FIM
I'm Walkin' Here!
Gait and Biomechanics
Let's Move:
Transfers and AD
Don't Touch Me I'm Sterile and WC/Patient Safety
Pt Positioning and Bed Mob
100

This FIM score describes complete independence.

What is FIM score 7

100

This is the instruction for using assistive devices on stairs.

Good go up, Bad go down. AD stays with bad.


100

This safety precaution should always be taken before assisting a patient with a wheelchair-to-bed transfer.

Lock the wheelchair brakes and remove the footrests.


100

This consequence results from wheelchair armrests that are too high.

Increased stress on the shoulders

100

This position describes a patient lying flat on their back with the face-up.

Supine

200

This assist level applies when a patient requires verbal cueing but no physical assistance.

Supervision/Standby Assist

200

This gait pattern is characterized by advancing both assistive devices simultaneously with the involved leg.

3-point gait pattern

200

This is the best course of action when a patient refuses to let go of the wheelchair handrails during a stand-pivot transfer due to fear.

Stop the transfer, reseat the patient, and provide reassurance

200

This is the best description of how large pathogenic particles spread via sneezing.

Droplet transmission

200

This position describes a patient lying supine but with the head of the bed lower than the foot of the bed.

Trendelenburg position

300

A PTA provides 25% physical assist during a transfer. What assist level is this?

Min A

300

This movement plane describes internal and external rotation of the hip.

Transverse plane

300

This adjustment must be made to the handgrip of an assistive device to ensure proper height and minimize excessive upper extremity effort.

The handgrip should be adjusted to allow for 20-30 degrees of elbow flexion during functional use.


300

This precautionary equipment is required when treating a patient with influenza.

Gloves and a mask with a face shield

300

This is the best instruction for a patient with a non-weight-bearing right lower extremity to scoot up in bed.

Bend the left leg, bridge on the left leg, and use the arms to scoot up

400

What FIM score range indicates a patient is dependent and requires total assistance?

1

400

This gait deviation occurs when a patient has weak hip flexors or a knee extension contracture, causing the leg to swing outward.

Circumduction

400

This is the most functional transfer option for a patient with 0/5 strength in LEs and good upper body strength.

Slide board transfer

400

This is the first step in achieving postural stability when assisting a patient with wheelchair fitting.

Positioning the pelvis correctly

400

This is the optimal position for a clinician to stand when assisting a patient with a log roll in bed.

On the side the patient is rolling towards

500

A patient can perform 50% of the transfer task independently but needs help with the other half. What assist level is this?

Mod A


500

This is the essential safety instruction given to a patient with osteoporosis using crutches to prevent arm fractures during a fall.

Drop the crutches to the side and bend the elbows to absorb shock

500

This weight-bearing status limits a patient’s device selection to only walkers and bilateral crutches.

PWB, TTWB, or NWB

500

This is the most appropriate wheelchair choice for a 16-year-old patient with poor sitting balance who struggles to stay upright for long periods.

Tilt-in-space wheelchair

500

A patient recovering from a left-sided CVA with right hemiplegia/weakness should use this technique when INITIALLY (first time) getting from supine to sitting.

Roll toward strong side