Gait Eval (2) - Class 6

Question 1

what will the info from the history help with

Answer 1

selecting appropriate tests and measures

Question 2

what does selecting appropriate tests and measures turn to

Answer 2

helping us make a PT dx

Question 3

tests and measures commonly applied to pt’s with gait dysfxn

Answer 3

anthropometric characteristics

ROM

muscle performance

joint integrity

mobility

pain

sensory integrity

motor fxn

ventilation and respiration/gas exchange

aerobic capacity and endurance

integumentary integrity

Question 4

there is a …. but…

Answer 4

multitude of things we may have to look at but base it off their history

Question 5

what does selection of tests depend on

Answer 5

purpose of the test and its

-reliability
-validity
-sensitivity
-specificity
-responsiveness or capacity to detect change
-appropriateness for a particular population
-ease of use

Question 6

what should the therapist observe at minimum

Answer 6

walking from multiple perspectives

Question 7

observing walking from multiple perspectives should determine

Answer 7

pt needs an AD

pt needs personal assistance w/ ambulation

Question 8

walking should be observed

Answer 8

in a variety of environments

-level surface
-up/down curb
-ramp
-steps
-uneven surfaces

Question 9

observational gait analysis

Answer 9

approach frequently used for the examination of gait dsyfxn in the clinical setting

Question 10

why is observational gait analysis popular

Answer 10

relatively quick and easy to use

requires no equipment

can be performed in any setting

Question 11

history and the results of the tests and measures should guide

Answer 11

the focus of your observational gait analysis

Question 12

how should we observe changes in the sagittal plane

Answer 12

from R/L sides

focus on kinematic changes

Question 13

kinematic changes in the sagittal plane

Answer 13

step and stride length

single and double stance times

vertical displacement of the COG

flexion and extension movements of the hip, knee and ankle

position of the head and trunk

Question 14

how should we observe kinematic changes in the frontal plane

Answer 14

observe from the front and back

Question 15

kinematic changes in the frontal plane

Answer 15

BOS during double stance

foot angle (toe in/toe out)

lateral (horizontal) displacement of the COG

varus/valgus deformities at the knees

alterations in normal hip ABD/ADD

position and movement of the subtalar joint (pronation/supination)

Question 16

how should the therapist monitor changes in limb and joint segments

Answer 16

from each perspective, during each phase of gait

how the pt starts and stops walking and changes direction

Question 17

research on observational gait analysis

Answer 17

reliability

validity

Question 18

reliability

Answer 18

only has moderate intra-rater reliability for expert raters using observational gait analysis

Question 19

validity

Answer 19

only few studies have looked into this

Question 20

standardized tests and measures that rely on observational gait analysis

Answer 20

ranchos los amigos observational gait analysis

Wisconsin gait scale

gait abnormality rating scale

tinetti’s performance oriented mobility assessment

dynamic gait index

Question 21

standardized tests and measures related to gait that do not rely on observational gait analysis

Answer 21

TUAG

emory fxnal ambulation profile

berg balance scale

activities-specific balance confidence scale

fxnal independence measure

Question 22

we should analyze one segment throughout

Answer 22

all phases of gait cycle

Question 23

what should we begin with

Answer 23

ankle foot and toes

Question 24

how should we proceed our observation

Answer 24

proximally to the knee, hip, pelvis and lumbar spine

Question 25

what should we observe the pt in

Answer 25

normal footwear

then inspect the footwear

Question 26

what should we look for on footwear

Answer 26

wearing down

general condition of the shoe

creases or folds