Gait Flashcards
Indications for use of assistive devices
Pain, poor balance, change in weight bearing status (post-op), weakness, amputee, abnormal tone, sensory loss, congenital deformities (i.e. club foot)
Factors to consider when choosing assistive device
Ability to handle/use device, transfer sit to stand, ambulate on different surfaces, ascend/descend stairs, time necessary and endurance, ambulate during inclement weather
Device sequencing
Number of moment contacts with the device and leg(s)
2 point gait sequence
Sequence of 2 moments of contact with the floor to complete the cycle
Device and involved leg = first moment
Uninvolved leg after = second moment
3 point gait sequence
Sequence of 3 moments of contact with the floor to complete the cycle
Device = first moment
Involved leg = second moment
Uninvolved leg = third moment
4 point gait sequence
Sequence of 4 moments of contact with the floor to complete the cycle
Typically used with 2 assistive devices
1 cane/crutch = first moment
Contralateral leg = second moment
2 cane/crutch = third moment
Other leg = fourth moment
When to select 2 point pattern
Maximize speed and efficiency
When to select 3 point
Will always use with TTWB/PWB
When to select 4 point
Slow down the patient because they are unstable at faster speeds
Significantly reduce energy expenditure
Step to
After advancing assistive device, the patient steps to the same point/in line with where the assistive device was placed
If patient needs to walk more slowly/safely
Step through
After advancing assistive device, patient steps beyond the point where the device was placed
Choose if you want to increase walking speed/efficiency
Blocking for orthopedic deficits
Block uninvolved side
Blocking for neurological deficits
Block involved side
Main goal of gait training with an assistive device
Increase patient independence
Assistive devices from least to most coordination required
Parallel bars, walker, one cane, two canes, axillary crutches, forearm crutches
