Gait

Question 1

Single Leg support time ( %)

Answer 1

70 - 80%

Question 2

Double leg support time ( %)

Answer 2

20-30%

Question 3

Stance / swing time (%)

Answer 3

Stance: 60%
Swing: 40%

Question 4

Cadence average

Answer 4

80 - 110 steps/ min

Question 5

What is a defining feature of fraility?

Answer 5

slow gait speed

Question 6

This factor predicted worse performance in all cognitive domains

Answer 6

slower gait speed

Question 7

Decrease in these 2 factors increase the likelihood of dementia

Answer 7

cognition and gait

Question 8

What is Motoric cognitive risk syndrome (MCRS)?
these individuals are 2-3x more likely to develop?

Answer 8

slowed gait speed and subjective cognitive impairment
more likely to develop dementia

Question 9

Important consideration with gait/ mobility training?

Answer 9

integrate cognitive demands ( prouty likes dual task sooo)

Question 10

more than or equal to 1.2 m/s means individual is and

Answer 10

extremely fit
can cross street safely

Question 11

more than or equal to 1.0 m/s ( >= 1.0 m/s) means individual is

Answer 11

Healthy older population with lower risk of hospitalization or adverse health events;independent in ADLs

Question 12

less than 1.0 m/s ( <1.0 m/s)
means individual is

Answer 12

= Increased risk for cognitive decline within 5 years;
= increased risk for death and hospitalization within 1 year

Question 13

less than 0.8 m/s

Answer 13

Increased risk of mortality and mobility/ADL disability at 2 years;limited community ambulatory

Question 14

less than 0.7 m/s

Answer 14

Increased risk of death, hospitalization, institutionalization, and falls

Question 15

less than 0.4 m/s

Answer 15

Functional dependence;
severe walking disability

Question 16

less than 0.2 m/s

Answer 16

Extremely frail; highly dependent

Question 17

Clinical gait training must include —
you must consider these many things

Answer 17

more than walking from point A to B!
Consider: time constraints, ambient conditions, terrain characteristics, external physical load, attentional demands, postural transitions, traffic level

Question 18

Four-point Pattern
WB status, needs, and indication

Answer 18

Weight bearing status: WBAT
Need: bilateral AD ( crutches or canes)
indication: Bilateral AD. WBAT. An alternative & reciprocal pattern

Question 19

Modified Four-point
WB status, needs, and indication

Answer 19

weight bearing status: WBAT
Need: 1 AD
indication: sometimes used as a transitionary pattern as the patient progresses to the modified two-
point patter

Question 20

Two-point Pattern
WB status, needs, and indication

Answer 20

Bilateral AD. WBAT.
A simultaneous & reciprocal pattern of AD and LE

Question 21

Mod 2 pt
WB status, needs, and indication

Answer 21

THIS pattern is the quickest of these patterns.
1 AD
WBAT
Patient walks with a reciprocal pattern.

Question 22

3 pt
WB status, needs, and indication

Answer 22

used for patients who are NWB on one of their LEs.
ALWAYS BILATERAL AD

Question 23

Mod 3 pt
WB status, needs, and indication

Answer 23

Bilateral ADs. PWB

Question 24

Gait Based Outcome Measures
Stair Climb - length of test, population its good for, what is it used for, what do results mean

Answer 24

lower = better
2 mins to admin.
post acute, post op, active living
measures functional strength

Question 25

Dynamic Gait Index
length of test, what is it used for, what do results mean ( cutoff)

Answer 25

15 mins
assess likelihood of falling in older adults
cutoff: <19/24 = predictive of falls in community dwelling elderly

Question 26

TUG
what is it used for, what do results mean ( cutoff)

Answer 26

To ID / screen elderly individuals prone to fall
cutoff: > 13.5 seconds

Question 27

FGA
what is it used for, what do results mean ( cutoff)

Answer 27

classify fall risk and predict unexplained falls in community dwelling elderly
cutoff: less than 23
* more complex than DGI

Question 28

Tinetti Poma
what is it used for, what do results mean ( cutoff), admin time for test

Answer 28

use: task-oriented test that measures an older adult’s gait and balance abilities
test time: 10-15 minutes
results: lower = worse
25-28 = low fall risk
19-24 = medium fall risk
< 19 = high fall risk

Question 29

Backward walking less than this gait speed may indicate fall risk

Answer 29

0.4 m/s

Question 30

Increased gait variability may indicate

Answer 30

postural instability