Final Flashcards
PLIF
Posterior Lumbar Interbody Fusion
PNA
Pneumonia
AVN
Avascular Necrosis
UKA
Unicondylar Knee Arthroplasty
TLIF
Transforaminal Lumbar Interbody Fusion
Assistive Devices are typically used to?
- Increase support of load
- Allow for weight distribution
- Increase stability
Considerations in Choosing Assistive Devices
- Least restrictive device
- Stability-Mobility Trade Off
- Energy Costs
Device Handle is typically at?
Wrist Crease
SW
Standard Walker
RW
Rolling Walker
Walker
Greatest stability of all ADs
Common Errors in Fitting Crutches
- Measurement is made without the patient wearing shoes
Forearm Crutches
- Good stability with 4 and 2-point gait pattern
- Cuff should be 2 fingers below the olecranon process
Canes
- can’t be used for PWB, TTWB, or NWB
- Can’t be used for restricted weight bearing
- Smallest BoS
4-Point Gait Pattern
-WBAT to FWB
- Crutches, 2 canes, reciprocal walker
Two-Point Gait Pattern
- WBAT to FWB
- one or two canes, one or two crutches, or hemi-walker
Three-Point Gait Pattern
NWB, PWB
Cannot be performed with (B) canes
MDC
- Minimal Detectable change
- Changes made based on amount of errors
MCID
- Minimally Clinically Important Difference
- Functional Change that means something
10 Meter Walk Test
- Measure of gait speed
Six-Minute Walk Test
- aerobic capacity / endurance
- Measure maximal distance
- at least 30 minutes rest should be allowed between tests
- does not need to complete the six minutes
- may use their assistive devices
Time Up and Go
- Basic functional mobility
-Fall risk
Dynamic Gait Infex
- Gait Speed
- Fall risk
Five Times Sit to Stand Test
- Lower extremity strength
- Fall risk
AM-PAC
- Activity measure for Post Acute Care
High Fall Risk for TUG, DGI, and 5x STS
- TUG: greater or equal to 12 seconds
- DGI: less than 19/24
- 5x STS: greater than 15 seconds
Walking speed: 6 Vital Sign
- Greater or equal to 1: capable of walking in community
- Less than 1 but greater or equal to 0.6: limited ability to walk in the community, risk of falls
- Less than 0.6: limited community or household walking, risk for hospitalization
Walking Speed data
- Typical range 1.2 - 1.4 m/s
- MDC most common is 0.1 m/s
For the 6 minute walk test, what distance is predictive of hospitalization or mortality?
less than 200m
Timed Up and Go (TUG)
- with or without an assistive device
- one practice trial
- no physical assistance
- closely guard
Timed Up and GO mean values
60-69: 7.1 - 9
70- 79: 8.2 - 10.2
80-99: 10-12.7
When do you stop the 5xSTS test
when the patient fully sits down
What does the DGI assess?
Individual’s ability to adapt gait to a variety of external demands
4-point scale for DGI
3 = No gait dysfunction
2 = Minimal Impairment
1 = Moderate Impairment
0 = Severe Impairment
Scoring for AM-PAC, related to difficulty
1 = Total; Dependent
2 = A lot; maximum or moderate assistance
3 = A little; minimum assistance, contact guard assistance, supervision
4 = None; no human assistance needed
- Higher score indicates fewer limitations in functional performance
