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Interventions > Exam 2 > Flashcards

Exam 2 Flashcards

1
Q

Three Point

A

NWB

walker if indicated and then progress to bilateral crutches

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2
Q

four point and two point assistive devices and weight bearing status

A

WBAT to FWB

reciprocal walker, bilateral crutches, bilateral canes

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3
Q

Four Point Gait Pattern

A 
bilateral assistive devices 
WBAT 
right crutch, left foot
left crutch, right foot
Safest pattern in crowded areas
Max Stability and requires low energy expenditure
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4
Q

Two-point Gait pattern

A

bilateral assistive devices
simultaneous reciprocal pattern: left foot and right crutch, then right foot and left crutch
more mobile patient
low energy expenditure
similar to normal gait but it requires coordination
less stability than four point
WBAT and FWB

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5
Q

Three Point modified weight bearing status and assistive device

A

PWB

walker, bilateral crutches

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6
Q

Two or Four point modified weight bearing status and assistive device

A

WBAT

axillary crutch or one cane

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7
Q

progression of assistive device

A

walker to axillary crutches to forearm crutches to bilateral canes to single cane to independent of walking aids

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8
Q

Modified four or two point

A

not appropriate for true PWB pt
can be used with patient that has only one functional upper extremity or who have a lower extremity medical condition for which less stress is required
Device is held in the opposite UE to the effected LE to widen to base of support, held on the good side

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9
Q

three point gait pattern

A

NWB, requires use of both UE and one good LE
step through or step to
can use walker or crutches

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10
Q

Ascending Curb with walker

A

Walker, strong leg, involved leg

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11
Q

Descending Curb with walker

A

walker, involved leg, uninvolved leg

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12
Q

Ascending Stairs (Cane or crutches on one side)

A

uninvolved LE, cane AND involved LE or uninvolved LE and cane followed by involved

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13
Q

Descending Stairs (cane or walker)

A

involved LE and cane then uninvolved LE

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14
Q

Sit to stand: ortho patient PWB or NWB

A

involved LE needs to be positioned in front of the uninvolved LE

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15
Q

Sit to stand: Hemiplegic patient

A

Both legs can be positioned symmetrically

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16
Q

Stand to sit in chair: orthopedic patient with PWB or NWB status

A

make sure that the chair is there by touching the seat with the back of the uninvolved LE. Pt should reach for the armrest or for the seat and control the descent using uninvolved LE muscles

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17
Q

Stand to Sit: hemiplegic patient

A

have the patient look for the chair behind them.
Chair should not be more than 2 inches away from his/her LE
May reach for the armrest or seat with the uninvolved side
GUARD the patient’s involved side as they use their uninvolved side

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18
Q

Guarding during ambulation: hemiplegic patient

A

guard the involved side always- also makes patient more aware of the involved side

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19
Q

Sit to stand with crutches

A

crutches go on the weak side and PT stands on the weak side

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20
Q

what walker should you use with bilateral LE generalized weakness

A

rolling walker

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21
Q

Pre-gait activities

A

Use parallel bars or a pick up walker
sit to stand
stand to sit
weight shifting
balance activities (lift one hand, alternate lifting hands off the bars)
making single steps forward and backwards
walking in the parallel bars

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22
Q

when is swing to or swing through gait mostly used

A

patients with SCI who are unable to actively use lower trunk and LE muscles (use of double upright lower extremity orthoses)

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23
Q

three-point modified

A

used with TDWB/PWB/WBAT through 1 LE and FWB though the other
use bilateral cane, crutches or walker
crutches/walker with PWB foot, followed by the FWB foot

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24
Q

types of canes

A

LBQC
SBQC
straight cane

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25
Q

two points for where the handgrip can be measured to

A

ulnar styloid or the wrist crease

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26
Q

measuring height of cane in supine

A

tape measure is used to determine length of cane/handgrip. measure from the greater trochanter to the heel with the knee extended

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27
Q

confirm fit procedure:

A

20-25 degrees of elbow flexion with the cane tip 2” lateral and 4-6” anterior to the toe of the show

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28
Q

precautions with canes

A

with a quad cane, all four legs need to be on the ground before patient pushes down on the cane
when ascending or descending stairs, the quad cane can be turned sideways

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29
Q

canes are good to use with patients that have…

A

CVA/ UE or LE injury or when progressing from a walker/hemi-walker

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30
Q

Cane WB status

A

FWB or WBAT

NOT for PWB or NWB

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31
Q

Adjusting axillary crutches

A

adjust the height first (2-3 finger widths (2 in”) from the floor of the axilla to the top of the crutch arm
then adjust the height of the handgrip crease or ulnar styloid

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32
Q

measuring a crutch in supine

A

measure from anterior axillary fold to a point 6-8 inches lateral to the patient’s lateral heel. Handgrip is measured from anterior axillary fold to the greater trochanter or ulnar styloid
still confirm fit in standing!

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33
Q

measure crutch length in sitting

A

measure the distance from the tip of middle finger to olecranon process of bent elbow. (measuring wingspan with one arm bent to 90 d

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34
Q

precautions with crutches

A

axillary crutches: instruct the pt and the caregiver in preventing injury to axillary vessels and nerves
Forearm crutches: may be difficult to remove due to cuffs

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35
Q

forearm crutch measurement

A

cuff positioned 1-1.5” distal to the olecranon process
20-25 degrees of elbow flexion with the crutch tip 2” lateral and 4-6 inches anterior to the toe of the shoe
handgrip even with the wrist crease or ulnar styloid

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36
Q

forearm crutch use

A

SCI, MS or CP

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37
Q

Crutch usage and considerations

A

mostly for ortho patients who need less stability than a walker
requires strong trunk and UEs
not for children under 4
patient must be cognitive and ready to work
allows for a greater selection of gait patterns
can be used in narrow and crowded areas and on stairs

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38
Q

precautions of a walker

A

do not step forward to or past the front horizontal bar of the walker
when advancing the walker, all four legs should be placed on the ground at the same time

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39
Q

hemi-walker use

A

with a patient who needs increased support or can’t use one UE

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40
Q

Reverse wheeled walker

A

good for patients with CP

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41
Q

Rolling walker

A

WBAT or FWB, only PWB if stable

good for energy conservation and with coordination problems/joint replacements

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42
Q

Positioning of the patient during soft tissue on back

A

Supine, bolster under ankles, towels under shoulders if it rounds their back and a pillow under stomach if there is excessive lordosis

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43
Q

Why do we place a bolster under the patients ankles in prone

A

To relax their hamstrings

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44
Q

Therapists position during most STM

A

As parallel to the body as you can be to the patient

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45
Q

Position for two hands figure eight-paraspinals-one side

A

Perpendicular

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46
Q

What part of the hand do you use to do deep effleurage running underneath the scapula

A

You use the medial (ulnar) side of your hand

If you are doing the patient’s right scapula your right arm to lift their shoulder and stroke with the left hand

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47
Q

Locations to deep effleurage (rub) with one hand

A

Paraspinals, scapular area, quadratus lumborum (around the pelvic crest)

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48
Q

Petrissage to the neck

A

Use your fingertips over the cervical paraspinals

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49
Q

Where do you do cupping and why?

A

Around the lungs to facilitate the movement of mucous/fluid out of the lungs

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50
Q

Where do you not do percussion (tapotement)

A

Around the neck and the kidneys

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51
Q

Hacking

A

Parallel to fibers, fingers relaxed, medial side of palm taps

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52
Q

Rapping

A

Use the dorsum of your fingers

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53
Q

Tapping

A

Use your fingers

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54
Q

Pincements

A

Used to wake up the muscle, you lightly “pinch” the skin

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55
Q

Vibration position of the hands

A

Should have a hollow hand and shake the muscle

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56
Q

Position of therapist when alternating superficial/deep glide-

A

Perpendicular to the patient

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57
Q

When would you not use the rolling technique

A

Don’t use with adhesions or scarring

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58
Q

Where on the body is petrissage (kneading) the easiest to perform

A

Quads/thighs/hamstrings

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59
Q

Where in the knee joint to we avoid with soft tissue mobilization?

A

The popliteal fossa

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60
Q

When working on the lower extremity what segment to you start on and which direction do you progress in?

A

Proximal segment first (glutes) and work your way distally (foot/ankle)

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61
Q

Your strokes should always be in the direction of the….

A

Heart

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62
Q

Sequence of segments mobilized in the LE

A

Thigh>knee joint>Lower leg>foot

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63
Q

STM: What stroke ( and what side of leg: lateral or medial) would be the only time you would stand on the opposite side of the patient (lower extremity)

A

For sawing on the lateral portion of the leg

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64
Q

Why do we use superficial or deep vibration?

A

When the patient isn’t relaxed

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65
Q

Superficial vibration

A

One muscle

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66
Q

Deep vibration

A

Multiple muscle groups

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67
Q

What is a good technique of STM to use for heel spurs?

A

A deep glide thumb or thumb spiral around the calcaneous

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68
Q

Deep gliding on the lateral thigh alternate technique

A

You can put one hand on top of the other and deeply press

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69
Q

What technique can you use for the extensor foot tendons, tibialis anterior tendon and first metatarsal head?

A

Thumb spiral

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70
Q

How do you do longitudinal friction of the Achilles’ tendon?

A

With your thumb, the Achilles should move if it is healthy

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71
Q

Technique used for scar tissue

A

transverse friction: use both thumbs or medial sides of palm, one pushes, one pulls

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72
Q

Where is raking done?

A

On the rib intercostals or the foot

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73
Q

What do you want to avoid at the wrist joint with STM

A

The palmar side- there is a lot of vasculature

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74
Q

STM Technique for the wrist joint

A

Thumb spiral on the dorsal, medial and lateral sides of the jt

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75
Q

Rubbing is performed using a

A

A three finger or thumb spiral

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76
Q

Sequence of segments mobilized in UE for STM

A

Upper arm, elbow joint, forearm, wrist joint, hand

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77
Q

What areas do we avoid in the elbow joint with soft tissue mobilization

A

Area medial to the olecranon (ulnar nerve)

Anterior surface of the joint

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78
Q

Autonomic phenomena of myofascial trigger points

A

Localized vasoconstriction
Sweating
Salivation
Etc

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79
Q

Where do we find myofascial trigger points

A

They can be anywhere but the medial border of the scapula and the upper trap area are common

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80
Q

Definition of myofascial trigger point

A

A hyperactive spot located within a taut band of skeletal muscle or in the muscle’s fascia. It is characterized by pain upon compression that can evoke referred pain tenderness and autonomic phenomena

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81
Q

Tenderness caused by myofascial trigger point

A

Direct activation of a trigger point

Caused by muscle overload, overwork fatigue, direct trauma or chilling

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82
Q

Referred pain from myofascial trigger point leads to

A

protective muscle guarding/spasms which leads to restricted stretch ROM

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83
Q

Referred pain (myofascial trigger points)

A

Has specific characteristics of each muscle, without actual pain reported directly over the trigger point
Is dull and aching
Is often deep
May be of variable intensity
Can be elicited by pressure on trigger points

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84
Q

Deep friction of the sciatic north

A

Right over the ischial tuberosity almost you start by circling with light pressure and get progressively deeper. Then you let off the pressure progressively as well

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85
Q

Examples of soft tissue mobilization techniques

A 
Massage/classical STM 
Lymphatic drainage
Myofascial release
Acupressure
Cranio-sacral therapy 
Visceral therapy 
Energy techniques 
Instrument assisted STM
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86
Q

Definition of soft-tissue mobilization

A

The intentional and systematic manipulation of myofascial layers of the body performed for therapeutic purposes

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87
Q

Uses of STM

A

One of the oldest ways of treatment, can be a diagnostic tool to give you info to what is going on under the skin

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88
Q

Underlying theory of STM

A

Stimulation of mechanoreceptors in skin, muscles, joints, internal organs and blood vessels
Nerves transmit signal to the CNS where these signals are processed
Brain and the spinal cord generate impulses that are sent to the corresponding areas of the body
Functional changes occur in body systems

89
Q

Physiological and Mechanical Effects of STM: Integumentary system

A

Stimulate sensory receptors, removal of dead skill cells, increase superficial circulatory movement and improve drainage

90
Q

Physiological and Mechanical Effects of STM: Fascia

A

Improves the pliability

91
Q

Physiological and Mechanical Effects of STM: Cardiovascular and lymphatic system

A

Increases blood and lymph circulation, decreases BP and HR= decreased stress= pts feel better and move better
It can stabilize the HR in infants
Decrease RR for better breathing

92
Q

Physiological and Mechanical Effects of STM: Musculoskeletal system

A

Drains metabolic waste, muscle relaxation for more range on whatever area you’re working with

93
Q

Physiological and Mechanical Effects of STM: Nervous system

A

Relaxation- effects the PNS

Decrease pain, increase sleep, induces thirst and sweat

94
Q

Physiological and Mechanical Effects of STM: Digestive system

A

Influence peristalsis

95
Q

Physiological and Mechanical Effects of STM: Growth and development

A

Enhances the relationship between mother/parent and child, when you decrease stress growth occurs better

96
Q

Physiological and emotional effects of STM

A

Reduce anxiety, increase mental clarity, induce a general feeling of well being, increase amount of time infants spend in a quiet by alert state, improve mother-infant interaction, communication and bonding

97
Q

Contraindications to STM

A

Fever, skin lesions and infections, bone infections, acute circulatory conditions, low blood pressure, bruising, acute inflammation, acute fractures, unsealed wounds and burns, rash, persisting negative response to STM

98
Q

Indications for STM

A

Strains, sprains, tendinitis, arthritis, contractures, scarring and adhesions, fibromyalgia, hyper/hypo toxicity, peripheral nerve lesions, circulatory conditions, respiratory conditions, agitation, lethargy

99
Q

What is hypertonicity

A

Increased tone of the muscle, tight

100
Q

Hypotonicity

A

Flaccid and the tone is low

101
Q

What technique should be performed at the beginning and transitioning to a different soft tissue technique

A

Superficial effleurage

102
Q

What is the speed of petrissage

A

30-40 movements per minute

103
Q

Speed of deep effleurage

A

60-100 per minute

104
Q

What lotion would you use for scar mobilization

A

Massage creams

105
Q

What lubricants can be used

A

Lotions, vegetable or mineral oils, baby powder/lotion/oils, massage creams

106
Q

Effleurages and petrissages are repeated approximately…

A

3-6 times

107
Q

Pressure relief ankle foot orthosis

A

boot worn on the calf and foot to prevent skin breakdown

  • heel suspension
  • mostly commonly heel ulcers
  • allows for neutral hip, knee, ankle alignment
108
Q

pulse oximeter:

A

do not want saturation below 90%

109
Q

swanz-gathz catheter (PA line)

A

IV catheter usually inserted into the basilic or subclavian vein used for cardiac functioning monitor
Check to see if the patient is on bedrest before moving them

110
Q

Mean arterial pressure (MAP)

A

determined by CO, systemic vascular resistance and CVP

111
Q

what is the typically desired MAP

A

> 60

112
Q

Central Venous Pressure (CVP)

A

reflects the amount of blood returning to the heart and the ability of the heart to pump blood into the arterial system

113
Q

Peripheral Inserted Catheter (PICC line)

A

a long catheter introduced through a vein in the arm, follows through the subclavian vein into the superior vena cava or right atrium to administer fluid, blood draws, or measure CVP

114
Q

IV :

A

administration of fluids into a vein through the use of a steel needle or plastic catheter

115
Q

Arterial monitoring line (A-line):

A

inserted into the artery and attached to a monitoring system to directly measure arterial blood pressure and can be used for blood draws

116
Q

swanz-ganz considerations

A

check with RN to ensure line is locked

check to see if the patient is on bedrest, ipsilateral shoulder flexion is limited to 90 degrees

117
Q

triple lumen of swanz-ganz

A

central line located in the jugular, subclavian of femoral vein with three external ports, assists with IV med administration, blood tests and CVP monitoring

118
Q

consideration for catheters

A

increased risk of UTI
keep drainage bag below the bladder to prevent reflux and retention and thus infection
always monitor bag prior, during and post treatment
avoid touching the floor with bag and monitor fullness
avoid excessive pulling.tension

119
Q

nasogastric tube

A

plastic tube inserted through a nostril that terminates in the stomach and assists with removing fluid or gas, evaluating GI activity, administering meds and feeding patient

120
Q

nasal cannula

A

delivery of low to moderate oxygen concentrations to patient via nostrils

121
Q

oronasal mask

A

mask with small vent holes to expel exhaled air cover the pt’s nose/mouth
moderate to high concentrations of air, usually short term

122
Q

tracheostomy mask

A

placed over the trach tube, usually high concentration

123
Q

what can you use to breathe for mobility

A

oxygen tanks and portable holders, store tanks before and after use

124
Q

if a pt has oropharyngeal or nasopharyngeal intubation

A

check with the RN to ensure PT appropriate prior to session

125
Q

Chest tube/Drain

A

remove air, blood, purulent matter or undesirable materials from chest

126
Q

ostomy

A

surgically produced opening in the abdomen to eliminate feces \; plastic bag collects waste

127
Q

rectal catheter

A

used to collect gas/feces

128
Q

4 bed rails up=

A

a restraint

129
Q

soft limb restraints used for

A

for patients who pull at lines or self-harm

130
Q

dialysis precautions

A

avoid blood pressure on the UE with the fistula
close monitoring of vitals
always check with nursing prior to any PT, facility and patient dependent if allowed to treat (typically only bedside activites)

131
Q

THA posterior lateral approach precautions

A

no hip flexion beyond 90
no adduction beyond neutral
in internal rotation

132
Q

anterior approach THA precautions

A

no excessive hip extension and ER

133
Q

Spinal fusion, laminextomy, discectomy (compressed nerves) precautions

A 
no bending (flexion/sidebending)
 no lifting (8-10 lbs), no twisting 
for 6-8 weeks post sx
134
Q

Coronary artery bypass graft precautions

A

no pushing, no pulling, no lifting 5-10 lbs

avoid shoulder flexion/abduction greater than 90 degrees and scapular adduction

135
Q

Ischemic stroke

A

loss of perfusion to area of the brain

136
Q

embolus

A

solid, liquid or gas block flow

137
Q

thrombus

A

plaque occludes flow

138
Q

hemorrhagic stroke

A

abnormal bleeding in the brain due to a rupture in the blood supply

139
Q

transient ischemic attack

A

temporary occlusion that resolves quickly

140
Q

types of bandages

A 
muslin
woven, elastic, porous cotton 
rolled gauze 
stockinette 
adhesive tape
141
Q

what material don’t you use for bandaging or dressing

A

polyester- use cotton for moisture control

142
Q

improper application of bandaging:

A 
color of distal segment: don't want it to be white 
complaints of pain 
segments feels cold 
edema 
bandaged changed position
143
Q

areas to avoid skin breakdown

A

low back, ankle, heel, elbow, buttocks

144
Q

positioning of stroke patients is to prevent:

A

gleno-humeral joint probelms

145
Q

SCI precautions with bed mobility

A

lift slowly, moving them too fast will cause fainting

146
Q

THA

A

adductor splints, remember the precautions

147
Q

LE amputation

A

should elevate the residual limb to help with swelling; however, be attentive of hip flexor contracture-prone

148
Q

hemiplegia

A

side lying is appropriate- roll to weak side if sitting them up, but side-lying for positioning can be either side

149
Q

RA conditions

A

keep joint moving; frequently reposition

150
Q

Burn patients susceptible to

A

contractures and infections so avoid positions of comfort or extended periods of time

151
Q

complete independence

A

no physical or verbal assistance needed

152
Q

modified independent

A

requires a device, safety concerns or extra time

always record the device in the chart

153
Q

contact-guard assist

A

slight touch but no help

154
Q

supervision

A

requires verbal cueing, coaxing, encouragement, equipment set up, pt. performs 100% of the activity but supervision is required

155
Q

minimum assist

A

requires touching, contact guard or guided assistance. Patient performs 75-99% of the task and needs physical assistance

156
Q

moderate assistance

A

patient performs 50-74% of the work

157
Q

max assist

A

patient performs 25-49% of the work

158
Q

total assist

A

patient participates in less than 25% of the task, two or more persons are required to physically assist
use a hoyer lift or follow with a wheelchair then they are automatically rated a total assist

159
Q

FIM score 7

A

independence

160
Q

FIM score 1

A

total assistance

or wheelchair follow

161
Q

effects of immobility: respiratory

A

pneumonia, atelectasis, O2 desaturation

162
Q

Cardiovascular system effects of immobility

A

impaired circulation, HR/BP changes, orthostatic

163
Q

Bone immobility effects

A

osteoporosis, decreased growth and development

164
Q

joint effects on immobility

A

contractures, cartilage damage (decreased fluid movement)

165
Q

muscle effects of immobility

A

muscle weakness, atrophy, loss of muscle fiber length leading to contractures

166
Q

POM limitations

A

doesn’t prevent muscle atrophy
does not maintain or increase muscle tone
does not increase muscle strength and endurance
does not reduce adipose tissue formation
is not as effective as active exercise in maintaining local circulation

167
Q

indication for POM

A

patient is at risk for developing joint contractures or other problems resulting from immobility
patient is unable to perform active exercise due to: paralysis, coma, significant pain, active is contraindicated
demonstrate active exercise to a patient
passive motion is used to assess joint ROM, stability and muscle

168
Q

indications for AAROM and AROM

A

contractures or other problems resulting from immobility
pt has voluntary control of muscle contraction
pain scale < or equal to 5
pt is in a reconditioned physiological state
MMT below 3 use AAROM
MMT above 3 use AROM

169
Q

benefits of AAROM or AROM

A

maintain structural integrity of bone-muscle interface due to stress produced by muscle contractions
maintain muscle strength, physiological elasticity and endurance
may increase muscle strength, when muscles can’t hold against resistance
increase coordination, proprioception and kinesthesia
maintain and improve cardiac function
assist in preventing the development of thrombosis, thrombophlebitis, or phlebitis in LE peripheral veins (ankle pumps)

170
Q

limitations of AAROM and AROM

A

active exercise will not increase strength in muscles with grade above 4
will not increase cardiopulm function if pt is well conditioned

171
Q

ROM with spasticity and hypertonicity (CP or brain injury)

A

slow movement

minimize excessive stimulation

172
Q

exceptions for SCI with ROM

A

avoid elongation in erector spinae; work to improve trunk stability

173
Q

pelvic belt in wheelchairs

A

keeps pelvis in alignment

174
Q

seat belt of the wheelchair

A

for safety

175
Q

is positioning belt a restraint in IL?

A

no

176
Q

a wheelchair tilt

A 
everything moves (hip, torso, seat) 
used to relieve pressure/reposition the patient
177
Q

recline of the wheelchair

A

just the torso/seat back moves

178
Q

a dump position in the wheelchair- what is it and what is it used for

A

flexes knees in the chair by either raising the knees or lowing the seat
used for trunk stability when someone has a weak core

179
Q

a squeeze position

A

more of a tilt

180
Q

hemiplegia seat to floor height

A

18 inches

181
Q

foot rests position

A

2 inches above the ground

182
Q

power assist chair

A

when you push on a wheel it gives the chair an oomph

-use for college kid

183
Q

what tilt do you do to stand a pt up

A

anterior tilt: there are leg supporters

184
Q

preferred wheelchair provider

A

HMO

185
Q

time it takes to get a wheelchair:

A

17 weeks/ 4 months +

186
Q

what are the benefits of a patient sitting up

A

stabilize BP
starts getting pt on a normal sleep/wake schedule

postural control
prevent muscle contractures and bed sores
midline orientation
prevents compromises to other systems like GI, respiratory, cardiac

187
Q

normal width chair

A

18”

188
Q

standard adult wheelchair

A

pt weighs less than 200 lbs

189
Q

heavy duty adult wheelchair

A

pt weighs more than 200 lbs or for vigorous activity

190
Q

intermediate or junior wheelchair

A

persons smaller than an adult but larger than a child

191
Q

growing wheelchair

A

frame can be adapted according to the growth of the person

192
Q

child or youth

A

children up to approx. 6 years

193
Q

amputee wheelchair

A

rear wheel axles are positioned 2 inches posterior compared to standard WC

194
Q

one-hand drive

A

two handrims are attached to one wheel and the larger rim propels the wheel on the other side

195
Q

sports wheelchair

A

light weight, low profile, low back, cantered rear wheels, small handrims, adjustable axles

196
Q

reclining wheelchair

A

the back can recline to a full horizontal position (semi reclining- reclines only approx 30 degrees) also has elevated footrests and a headrest extension

197
Q

patients to do a lateral transfer with

A

paraplegic or lower extremity B/L weakness

198
Q

patients to do a standing pivot with

A

stroke patients with good trunk stability

199
Q

patients to do a squat pivot with

A

generalized weakness everywhere

stroke patient with okay leg support

200
Q

patients that you do a full dependent transfer with

A

quadriplegia

201
Q

Lite Gait Advantages

A

can assist in walking
can walk in the air or treadmill
supports body weight
can hold up to 400 lbs- keeps obese patients active

202
Q

with the lite gait you shouldn’t take more than ____ % of the pts body weight

A

30

203
Q

if you go higher than 30% using the lite gait the screen turns ___

A

purple

204
Q

when would you not use the lite gait

A

PWB/NWB, rib fractures, acute pelvic problems

205
Q

Types of pts the lite gait is used for

A

stroke- when there are leg strength and trunk control deficits
SCI when walking is a functional goal
neuro patients because repetition is a huge rehab goal

206
Q

pts that you can use a standing frame with

A 
lower level pts that don't tolerate standing 
SCI 
TBI 
fluctuations in BP 
MS 
Neurologic stroke
pts with poor trunk control
207
Q

when wouldn’t you use a standing frame

A

if someone has weight bearing precautions

TKR is contraindicated because of the knee pads

208
Q

with a standing frame it is important to take vitals

a. just before use
b. before and after use
c. before, during and after use

A

c. before, during and after use

209
Q

in a standing frame move the knee pads _____ _______ when the patient is tall

A

further away

210
Q

the standing frame is a good intermediate step between

what does it allow the PT to see..

A

sitting and standing to see how the pt tolerates the position, how many things they can do and what their vital signs look like in that position

211
Q

a standing frame position will help with neck _____ and allow the patient to be more _____

A

extension, alert

212
Q

hoyer lift harness supports the ____ and _____

A

trunk and thighs

213
Q

With the Hoyer lift the _____ you turn the nob the faster the pt drops

A

further

214
Q

top part of the harness needs to be ______ the shoulders

A

below

215
Q

if you want the patient to be sitting more upright when you place them from the hoyer lift you should use the (long or short) straps?

A

short

216
Q

What don’t we want the patient to do when using the Hoyer lift?

A

grab onto the lift; it might rotate them

217
Q

When would you use the Hoyer lift

A

neurological lower level pt, stroke, TBI, higher SCI with fixation, post Covid when respiratory/endurance is really low, OBESITY

218
Q

can you still use a Hoyer lift if the patient doesn’t have head control?

A

yes, there is a head attachment for the harness

Interventions (2 decks)

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