COMPS: Locomotion Training Skills Check: Gait Patterns

Question 1

2 pt gait pattern w/ Rolling Walker

Sizing:

Answer 1

Hands @ handles @ ht. of styloids

Hands on handles==35-45deg elbow bend

OR handlebars @ greater trochs

Question 2

2 pt gait pattern w/ RW

What are the steps

Step to:

Step thru:

Answer 2

2 pt has NO WB restricts

RW– involved–uninvolved

• Step to:
  
  • ​step UP TO involved side
• Step thru:
  
  • ​uninvolved limb all the way forward

Question 3

2 pt Gait pattern w/ U/L AD (device on one side only)

*AD goes on OPP side of INVOLVED extremity

Sizing:

Answer 3

• handles @ greater troch or styloid

Question 4

2 pt gait pattern w/ U/L AD (device on one side)

AD goes on OPP side of affected extremity

Pattern:

Answer 4

Cane–Affected leg–Unaffected leg

• Step to:
• Step Thru:
• **PROGRESSION**
  
  • ​Cane+involved @same time–uninvolved
    
    • ​== 2 pt Step Thru

Question 5

What should you ALWAYS REMEMBER about 3 pt gait patterns???

Answer 5

3 pt gait patterns ONLY for indiv’s w/ WB RESTRICTIONS!!!!!!!!

1. Axillary crutches

2. Standard Walker

Question 6

3 Pt Gait pattern

ONLY FOR INDIV’S W/ WB RESTRICTIONS

AXILLARY CRUTCHES OR SW

Sizing crutches

Answer 6

• 2 in. OR 2 fingers BELOW axilla
• Handpiece SHOULD give 20-30deg elbow flexion
• NOTE: Size what you think it should be, stand them up—-IF NOT THE RIGHT SIZE HAVE THEM SIT BACK DOWN AND RESIZE!!!

Question 7

3 PT. gait pattern

Axillary crutches

(same mechanics used for SW)

pattern:

Answer 7

• NWB on one side
  
  • Crutches 12in out–hop to w/ good—crutches
• ***PROGRESSION***
  
  • ​Step Thru== swing all the way past crutches instead of hopping TO crutches

Question 8

3 pt. MODIFIED GAIT PATTERN

*PWB OR TTWB*

PATTERN:

Answer 8

Crutches—involved—uninvolved

*Step to:

*Step thru:

Question 9

4 Pt. Gait Pattern w/ LSC’s

Need 2 AD’s—-B/L

Can be Lofstrands OR 2 canes

Sizing:

Answer 9

• Crutch placed 2 in Lat and 6 in Ant
• handgrip lvl w/ ulnar styloid OR Greater Trochs
• 20-30deg elbow flexion
• Forearm Cuff:
  
  • ​adjust last
  • as close to elbow as poss w/out interfering w/ elbow flex
  • width tight enough to stay but loose enough to be easily removed

Question 10

4 Pt. Gait w. LSC’s

2 ADs (B/L)

*SLOW, INEFFICIENT===> MOST STABLE

PATTERN:

Answer 10

• Device—opp leg—opp device—opp leg
• ***PROGRESSION***
  
  • ​SIMULTANEOUS Device + Opp Leg (like your walking w/ 2 legs on one side)
• ***Progression #2**
  
  • ​4 Pt Step To or Step Thru
    
    • BOTH devices out—foot–foot

Question 11

What is the MAIN THING you need to remember w/ STAIRS??

Answer 11

UP w/ GOOD

DOWN w/ BAD

Question 12

NWB Stairs

CRUTCHES

Answer 12

• ASCENDING
  
  • ​Hop up–Crutches
  • PT guards Posterolat
    
    • ​Hold belt AND shoulder
• DESCENDING
  
  • ​Crutches—hop down
  • PT guards Anterolat

Question 13

NWB Stairs

1 Crutch/1 Handrail

Answer 13

• ASCENDING
  
  • hold BOTH crutches on BAD SIDE
  • 1 arm on railing—GOOD SIDE
  • Railing–Hop Up–Crutches
  • ​PT guards Posterolat + belt
• DESCENDING
  
  • 2 crutches on BAD SIDE
  • 1 arm railing–GOOD SIDE
  • Crutches—Hop Down
  • PT guards Anterolat

Question 14

TTWB/PWB Stairs

Crutches

Answer 14

• ASCENDING
  
  • Good Leg–Bad Leg–Crutches
  • PT guards Posterolat
• DESCENDING
  
  • Crutches–Bad Leg–Good Leg

Question 15

TTWB/PWB Stairs

1 Crutch/1 Railing

Answer 15

• Up w/ GOOD, DOWN w/ BAD
  
  • Holding onto railing

Question 16

Cane + Stairs

NOTE: Same pattern is used for U/L LSC, SBQC, WBQC

***NO HEMI-WALKER ON STAIRS!!!

Answer 16

• ASCENDING
  
  • Use Railing
    
    • ​If L. Sided Railing
      
      • ​Cane R. side
        
        • ​R==strong side
        • L==weak side and HOLDS RAIL
    • Strong foot–Bad foot + Cane together
• DESCENDING
  
  • Cane on WEAK SIDE
  • Cane down—BAD LEG–GOOD LEG

Question 17

ADD CURB!!!!!!!!!