That's Gait!
A popular phrase when teaching the patient how to ascend/ descend stairs
"up with the good, down with the bad"
The most stable assistive device
Parallel Bars
When assisting a patient to descend the stairs, where should you guard? In front, behind, to the side?
In front
When instructing a patient to turn with crutches, which way should they turn? Should they take small steps or large steps?
Towards the stronger side
Begin with small steps
Increasing the overall width of a wheelchair will make it more difficult for the patient to
propel the wheelchair
When ascending a curb with a walker WBAT, what goes on the step first?
The walker
On which side should the crutches be when performing a sit to stand with NWB L LE
R side
Where should you guard when gait training a patient in the parallel bars? In front, behind, to the side, outside the bars?
What is the most appropriate gait pattern if your patient is NWB?
3 point
Small wheels in front of w/c designed for directional changes
Casters
20-50%
Name a condition for which a hemiwalker would be appropriate
hemiplegia/ CVA
True or False: Weight bearing restrictions are expressed as percentages of body weight
True
Which teaching/patient instruction technique should you utilize first before gait training your patient?
Demonstrate the technique!
Includes wheelchair leg rests, foot plates and calf support
Front Rigging
The "traditional" term for initial contact of the Rancho Los Amigos gait cycle
heel strike
How should you ultimately confirm fit of the assistive device for your patient?
In functional standing or walking position
Where should you guard a patient during gait training with FWW, R LE weakness?
Behind and slightly to the R
Your patient demonstrates poor safety awareness, poor coordination and bilateral LE weakness, which AD would you recommend they use for ambulation?
Walker
Sacral sitting when measuring seat depth will cause the upper leg length to appear deceptively ________
long
Your patient is recovering from a CVA and you notice that he compensates for drop foot by excessively hip flexing and knee flexing to clear his foot from the floor. What is the most appropriate reason why this gait deviation needs to be addressed?
The resulting gait is less energy efficient
Your patient just got the good news that he is ready to progress from NWB to WBAT. He is still apprehensive and fearful of gait training. Which AD would be most appropriate with start gait training with this patient?
parallel bars
Relying on UE, rocking to gain momentum, bracing legs against chair and pressing knees together are ways to compensate for what?
sit to stand compensation/ quadricep weakness
What AD would you recommend to a 70 year old patient that has B LE weakness, poor endurance, and reduced balance?
4WW (rollator walker)
Which measurement needs to be adjusted if your patient is reporting a difficult time eating and working at a table.
Seat to floor height