 6

What is cadence

Answer 6

Describes number of steps taken in a specific end amount of time

Question 7

What is the average cadence of nondisabled adults ***

Answer 7

117 steps/min

Question 8

***What is the average preferred walking velocity for adults aged 20-59 is

Answer 8

1.2 -1.4 m/sec

Question 9

*** What is the average walking base for adults

Answer 9

Approximately 7-8cm

Question 10

What is purpose tinetti POMA

Answer 10

Measure an older adults gait and balance abilities

Question 11

*** what is the equipment required for Tinetti POMA

Answer 11

Hard ARMLESS chair
Stop watch
15 feet walkway

Question 12

What is the population for tinetti POMA

Answer 12

ALS
Elderly
NPH (normal pressure hydrocephalus)
Parkinson’s Disease
Stroke

Question 13

** What is considered a high fall risk for Tinetti POMA

Answer 13

Less than 19 / 28

Question 14

** what is considered a medium fall risk for Tinetti POMA

Answer 14

19-24 /28

Question 15

*** what is considered low fall risk for Tinetti POMA

Answer 15

25-28 /28

Question 16

What is the purpose of the Dynamic Gait Index (DGI)

Answer 16

To assess ability to modify balance while walking in presence of external demands

Question 17

What is the equipment required for DGI

Answer 17

Shoe box
Two obstacles (must be the same size)
Stairs
20 foot pathway

Question 18

What is the population tested for DGI

Answer 18

Brain injury
Geriatric
MS
Parkinson’s disease
Stroke
Vestibular disorder

Question 19

What is the highest score for the DGI

Answer 19

24

Question 20

There are 8 task in the DGI, what is the most important task that the patient must do? ***

Answer 20

Stair climbing

DGI also includes: head turns, pivoting , obstacles, and changing speed

Question 21

What is considered PREDICTIVE OF FALLS IN THE ELDERLY for DGI ***

Answer 21

Less than 19/24

Question 22

What is considered a SAFE AMBULATOR for the DGI ***

Answer 22

Greater than 22/24

Question 23

What is the purpose of Functional Gait Assessment (FGA)

Answer 23

Assesses postural stability during various walking task

Question 24

What task has been eliminated from the FGA ***

Answer 24

Ambulating around obstacles

Question 25

What task has been added in FGA

Answer 25

Gait with narrow BOS Ambulating backwards Gait with eyes closed

Question 26

What is the highest score for FGA

Answer 26

30

Question 27

What is the population tested for FGA

Answer 27

Older adults ranging from 40-80 Parkinson’s disease Stroke Vestibular SC injuries

Question 28

What is considered a PREDICTIVE OF FALL RISK IN OLDER ADULTS LIVING INDEPENDENTLY for the FGA ***

Answer 28

Less than or equal to 22/30

Question 29

What is considered to be OPTIMAL TO PREDICT older adults living independently who will SUSTAIN UNEXPLAINED FALLS IN THE NEXT 6 MONTHS in the FGA ***

Answer 29

Less than or equal to 20/30

Question 30

What score indicates fall risk in patients with PARKINSON’S for the FGA ***

Answer 30

Less than or equal to 15/30

Question 31

What is the purpose of the 4 Meter Gait Speed Test

Answer 31

Measure of gait speed Patient walks 4 meters at their usual pace

Question 32

What is the equipment required for the 4 Meter Gait Speed Test

Answer 32

Stop watch 2 cones Data sheet Measuring tape Marker tape

Question 33

What is the population tested for 4 meter gait speed test

Answer 33

Alzheimer’s Brain tumor Children w/ neuromuscular disease Older adults living independently General neurological movement disorders Hip fracture Lower limp amputation MS PD SCI Stroke TBI

Question 34

What is the purpose of the Wheelchair Outcome Measure (WhOM) ***

Answer 34

The WhOM is CLIENT-SPECIFIC wheelchair intervention measurement tool based on the ICF

Question 35

What is the scoring for Part 1 for Wheelchair Outcome Measure (WhOM)

Answer 35

Importance (IMP) Satisfaction (SAT) They are each rated (0-10) for each ID’d activity Multiply SAT x IMP for a score out of 100

Question 36

What are the 2 forms of the WhOM

Answer 36

Form for IN OR AROUND THEIR HOME Form for OUTSIDE OF THEIR HOME

Question 37

What is the purpose of the Functional Evaluation in a Wheelchair (FEW)

Answer 37

1. Ability to reach from the wheelchair 2. Ability to transfer into and out of the chair

Question 38

How is the Wheelchair Skills Test (WST) scored on

Answer 38

3 point ordinal scale 0 = failure to complete 1 = partial completion 2 = successful and safe completion

Question 39

Subjects who used the WST for more than 3 months score an average of what?

Answer 39

22% higher than those with less experience