Functional Mobility Labs (9/23c, 9/25d, 9/27a) [Examination/Intervention] Flashcards
Mobility - How to communicate
use layman’s terms
cueing for pt independence
Mobility - How to simplify
break down task into smaller tasks
Mobility - How to position
use pt body positioning to your advantage
good body mechanics
head-hips relationship (seesaw)
Levels of Assistance
Independent (I) Modified Independent (MI) Supervision (S) Contact Guard (CG) Minimal Assist (Min A) Moderate Assist (Mod A) Maximal Assist (Max a)
Levels of Assistance - Independent (I)
no assistance/cuing necessary, without assistive devices or modifications, within reasonable time
Levels of Assistance - Modified Independent (MI)
presence of another isn’t required, but may need assistive device/extra time or have safety considerations
Levels of Assistance - Supervision (S)
requires cuing or set up for successful performance, no physical contact required
Levels of Assistance - Minimal Assist (Min A)
hands on assists where patient is able to perform 75-99% of work, therapist provides no more than 25% of workload
Levels of Assistance - Moderate Assist (Mod A)
hands on assist where patient is able to perform 50-75% of work, therapist provides no more than 50% of workload
Levels of Assistance - Maximal Assist (Max a)
had on assist where therapist provides more than 50% of workload
Participatory Patient
Mild unilateral/bilateral weakness
Mild cognitive deficits
Able to follow some % of single step commands
Receptive to verbal and/or tactile cues
Modified independent to max A x 1 person
Limited/Non-Participatory Patient
Significant unilateral or bilateral weakness
Severe cognitive deficits
Low level of arousal
Unable to follow single step commands
Impaired motor planning
Min A x 2 people to max A x 2 people
Key points of contact
Shoulders
Posterior hips/buttocks
Anterior knees
Contact to avoid
Handling patients from armpits
Grabbing onto clothing
Skin shear/friction/trauma
Levels of Assistance - Contact Guard (CG)
Patient requires occasional or constant manual contact as a protective safeguard for balance/stability