Advanced gait training

Question 1

stairs

Answer 1

use rail anytime available

uninvolved leg ascends first (good to heaven)

involved leg descends stairs first (bad to hell)

turn towards handrail at landing

Question 2

guarding on stairs

Answer 2

therapist is always positioned below pt when ascending and descending

maintain a wide BOS w/ each foot on different stair

take a step when the pt is not moving

one hand on gait belt and the other can go on rail if present

Question 3

up and down curb w/ walker

Answer 3

walker ascends first followed by stronger LE

lean forward and push through UE lifting weaker LE up

Question 4

making through doorways open towards pt

Answer 4

stand near door and turn slightly towards hinges

pull door open and push fully open w/ same hand

block door w/ crutches or walker and proceed through

Question 5

making through doorways away from pt

Answer 5

close to door

push door wide open

block w/ crutches or walker and proceed through