Ambulation

Question 1

Ambulation

Answer 1

Act of walking or being able to walk

Question 2

Preambulation Activities

Answer 2

During the period of preparation and training for a patient who will ambulated with assistive device.

Question 3

Purpose Preambulation Activities

Answer 3

Provide safe and stable practice sessions. Improve pt’s ability to use ambulatory aids safely and effectively. Determine the type of assistive device needed. Allow the pt. to develop confidence.

Question 4

Preambulation/Ambulation Equipment

Answer 4

Tilt Table, Parallel Bars, Walkers, Bilateral Crutches, Single Crutches, Crab Cames, Single Canes

Question 5

Ambulation Aids Purpose

Answer 5

Improve a person’s stability expanding base of support. Reduce weight bearing on one or both L/E’s. Permit mobility.

Question 6

Parallel Bar Activities

Answer 6

Sitting to standing. Forward to backward. Alternate lifting hands from the bars. Push-ups to improve U/E strength. Simulate certain gait patterns.

Question 7

Walkers

Answer 7

Used when maximal patient stability, support and mobility are required. Various styles FWW ( Front Wheeled Walker), Standard Walker, Hemi-Walker.

Question 8

Axillary Crutches

Answer 8

Used when a pt. requires less stability than provided by a walker. Allow greater mobility, ambulation speed, and ability of performing various gait patterns.

Question 9

Forearm Crutches

Answer 9

Loft strand crutches. Used when the stability and support of axillary crutches are not required, but the pt. still does not need a walker.

Question 10

Platform Attachment

Answer 10

Used for individuals who are unable to bear weight on their wrists and hands. Have a below elbow amputation. Unable to extend their elbows.

Question 11

Cane

Answer 11

Used to compensate for impaired balance or to improve stability. More functional on stairs. Provides limited support.

Question 12

Parallel Bars

Answer 12

Each bar should be adjusted to provide 20-25 degrees of elbow flexion when the pt. grasps the bars 6 inches anterior to their hips. Bars level with the greater trochanter.

Question 13

Canes Measurement and Fit

Answer 13

Handgrip should be at the greater trochanter, wrist crease with arm at the side

Question 14

Fitting Walkers

Answer 14

Handgrip should be level with the pt’s wrist crease/ulnar style is/greater trochanter with walker positioned in front of patient with pt’s arms fully extended.

Question 15

Confirming Fit

Answer 15

Improper fit can cause decreased stability, increased energy expenditure, decreased, function, and decreased safety.

Question 16

NWB

Answer 16

Non Weight Bearing

Question 17

PWB

Answer 17

Partial Weight Bearing

Question 18

TTWB

Answer 18

Toe Touch Weight Bearing

Question 19

FWB

Answer 19

Full Weight Bearing

Question 20

Stance phase

Answer 20

When the L/E is in contact with the floor

Question 21

Swing Phase

Answer 21

When the L/E is not in contact with the floor.

Question 22

Four point Pattern

Answer 22

Requires use of bilateral ambulation aids. Uses an alternate and reciprocal forward movement of the ambulation and the patient’s opposite L/E’s

Question 23

Two point pattern

Answer 23

Requires use of a bilateral ambulation aid. Simultaneous reciprocal forward placement of the aid and the pt’s opposite L/E. Requires a lot of coordination.

Question 24

Modified four point or two point pattern

Answer 24

Using only one ambulation aid and for a patient with only one functional U/E

Question 25

Three point gait pattern

Answer 25

Requires bilateral aids or walker. Step to vs. step through patterns. Used when the pt. is FWB on one L/E, but NWB on the other.

Question 26

Three point modified pattern

Answer 26

FWB on one L/E but PWB on the other.