phys dis module 5 Flashcards
Functional Mobility
“Moving from one position or place to another (during performance
of everyday activities), such as in- bed mobility, wheelchair mobility,
transfers (wheelchair, bed, car, tub toilet, tub/shower, chair, floor).
Performing functional ambulation and transporting objects.” (SkubikPeplaski, et al., 2006)
Functional Mobility and OTPF
Evaluation includes client factors and performance skills
Functional mobility aids
Orthotics Ambulation aids Crutches, walkers, canes Wheelchairs Scooters UE aids (mobile arm support)
ambulation aids
Crutches Straight cane Quad Cane Forearm crutch Hemi- walker Walker/Rolling walker 3 wheel walker Rollator
NWB-
Non weight bearing- Affected foot not touching floor
TTWB-
Toe touch weight bearing- May lightly touch the floor for balance, not to
weight bear through the leg (10%)
PWB-
Partial weight bearing- 30-50% of body weight on affected side
FWB-
Full weight bearing- Full body weight allowed
Contact Guard-
Pt requires close supervision
Min Assist-
Pt performs 75% or greater of the transfer
Mod Assist-
Pt performs between 50% -74 % of the transfer
Max Assist-
Pt performs between 25-49% of the transfer
Dependent-
Pt assists less than 25 %, performed entirely by 1 or two other people
or mechanical lift
what’s the purpose of home evals ?
Assess the house for safety and accessibility
Assess pt functioning at home
Determine caregiver training requirements
whats Fixed route transportation -
defined routes with predetermined stops
what’s Paratransit-
demand/response with geographic area for qualified riders
OT interventions include: Orientation to system, training in making reservation and education of
service limitations
Paratransit
OT interventions include: Inform, educate and encourage to use the system. Identifying barriers
and providing remediation of compensation for skills
Fixed route