AD Gait patterns, lifts and transfers

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Last updated 2:37 AM on 6/19/26
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8 Terms

1
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Bilateral ADs

  • Four point: AD, opposite LE, AD, opposite LE (separate, then, then, then)

  • Two point: AD and opposite LE, AD and opposite LE (twogether)

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Single AD

  • Modified four-point: AD, opposite LE, followed by other LE

  • Modified two-point: AD and opposite LE, followed by other LE

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Bilateral ADs or walker

  • Three-point: NWB- AD (and NWBing LE swing), WBing LE

  • Three-one point: PWBing, ADs, and PWBing LE, WBing LE

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5
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Crutches and canes

  • Standard crutches (axillary crutches)

    • Axilla space of aprox. 2”

  • Forarm crutches (loftstrand)

    • Top of forearm cuff is just distal to elbow, aprox 1-1.5” below olecranon process

  • Cane

    • Always held on the unaffected side -advance w/ affected

    • Ascending = good foot goes up first followed by bad foot and cane

    • Descending = bad foot and cane fist followed by good foot

  • Handpiece height

    • Measure with tip of AD on the ground 2 inches lateral and 4-6 inches anterior to the toe of the shoe

    • Always with 20-25 degrees elbow flexion, hand piece at level of wrist crease, ulnar styloid process or greater trochanter

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Ascending stairs

  • Therapist should be positioned posterolateral (to the patient’s weak side)

  • Grasp the gait belt with one hand; be prepared to use your other hand to control the trunk

  • Advance your feet up one step after the patient has advanced one step, but maintain your feet in an anteriorposterior position

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Descending stairs

  • Therapist should be positioned anterolateral (to the patients weak side)

  • Grasp the gait belt with one hand

  • Do not allow the patient to develop momentum when descending the stairs

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Lift and Transfers

  • Three-person lift/ carry: used to transfer a patient from a stretcher to a bed or treatment plinth

  • Two-person lift: Used to transfer patients of different heights or surfaces of different heights or surfaces or transfering to the floor

  • Dependent squat pivot transfer: used to transfer a patient who cannot stand independently but can bear some weight through the trunk and LE

  • Hydraulic lift: used for dependent transfers when the patient is obese, there is only one therapist available to assist with the transfer or the patient is totally dependent