Gait Flashcards
The act of moving from one place to another
Locomotion
Difference between ambulation vs gait
Ambulation = act of walking Gait = style of walking
Saying for remembering how to use stairs with crutches
Up with the good, down with the bad
Gait speed necessary for household ambulator
10m/50s
Gait speed of limited community ambulator
10m/17-25 s
Gait speed necessary to cross street
10m/<7 sec
3 aspects of examining gait
- Consistency
- Efficiency
- Flexibility
1 measure of gait
Speed
Performance under different conditions
Flexibility
Rate of goal achievement
Consistency
4 stages of bone healing + time frame
- Hematoma formation - 72 hours
- Fibrocartilage formation - 2 weeks
- Pre-callus formation 3-10 weeks
- Remodeling and permanent callus 3-10 weeks
6 favorable contributing factors of bone healing
- Early mobilization
- Early weight bearing
- Age
- Nutrition
- Minimal ST damage
- Pt compliance
7 unfavorable contributing factors of bone healing
- Disease
- Vit deficiency
- OP/bone loss
- Disrupted vascular supply
- Infection
- Irradiated bone
- Corticosteroid use
What kind of device should a PWB pt use?
Bilateral
Most important thing to know post-surgery about a pt
WB status
6 hip disorders that require THR
- DJD
- RA
- Avascular necrosis
- Metabolic disorders
- Tumor
- Neurologic disorders
3 surgical approaches for THR
Posterolateral, lateral, anterolateral
Goal of gait training
Improving function, safety and independence
How does a sling on UE change gait?
Less trunk rotation
Therapist should stand to _________ side of pt
Affected
Therapists ___________ always faces pt
Trunk
What kind of BOS should a therapist have?
wide
What direction should pt go in if they lose balance?
Toward therapists well-stabilized body
2 gait training prevention interventions
- Short distances
2. Stand pivots
2 gait training compensatory interventions
- Exaggerated weight shifting
2. Neglect
4 gait training remediation interventions
- Treadmill training
- Speed increase
- Strengthening
- PFS
For facilitation, list where near hand and far hand should be placed on pts body
Near hand = hips
Far hand = lateral shoulder
Assume _______ unless otherwise specified for fx, s/p pts
NWB
AD allow for weak pts to….
Distribute work of ambulation through UE and LEs
Be aware of increased ___________________ when using an AD
Increased physiological demands
Main major muscle group used in ambulation with AD on unaffected LE
Hip abductors
Main downside of standard walker
Stop and go pattern slows down pt and interferes with normal gait pattern
For a walker, where do you want the hand grip to line up with on pts body?
Ulnar styloid process/greater troch
Crutch positioning in relation to toes
6” anterolateral
Cuff placement for loftstrand crutches
1-1.5” distal to olecranon