ADs Flashcards
The xxxx foot is the most basic AD foot to initiate gait; it has one axis and is very stable.
solid ankle cushion heel (SACH)
A walker set up should have the patient with a x degree bend in the elbows when the hands are on the handles.
15-degree
for electric wheelchair, scooter, or reclining wheelchair users, the T-shaped turning space should be in a xx-inch square minimum space with arms and base minimum inches wide.
94/ 40 in wide
A xx walker is not appropriate for a patient with non-weightbearing precautions due to decreased stability and increased risk of falling
rollator
A wheelchair with a seat depth that is too long will likely cause a xxx as the patient slides out of the seat.
posterior pelvic tilt
A wheelchair seat that is too wide is likely to cause pelvic ?
Trunk scoliosis can result
obliquity - one hip is higher than the other
Pressure ulcers can develop when the WC seat depth is too x or seat depth is too x
short
narrow
For correct sequencing when ascending stairs, patients should lead with the x side first, then followed by
unaffected
affected side and cane.
When descending stairs, Lead with x first, then ?
the cane first
affected side
unaffected side
patients with spastic diplegia often ambulate in a high-guard position, and a x walker can facilitate a more upright posture and natural gait pattern
bonus: what is high guard position?
posterior
high guard position: externally rotated at the shoulder, and flexed at the elbow.
What is a platform walker good for?
the platform will allow the affected upper extremity to rest while ambulating
good for UE fx while maintaining mobility
AD that allows for bracing of knee and ankle with free mobility of hips
Knee-ankle-foot orthoses (KAFOs)
A x wheel chair is best utilized with patients who are able to self-propel but have limited endurance
power assist manual
what WC has a low back design
who good for? who not?
ultra-light wheelchair
Not for ppl over 250 lbs
Good for ppl who don’t use WC full time
You can support up to how much of your weight with a cane. You can support up to half of your weight with some walkers
25%
You can support up to ?% of your weight with some walkers.
50%
CANE SAFETY
1) Use the cane on the x side of your injury, pain, or weakness (unless your healthcare provider tells you not to).
2) Put x of your weight on your good leg.
3) Move the cane and your bad leg a comfortable distance forward.
With your weight supported on both your cane and your bad leg, step x with your good leg.
4) Place your cane ??? before you take a step.
5) Do not place your cane ??? of you, or it could slip from under you.
1) opposite
2) all
3) through
4) firmly on the ground
5) too far ahead
WALKER SAFETY
1) Stand with your toes ???.
2) Roll or lift your walker a step’s length ahead of you.
3) Place the walker firmly on the ground. Do not place your walker too far ahead of you, or it could slip from under you.
3) Lean slightly forward, and hold the arms of the walker for support.
Take a step.
Repeat the cycle: Place your walker firmly on the ground (or roll it ahead of you), then take a step.
1) halfway between the front and back feet or wheels
Tennis balls cut and placed on the rubber tips can be helpful for ease of movement on ???
carpeted surfaces.
drink water!
do it!
Intermittent Pneumatic Compression (IPC) is contraindicated for
blood pressure reading greater than 140/90
significant arterial insufficiency
edema from congestive heart failure
active phlebitis (inflammation of a vein)
deep vein thrombosis
localized wound infection or cellulitis.
Intermittent pneumatic compression (IPC) devices are used to help prevent
blood clots in the deep veins of the legs
Long-stretch compression wrap typically utilized for
pressure exerted?
arterial wounds
it is a low compression garment (12 to 25 mmHg). Therefore it would not be an effective treatment intervention for venous insufficiency
Short-stretch compression wrap would be an appropriate intervention for
a patient with venous insufficiency and lymphedema
What light therapy is appropriate for neuropathic wounds?
produces what?
Cold laser
photobiomodulation - triggers an increase in cellular metabolism and a decrease in both pain and inflammation
treatment intervention appropriate for pressure ulcers and neuropathic wounds; gangrene, stubborn wounds, and infections in which tissues are starved for oxygen.
Hyperbaric oxygen therapy (HBOT)
xxx is a method of drawing out fluid and infection from a wound to help it heal. A special dressing (bandage) is sealed over the wound and a gentle vacuum pump is attached.
Negative pressure wound therapy (NPWT)
Diathermy used for? Contraindicated?
Relieve pain, stiffness and muscle spasms. Reduce joint contractures
Malignancy. Sensory loss. Tuberculosis. Metallic implants or foreign bodies. Pregnancy. Application over moist dressings. Ischemic areas or arteriosclerosis. Buerger disease - a recurring progressive inflammation and thrombosis (clotting) of small and medium arteries and veins of the hands and feet.
An anterior stop AFO is used to substitute for the function of the
gastrocnemius-soleus complex
Dorsiflexion Stop (Anterior Stop)
Providing the patient with an AFO with a x stop would help to limit plantarflexion, as well as control knee instability and/or genu recurvatum
posterior
