AMBULATORY AIDS HIGH YIELD Flashcards

1
Q

major requirement of successful walking?

A

support of body mass

production of locomotor rhythm

dynamic balance control

propulsion of body

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2
Q

what is the gait cycle comprised of?

A

2 phases

stance
swing

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3
Q

what are waling aids used for?

A

for people who can’t walk independently

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4
Q

purpose of walking aids?

A

increases base of support

maintains center of gravity

redistribute wt

decrease pain

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5
Q

types of walking aids?

A

walker

cane

crutches

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6
Q

selection criteria for walking aids?

A

stability of patient

strength capabilities/coordination of both UE and LE

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7
Q

name this amb aid?

use full length mirror at end for biofeedback

bar level=greater trochanter

A

parallel bar

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8
Q

most common mobility aid?

A

canes

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9
Q

advantage of canes?

A

improves balance and postural stability

reduced load on joints

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10
Q

types of canes?

A
standard cane
standard adjustable aluminum cane
adjustable aluminum offset cane
tripods
quadrupeds
hemicane
rolling cane
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11
Q

most stable of the canes?

A

quadrepeds

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12
Q

name this cane:

pressure not centered
not utilized on stairs
more expensive
slows down forward progression

A

hemicane

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13
Q

name this cane?

not appropriate for patients with propulsive gait pattern

A

rolling cane

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14
Q

what are the handgrip consideration?

A

patient comfort

adequate surface area

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15
Q

what are the types of handgrips?

A

crook handle
straight offset
t-shaped

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16
Q

what are the measurement considerations for canes?

A

cane placed 6 inches form lateral border of toes

greater trochanter and angle of elbow are important landmarks

can’t top should sit at level of greater trochanter and elbow should be flexed to about 30 degrees

17
Q

this amb aid has the greater stability?

A

walking frames

18
Q

what are the features of waling frames?

A

glides easily
folding mechanism for storage
platform attachment available
wheel attachments

19
Q

what are the types of walking frames?

A

standard
reciprocal
rollator

20
Q

advantages of walking frames?

*disadvantages?

A

allows unilateral forward progression

useful for patients who can’t lift the walker

lightweight and easily adjustable

*less stable
less user friendly
eliminate arm swing

21
Q

what are the two basic types of crutches?

purpose

A

axillary crutches
forearm crutches

improve balance and eliminate wt bearing fully or partially

22
Q

crutch prequisites?

A

good UE strength is required
good UE ROM is required
muscle groups of importance
-shoulder flexors, extrensors, depressors

23
Q

advantages of standard crutches? disadvantages?

A

increase balance and lateral stability
allow ambulation with altered weight bearing
easily adjustable

not for small spaces
decreased UE freedom

24
Q

precautions for standard crutches?

A

need supervision
ensure proper assembly and maintenance
clean tips
watch uneven surfaces

25
Q

this is part of the crutch that transfers BW from forearms to device

A

platform attachment

26
Q

most common method for measuring standard crutch length measurements?

A

standing and supine measures

27
Q

adv and disadv for forearm crutches?

A

cuff allows hand use
easily adjustable
functional stair climbing

less lateral support
cuffs can be difficult to remove
require good balance and strength

28
Q

most common method for measuring forearm crutch length measurements?

A

supported standing

29
Q

what is key for crutch walking?

for NWB? PWB?

A

education

utilize triangular base, crutches and affected leg are taken forward together and then the crutches and affected leg are swung through together

30
Q

what is the gait pattern with crutches?

A
four point
three point
two point
two point swing through
two point swing to gait
31
Q

this gait simulates normal gait?

A

two point gait pattern

32
Q

this gait for fractures or amuptees?

A

three point gait pattern

33
Q

this gait for slow, stable consistent 3 point contact?

A

four point gait pattern

34
Q

fastest gait?

A

swing-through gait

35
Q

gait in which both crutches move together and then both LE Swing to crutch level?

A

swing to gait

36
Q

what is the ambulatory progression?

A

underwater
use parallel bars
walker
crutches