Ambulation
When instructing a patient to ambulate with a cane what side should they grasp the cane on?
Their unaffected side
When assisting a patient in ambulating with crutches how should the crutches be positioned in order to stand from up from sitting at the edge of the bed?
BOTH crutches held in hand on the unaffected side
1: have them slowly turn around and back up until their legs are touching the bed
2: instruct them to leave one hand on assistive device and other on the side rail
3: lower themselves down onto the bed
Where/how should a patient walking with a cane position it?
HINT: in relation to their foot
At the side of their foot and approximately 6-12 inches in front of their foot
Where/how should a patient walking with crutches position them?
HINT: in relation to their foot
about 6 inches to the side of their foot
about 6 inches in front of their foot
How would you instruct a patient to ambulate using crutches swing-through-gait?
1: have them move both crutches forward
2: lift both feet and swing forward placing feet in front of the crutches
3: repeat sequence
T/F
When assisting a patient to stand both hands should be placed on the walker in order to assist patient
False one hand should be on the bed and the other should be on the side rail
What is the difference between swing-through and swing-to gait
swing-to gait patient places feet next to crutches and in swing-through gait patient place feet in front of crutches
Swing-to requires arm strength
Swing-through requires good arm and shoulder strength
How would you instruct a patient to ambulate using crutches in swing-to-gait?
1: have them move both crutches forward
2: lift both feet and swing forward placing feet next to the crutches
3: repeat sequence
What 3 steps would you give the patient when instructing them to walk with the walker
1: move the walker and affected leg forward at the same time about 4-6 inches
2: have them shift their weight to their arms
3: move unaffected leg forward so it is even with affected leg
What patients is the difference between 2 point and 4 point gait?
2 point gait requires less support than 4 point gait
How would you instruct a patient to ambulate using crutches in 3 point gait?
1: have them move both crutches forward with weight on unaffected leg
2: move unaffected leg forward, shifting weight onto the crutches
3: repeat sequence
How would you instruct a patient to walk with a cane?
1: have them move thee affected leg forward so it is even with the cane
2: have them shift weight to affected leg and cane and move the unaffected leg forward and ahead of the cane
3: have them move the cane forward and bring the affected leg forward with the cane
How would you instruct a patient to ambulate using crutches in 4 point gait?
1: have them move the right crutch forward, then move the left foot forward and even with the left crutch
2: have them move the left crutch forward 6-10 inches and move the right foot forward and even with the right crutch
3: repeat sequence
How would you instruct a patient to ambulate using crutches in 2 point gait
1: have them move left foot and right crutch forward
2: have them move right foot and left crutch forward
3: repeat sequence