Canes - Transfers, Gait Training and Stair Training

Question 1

General transfer tips:

1. Have pt move _____ in the chair seat.
2. Place the foot of the ____ LE slightly posterior to the foot of the opposite LE.
3. Use the ____ to push simultaneously with the LEs to elevate the body
4. Hands should be placed on the ______ or appropriate part of the ambulation aid and positioned initially anterior to hips.

Answer 1

1. forward
2. stronger
3. UEs
4. chair armrests

Question 2

General transfer tips cont.:

5. When returning to the sitting position, have the pt approach the chair and pivot so the back is toward the chair, with the foot of the _____ extremity nearest the chair seat.
6. Pt lowers into the chair using UEs and LEs to control movement. Trunk is forward to maintain ___ over ____.
7. You should ALWAYS feel …

Answer 2

5. stronger
6. COG over BOS
7. …as if you can control the patient when assisting

Question 3

Sit to Stand:

1. standard cane is hooked over the front portion of the armrest on the side of the ___ UE and LE.
2. Pt picks up cane from the chair armrest once ________.
3. If chair does not have armrests, pt can hold cane on ____ and push from the seat chair or seat back with one or both UEs

Answer 3

1. stronger
2. the pt is standing
3. on the stronger side

Question 4

Stand to Sit:

1. With ______ extremities nearest to the chair, the cane is hooked over the armrest
2. If it is a self-standing cane, place it to the side or _______.
3. pt grasps the ____ armrest and then the ____ armrest if able. Pt pivots until back is toward the chair and then lowers self using stronger UE and LE

Answer 4

1. stronger
2. in front of the armrest
3. near, far

Question 5

Gait patterns used with a cane:

Answer 5

• modified 4-point

- modified 2-point

Question 6

Stair Training w/ cane tips:

1. remain behind and slightly to the side of the pt in the area where there is _____ protection for pt.
2. use a __________ stance with your outside foot on step on which the pt is standing and your inside foot on the step below which the pt stances
3. pt should be stopping to gain balance on each step before progressing

Answer 6

1. LEAST

2. anteroposterior stance

Question 7

Stair Training w/ cane tips cont.:

1. if pt has a handrail, pt should hold the cane and handrail simultaneously or….
2. pt should grasp handrail with ____ hand. Or one hand on rail and cane in the other.
3. place _____ LE onto step above. While elevating body using _____ LE, bring the LE and cane up to the step

Answer 7

1. hang cane on forearm farthest from handrail
2. stronger side hand
3. stronger (up with the good)

Question 8

Stair Training w. cane tips cont.: Descending

1. stand ________ of the pt in the area with _____ protection.
2. use a _____ stance with your outside foot on the step that is one step lower
3. grasp ___ with one hand and ____ with other hand.

Answer 8

1. stand in front and to the sidde of the pt in area with LEAST protection.
2. anteroposterior
3. gait belt, pt’s shoulder (gently)

Question 9

Stair Training w. cane tips cont.: Descending

1. pt should step down with the _____ LE and cane while the _____ LE lowers the body
2. Think: “down with the ___.”

Answer 9

1. affected, stronger

2. “down with the bad”