Assistive Devices - Gait Patterns Flashcards
gait patterns are determined by patient’s impairments
strength balance multi-limb coordination weight bearing status endurance unilateral vs bilateral involvement
gait patterns are determined by pt’s functional limitations
inability to ambulate on flat surfaces/stairs/ramps
enviromental constraints
4 point gait is used for what
- long term
- bilateral weakness
- pain
- problems with balance/coordination
4 point gait requirments
no weight bearing restrictions
4 point gait equipment
2 crutches, 2 canes
advantages of 4 point gait
- uses a reciprocal gait pattern
- stability
- safety
- low energy exposure
- somewhat similar to normal gait pattern
disadvantages of 4 point gait
- complex tasks, requires multi-limb coordination
- slow
4 point gait sequencing
- right crutch (good leg crutch)
- left foot (bad)
- left crutch
- right foot
modified 4 point gait indications
- bilateral weakness
- pain
- problems with balance
modified 4 point gait advantages
- uses a reciprocal gait pattern
- stability
- safety
- low energy exposure
modified 4 point gait disadvantages
- complex task, requires multi-limb coordination
- slow
modified 4 point gait sequencing
- crutch
- contralateral foot (bad foot first)
- ipsilateral foot
what side does you crutch/cane go on
- uninvolved side
- good side
what can you use with 3 point gait
walker or 2 crutches
3 point gait indications
- one non weight bearing LE
- good upper body strength
- one unaffected LE strength
3 point gait requirement
- one FWB limb
- good thrunk and UE strength
3 point gait advantages
- can use with non-weight bearing LE
- can be relatively fast, especially with crutches
3 point gait disadvantages
- mod complex
- high energy exposure
- less stable
- not similar to normal gait pattern
- requires functional UE strength
3 point gait sequencing
- both crutches/walker forward
- keep involved leg off ground
- stronger extremity moved forward while placing body weight on arms
modified 3 point gait equipment
walker and 2 crutches
modified 3 point gait indications
- one FWB LE
- other LE must be at least TTWB
- good UE trunk strength
modified 3 point gait requirements
- one FWB limb
- good trunk and UE strength
modified 3 point gait advantages
- can use with partial or TTWB
- allows involved LE to function actively and bear weight
modified 3 point gait disadvantages
- mod complex
- high energy expense
- less stable
- requires functional UE strength
2 point gait indications
- bilateral weakness
- pain
- problems with balance
- no weight bearing precautions
2 point gait requirements
- no weight bearing precautions on either extremity
2 point gait equipment
two crutches or 2 canes
2 point gait advantages
- safety
- low energy exposure
- more similar to normal gait pattern
- faster than 4 point gait
2 point gait disadvantages
- less stability than 4 point
- complex task, requires multi-limb coordination
2 point gait sequencing
- right crutch and left foot
2. left crutch and right foot
modified 2 point gait indications
- unilateral weakness
- pain
- problems with balance
- no WB restrictions
modified 2 pt gait advantages
- more similar to normal gait pattern
- faster than 4 point gait
modified 2 point gait disadvantages
- less stability than 4 pt and 2 pt gait, though stability improves with walker
swing to gait
- bear weight on good leg
- advance both crutches forward simultaneously
- lean forward while swinging body to a position even with crutches
swing through
- bear weight on good leg
- advance both crutches forward simultaneously
- lift legs off ground and swing forward landing in advance of the crutches
ascending stairs
- step up good leg
- bring bad leg up
- bring crutches up
descending stairs
- assistive device down on step
- bad leg down first
- followed with good
guarding going up
- stand behind individual
- staggered stance, feet not on same step
guarding going down stairs
- stand in front of individual
- staggered stance, feet not on same step
if you have the option, what side should the railing of the stairs be?
uninvoled side
sequence of ascending a curb with a walker
- place walker on curb
- good leg up first
- bad leg follows
descending a curb with a walker
- walker first
- bad leg down first
- followed by good leg
in ascending a curb with crutches, what happens first
- good leg up first
- bad leg
- crutches
in descending a curb with crutches what happens
- crutches
- bad leg
- good leg
transitions into and out of a chair with crutches
- hand on chair on side of involved leg
- other hand on both crutches together
- push down and stand
when guarding what side should the therapist stand on
on the involved leg side
