4.4.2 Gait Flashcards
What are the ways to check for infection in older adults (especially those who fell)?
CBC and UA
What are some of the medications that can affect fall risk?
What are some of the basic descriptors of gait?
What is the orientation of the pelvis in the human body?
How much energy is needed to stand upright in the human stance?
Little energy
What are some of the mediating factors for falling?
What is the goal blood pressure in an 80 y/o?
150/90
Why do humans lean on to one limb (passive hip drop)?
Minimize energy usage by tightening iliofemoral ligament and iliotibial tract
What is nerve injury is associated with ‘high-stepping’ gait?
Common fibular nerve
What are some of the different intrinisic factors that can lead to increased risk of falls?
What is the leading cause of death from injury in persons aged > 65?
Complications of falls
What are some of the sequelae of falls?
Decline in functional status, nursing home placement, increased used of medical services, fear of falling (decreased QOL, loss of socialization, not leaving their home)
What is a fall?
coming to rest inadvertently on the ground or at a lower level
What is the goal systolic blood pressure in the elderly aged 65-80?
140
Describe these gaits: ataxic, atalgic, apraxic, festinating
In what demographic is mortality highest from a fall?
White men aged > 85
What painless MSK problem (w/ gait) is associated hip fractures?
Leg length discrepancies, can be treated with orthopedic manipulation treatment (OMT)
Where is the center of mass in relation to the knee when standing with a locked knee?
In front of the knee, help keeps the knee locked
What is covered?
Top: step length
Bottom: stride length
What is the biggest risk factor for a future fall?
Having had a fall
What is the medical term for knocked knees?
Valgus knee deformities
Over wait time on the get up and go test requires a referral to PT/OT?
20 seconds
