Gait Training

Question 1

How do you determine if a patient is ready to ambulate

Answer 1

WB tolerance
Balance assessment
Orientation
Strength assessment

Question 2

What activities will you need to make sure the patient can do before ambulation

Answer 2

Bridge and bed mobility 
Get themself to edge of bed
Keep their WB status
Pre gait activities 
Follow directions

Question 3

Activities

Answer 3

Assess capabilities
Assess limitations
Obtain consent 
Explain procedure
Remove items in the way
Select device and confirm measurement
Demonstrate
Footwear - SHOES
Apply GAIT BELT

Question 4

Step length

Answer 4

Measure from heel to heel

Question 5

Stride length

Answer 5

heel to same heel contact

Question 6

Assistive devices - parallel bars

Answer 6

helping them learn WB status
balance use
gives most support of the assistive devices

Question 7

Assistive devices - walker and wheeled walker

Answer 7

second mos tlevel of support
Wide BOS
Wheeled walker - better when need to conserve energy

Question 8

Assistive devices - crutches

Answer 8

axillary

Forearm (more for CP, spinal cord injuries)

Question 9

Assistive devices - canes

Answer 9

Large base and small base quad canes

Straight cane - just if need a little balance support

Question 10

Safety

Answer 10

Use of a gait/safety belt
Guarding during gait
Use of assistive device
Community barriers
Home barriers

Question 11

Possible home barriers

Answer 11

Remove rugs, caution waxed floors
Check crutch nuts, wings, and tips
Rearrange furniture
Narrow hallways, doorways, bathroom
Grab bars installed

Question 12

Possible community barriers

Answer 12

Ramps
Crosswalks
Curbs

Question 13

Two point gait

Answer 13

two points of contact
crutch forward with the opp leg at same time
pt has WBAT or FWB

Question 14

Three point gait

Answer 14

can step through or step to
two crutches and leg coming fown at same time with a hop
NWB or PWB

Question 15

Four point gait

Answer 15

If they are in a crowded area will use this or an obstacle in the house
Crutch, leg, crutch, leg…
Everything is separate
WBAT or FWB

Question 16

Surfaces

Answer 16

Level 
Curb/Step
Stairs
Uneven (grass,gravel, etc)
Slopes

Question 17

A

Answer 17

Assistance

Question 18

amb

Answer 18

ambulation

Question 19

II

Answer 19

parallel bars

Question 20

SBA

Answer 20

stand by assist - no point of contact

Question 21

CGA

Answer 21

contact guard - you are touching

Question 22

max, mod, min

Answer 22

max = you are providing 75% of the assist
mod = 50/50
min = you are providing about 25% of assist for them

Question 23

LBQC

Answer 23

large based quad cane

Question 24

SBQC

Answer 24

short basaed quad cane

Question 25

w/walker

Answer 25

wheeled walker

Question 26

FWW

Answer 26

front wheeled walker

Question 27

Independent

Answer 27

patient does not require any physical supervision or assistance from another person to perform activity

Question 28

Modified Independent Assisted

Answer 28

Patient uses adaptive or assistive equipment

Question 29

Assisted

Answer 29

Patient requires assistance from another person to perform the activity safely in an acceptable time frame

Question 30

Minimal Assistance

Answer 30

Patient performs 75% or more of the activity; assistance is required to complete the activity

Question 31

Moderate Assistance

Answer 31

Patient performs 50-75% of the activity; assistance required to complete activity

Question 32

Maximal assistance

Answer 32

Patient performs 25% to 50% of the activity; assistance is required to complete the activity

Question 33

Standby (supervision) assistance

Answer 33

Patient requires verbal or tactile cues, directions, or instructions from another person positioned close to, but not touching, the person to perform the activity safely and in acceptable time frame

Question 34

Dependent Assistance

Answer 34

Patient requires total physical assistance from one or more persons to accomplish the activity safely; special equipment or devices may be used

Question 35

Guarding (close, contact)

Answer 35

Patient requires guarding during the performance of the activity for safety

Question 36

Close guarding

Answer 36

Caregiver is positioned close to, but not touching, the patient; similar to standby assists; likelihood the patient will require protection during the performance is minimal

Question 37

Contact guarding

Answer 37

caregiver is positioned close to the patient with hands on the patient or safety belt; it is very likely that the patient will require protection during the performance of the activity