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CP 2 > Assistive Devices - Gait Patterns > Flashcards

Assistive Devices - Gait Patterns Flashcards

1
Q

gait patterns are determined by patient’s impairments

A 
strength
balance
multi-limb coordination
weight bearing status 
endurance 
unilateral vs bilateral involvement
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2
Q

gait patterns are determined by pt’s functional limitations

A

inability to ambulate on flat surfaces/stairs/ramps

enviromental constraints

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3
Q

4 point gait is used for what

A
  • long term
  • bilateral weakness
  • pain
  • problems with balance/coordination
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4
Q

4 point gait requirments

A

no weight bearing restrictions

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5
Q

4 point gait equipment

A

2 crutches, 2 canes

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6
Q

advantages of 4 point gait

A
  • uses a reciprocal gait pattern
  • stability
  • safety
  • low energy exposure
  • somewhat similar to normal gait pattern
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7
Q

disadvantages of 4 point gait

A
  • complex tasks, requires multi-limb coordination

- slow

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8
Q

4 point gait sequencing

A
  • right crutch (good leg crutch)
  • left foot (bad)
  • left crutch
  • right foot
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9
Q

modified 4 point gait indications

A
  • bilateral weakness
  • pain
  • problems with balance
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10
Q

modified 4 point gait advantages

A
  • uses a reciprocal gait pattern
  • stability
  • safety
  • low energy exposure
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11
Q

modified 4 point gait disadvantages

A
  • complex task, requires multi-limb coordination

- slow

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12
Q

modified 4 point gait sequencing

A
  • crutch
  • contralateral foot (bad foot first)
  • ipsilateral foot
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13
Q

what side does you crutch/cane go on

A
  • uninvolved side

- good side

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14
Q

what can you use with 3 point gait

A

walker or 2 crutches

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15
Q

3 point gait indications

A
  • one non weight bearing LE
  • good upper body strength
  • one unaffected LE strength
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16
Q

3 point gait requirement

A
  • one FWB limb

- good thrunk and UE strength

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17
Q

3 point gait advantages

A
  • can use with non-weight bearing LE

- can be relatively fast, especially with crutches

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18
Q

3 point gait disadvantages

A
  • mod complex
  • high energy exposure
  • less stable
  • not similar to normal gait pattern
  • requires functional UE strength
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19
Q

3 point gait sequencing

A
  • both crutches/walker forward
  • keep involved leg off ground
  • stronger extremity moved forward while placing body weight on arms
20
Q

modified 3 point gait equipment

A

walker and 2 crutches

21
Q

modified 3 point gait indications

A
  • one FWB LE
  • other LE must be at least TTWB
  • good UE trunk strength
22
Q

modified 3 point gait requirements

A
  • one FWB limb

- good trunk and UE strength

23
Q

modified 3 point gait advantages

A
  • can use with partial or TTWB

- allows involved LE to function actively and bear weight

24
Q

modified 3 point gait disadvantages

A
  • mod complex
  • high energy expense
  • less stable
  • requires functional UE strength
25
Q

2 point gait indications

A
  • bilateral weakness
  • pain
  • problems with balance
  • no weight bearing precautions
26
Q

2 point gait requirements

A
  • no weight bearing precautions on either extremity
27
Q

2 point gait equipment

A

two crutches or 2 canes

28
Q

2 point gait advantages

A
  • safety
  • low energy exposure
  • more similar to normal gait pattern
  • faster than 4 point gait
29
Q

2 point gait disadvantages

A
  • less stability than 4 point

- complex task, requires multi-limb coordination

30
Q

2 point gait sequencing

A
  1. right crutch and left foot

2. left crutch and right foot

31
Q

modified 2 point gait indications

A
  • unilateral weakness
  • pain
  • problems with balance
  • no WB restrictions
32
Q

modified 2 pt gait advantages

A
  • more similar to normal gait pattern

- faster than 4 point gait

33
Q

modified 2 point gait disadvantages

A
  • less stability than 4 pt and 2 pt gait, though stability improves with walker
34
Q

swing to gait

A
  • bear weight on good leg
  • advance both crutches forward simultaneously
  • lean forward while swinging body to a position even with crutches
35
Q

swing through

A
  • bear weight on good leg
  • advance both crutches forward simultaneously
  • lift legs off ground and swing forward landing in advance of the crutches
36
Q

ascending stairs

A
  • step up good leg
  • bring bad leg up
  • bring crutches up
37
Q

descending stairs

A
  • assistive device down on step
  • bad leg down first
  • followed with good
38
Q

guarding going up

A
  • stand behind individual

- staggered stance, feet not on same step

39
Q

guarding going down stairs

A
  • stand in front of individual

- staggered stance, feet not on same step

40
Q

if you have the option, what side should the railing of the stairs be?

A

uninvoled side

41
Q

sequence of ascending a curb with a walker

A
  • place walker on curb
  • good leg up first
  • bad leg follows
42
Q

descending a curb with a walker

A
  • walker first
  • bad leg down first
  • followed by good leg
43
Q

in ascending a curb with crutches, what happens first

A
  • good leg up first
  • bad leg
  • crutches
44
Q

in descending a curb with crutches what happens

A
  • crutches
  • bad leg
  • good leg
45
Q

transitions into and out of a chair with crutches

A
  • hand on chair on side of involved leg
  • other hand on both crutches together
  • push down and stand
46
Q

when guarding what side should the therapist stand on

A

on the involved leg side

CP 2 (26 decks)

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