Gait Training & Assistive Devices | Patient Care Skills | PhysioU
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44 Terms
How should a patient with a non-weight bearing status of the left lower extremity prepare to properly and safely perform a sit to stand transfer with two axillary crutches?
Place the right lower extremity beneath them with both axillary crutches in the right hand
3 multiple choice options
Which of the following options provide the greaatest stability and safety for patients?
Parallel bars
3 multiple choice options
How should the clinician adjust the parallel bars for proper lateral clearance and stability on both sides of the patient's pelvis?
Provide 2 inches of clearance
3 multiple choice options
To what height should the parallel bars be adjusted to and how much elbow flexion should the patient have when holding onto them?
To the patient's ulnar styloid process with 20-25 degrees of elbow flexion
3 multiple choice options
The patient is now ready for ambulation with a walker. What anatomical landmark should the handle of the walker be aligned with?
To the ulnar styloid process
3 multiple choice options
When holding the handles of the walker, what degrees of elbow flexion should the patient have?
20-25 degrees
3 multiple choice options
Which of the following cases indicates the use of a forearm trough as an attachment?
Below elbow amputation
3 multiple choice options
What is the ideal degree of elbow flexion when using the forearm trough?
90 degrees
3 multiple choice options
How should the handgrip of the forearm trough be adjusted?
Allow for a slightly pronated forearm
3 multiple choice options
How much space is needed between the axilla and axillary pads of the crutches for proper fitting?
2-3 fingers width
3 multiple choice options
What is the proper placement of the crutch tips in reference to the toe of the shoe?
4-6 inches anterior, 2 inches lateral
3 multiple choice options
How many inches should the top of the cuff be from the olecranon when holding the hand grip?
1-1.5 inches
3 multiple choice options
Where should the handle of a cane be aligned to for proper fitting?
To the ulnar styloid process
3 multiple choice options
Which of the following assistive devices are appropriate for a 4-point gait pattern?
Two canes
3 multiple choice options
Which of the following statements is true regarding a 4-point gait pattern?
It increases safety in crowded areas
3 multiple choice options
Which option describes ambulating with a modified 4-point gait pattern?
Holding assistive device on the unaffected side
3 multiple choice options
Which of the following assistive devices are appropriate for a 2-point gait pattern?
Two crutches
3 multiple choice options
What option is true in regards to ambulating with a 2-point gait pattern?
Simulates a normal gait pattern
3 multiple choice options
Which option describes ambulating with a modified 2-point gait pattern?
Patient utilizes one cane or crutch
3 multiple choice options
Select the assistive device that can be used for a 3-point gait pattern.
One pick-up walker
3 multiple choice options
Which option permits ambulation with a 3-point gait pattern?
Full weight bearing status of one lower extremity
3 multiple choice options
Which of the following gait patterns would be indicated for someone with weakness of the trunk and/or bilateral lower extremities?
Swing-to or swing-through gait pattern
3 multiple choice options
Which of the following is required for ambulation with a modified 3-point gait pattern?
Full weight bearing status of one lower extremity
3 multiple choice options
What should be considered when selecting a gait pattern for a patient?
Weight bearing status
3 multiple choice options
What describes Non-weight bearing (NWB) status?
No weight is to be placed on the affected limb
3 multiple choice options
What describes Toe touch weight bearing (TTWB) status?
Affected limb is to be used only for balance; no weight should be placed on it
3 multiple choice options
What describes Partial weight bearing (PWB) status?
<50% body weight or weight specified by physician is to be placed on the affected limb
3 multiple choice options
What describes Weight bearing as tolerated (WBAT) status?
The amount of weight placed on the affected limb is determined by patient's comfort level
3 multiple choice options
What describes Full weight bearing (FWB) status?
Full body weight is to be placed on the affected limb
3 multiple choice options
What is the level of weight bearing status if the patient is bearing weight on his left leg and only placing the right lower extremity down for balance?
Toe touch weight bearing
3 multiple choice options
What will be the appropriate gait pattern for a patient with a toe touch weight bearing status?
Modified 3-point gait pattern
3 multiple choice options
What will be the appropriate gait pattern for a patient with a full weight bearing status of bilateral lower extremities to utilize bilateral axillary crutches with?
4-point gait pattern
3 multiple choice options
What will be the appropriate gait pattern for a patient with a non-weight bearing status?
3-point gait pattern
3 multiple choice options
What is the level of weight bearing status with a physician's orders of 10 lbs?
Partial weight bearing
2 multiple choice options
What will be the appropriate gait pattern for a patient with a partial weight bearing status?
Modified 3-point gait pattern
3 multiple choice options
Where should the clinician be positioned when gait training a patient with an affected lower extremity?
slightly behind to the left side
3 multiple choice options
How should the clinician position her hand on the gait belt when working on gait traning with a patient?
Underhand grip in the back
3 multiple choice options
Which option would be the most approprate for the clinicial to promote safety when ambulating with a patient?
walk in stride with a wide anterior-posterior base of support
3 multiple choice options
What should be advanced first when training a patient with an affected left lower extremity and a pair of axillary crutches to go up the stairs?
Right lower extremity
3 multiple choice options
A clinician is training a patient on how to go up a curb with axillary crutches. Where should the clinician stand if the patient has an affected left lower extremity?
behind and to the left
3 multiple choice options
What should be advances first when training a patient with an affected right lower extremity and a pair of axillary crutches to go down the stairs?
Right lower extremity and both axillary crutches
3 multiple choice options
When training a patient with an affected right lower extremity how to descend stairs with axillary crutches, where should the clinician stand?
in front of and to the right of the patient
3 multiple choice options
what is the proper position when training a patient to go up the stairs with the pick-up walker?
hand on the front grip and front legs of the pick-up walker on the step above
1 multiple choice option
what is the proper position when training a patient to go down the stairs with the pick-up walker?
hand on the back grip and front legs of the pick-up walker on the step below
1 multiple choice option