Week 2- Functional Mobility Flashcards
what is functional mobility aimed at?
In-bed mobility
Transfers – to and from surfaces
Performing occupations during:
* standing/sitting,
* walking (ambulation)/wheeling
* Using devices, e.g. wheelchair, powered mobility, canes
what is community mobility?
Moving around in the community
* Walking, Wheeling, Bicycling
* Driving, busing, taxis, and other
transportation system
looking at the hierarchy of mobility what is considered community mobility?
car transfers
functional ambulation for community mobility
community mobility and driving
looking at the hierarchy of mobility what is considered functional mobility?
bed mobility
mat transfers
wheelchair transfer
bed transfer
functional ambulation for ADL
toilet and tub transfer
what do people do in bed?
sleeping
intimacy
ADLS
skin inspections
what is bed mobility?
rolling from Side to side
rolling from supine to prone
ability to sit up in bed
Ability to handle upper and lower
extremities during all of the above
Performance in short and long leg
sitting
what are some devices to assist with bed mobility?
- Rope ladder
- Overhead trapeze bar
- Bed rail
- Mechanical Lif
what are the different types of transfers?
stand-step
stand pivot
squat pivot
transfer board
total assist
what are the different levels of assistance?
stand by
minimum
moderate
maximum
what are some preparation steps for log rolling on a bed?
Easier to have bed flat; but may raise bed to comfortable height to
facilitate trunk from side-lying to sitting
* Ask client to assist/participate as able e.g. reach across to you to help
“roll” into side lying
* Position client in side lying
* Bend hips and knees to 90 degrees
* Place your arm under client’s thighs and bring knees out over edge of bed
to act as counterweights while simultaneously reaching under
shoulder/scapula to raise the upper trunk
* If able the client may assist by using the top arm to push up
what do sit to stand transfers require?
intact balance with the integration of:
* adequate mobility at pelvis, hips, knees
* postural alignment, postural adjustments, weight shifting
* and strength in core and lower extremitie
when may we choose to do a stand step transfer?
Client is able to weight bear, but may be unsteady or weak
what are the steps to a stand step transfer?
- Position chair in relation to bed: minimize “travel” during and after transfer
completion - Client to lean forward and scoot to edge of chair surface (assist as required)
- Ensure your feet and knees are prepared to support client’s feet and knees
- Client to lean forward “Nose over toes” and push on thighs to come to
standing (‘un-folds”) - Stand-by closely OR support client at waist & scapulae
- When fully standing, client to step and turn until in line with bed
- Ensure client feels bed behind knees
- Client to put hands on thighs and bend knees to ease down onto bed
as a therapist how should you body mechanics be?
- Wide base of support
- Bend knees
- Lift with the legs
- Fixate the trunk
- Back straight
- Tuck the chin in
- Shift weight from one
leg to the other (turn
with the feet) - Keep the load close
when may we choose a stand pivot transfer?
Client is able to weight bear through one leg only
what are the steps to a stand pivot transfer?
- Position chair in relation to bed: minimize “travel” during and after transfer completion
- If one arm is paralyzed, ensure this arm is protected e.g. tucked in lap or in sling
- Ensure your feet and knees are prepared to support client’s feet and knees; your
knees should be ready to support by positioning on each side of affected leg’s knee - Client to lean forward “Nose over toes” and push on thighs to come to standing
- Support client at waist and scapulae
- When fully standing, pivot/slide the affected leg until client is in line with bed;
supporting (unaffected) leg is able to step/hop, while pivoting (affected) leg
pivots/slides - Ensure client feels bed behind knees
- Client to put hands on thighs and bend knees to ease down onto bed
