Intro to Functional Mobility and Assistive Devices

Independent

Subject performs mobility activity without clinician and without modification.

Modified Independent (Mod I)

Subject performs activity with modification and/or AD, without clinician assistance.

Supervision (S)

Clinician doesn't touch patient, but stays close by for safety.

Contact Guard Assistance (CGA)

Clinician has hands on patient's body to provide occasional steadying assistance.

Minimal Assistance (Min A)

Clinician performs ~25% of the work; patient performs ~75%.

Moderate Assistance (Mod A)

Clinician performs ~50% of the work; patient performs ~50%.

Maximal Assistance (Max A)

Clinician performs ~75% of the work; patient performs ~25%.

Total Assistance (Dependent)

Clinician performs more than 75% of the work.

Scoring is based on what?

greatest amount of assistance needed

AMAP/ANAP

As Much and Possible/As Normal As Possible

Guarding for Low Assistance Transfers

Position - toward the side where most likely to fall

On the side that is most impaired

Gait Belt Abdominal Placement Contraindications

Recent abdominal surgery

Recent lumbar surgery

Pregnancy

PEG tube

Colostomy bag

Any other lines or tubes in the low back or abdominal area

Gait Belt Rule 1

placed at the narrow part of the waist just above the pelvis.

Gait Belt Rule 2

snug fit- if the patient begins to fall, the belt is prevented from sliding upward on the patient.

Gait Belt Rule 3

typically applied and removed while the patient is seated

Adjustment of the gait belt is usually needed when the patient stands up