Gait Patterns With AD

Question 1

NWB?

Answer 1

Not permitted to bear any weight through injured limb

Question 2

Partial WB?

Answer 2

Bear portion 25%, 50% through limbs

Question 3

Touch down weight bearing/ toe-touch?

Answer 3

Permitted minimal contact with the ground- balance- walking on egg shells

Question 4

WBAT?

Answer 4

Bear as much weight as comfortable to the pt

Question 5

FWB?

Answer 5

No longer needing a AD

Question 6

Two point pattern?

Answer 6

-usually has AD on both sides.
-Move AD and contra lateral leg at the same time

Question 7

Indications to use 2 point pattern?

Answer 7

-Bi weakness
-Improve balance

Question 8

What to consider if prescribing 2 point pattern?

Answer 8

-Requires coordination
-No WB restrictions

Question 9

3 point pattern?

Answer 9

Involves 2 crutches or a walker. CANNOT be just 1 cane or 1 crutch.
Pt is NWB!!
1. AD
2. Involved LE (NWB)
3. Advance uninvolved LE

Question 10

Considerations when prescribing 3 point pattern?

Answer 10

Pt must have good UE strength, balance, and endurance

Question 11

Four point pattern?

Answer 11

Use AD (Cane or Bi Crutches)

1. AD
2. Contra LE
3. (Other AD)
4. Oppposite LE

Ex: L crutch, R foot, R crutch, L foot

Question 12

Considerations when using 4 point pattern?

Answer 12

Pt needs maxA, stability and balance

Question 13

Ascending stairs with an AD?

Answer 13

1. Good leg
2. AD
3. Bad leg.

PT 2 stairs below with hand on belt and shoulder and slightly to the side of the impairment.

Must mimic their home environment if they have a hand rail. If they do not, safer to put the AD on the R side.

Question 14

Descending stairs with an AD?

Answer 14

1. AD
2. Bad leg
3. Good leg

PT is 2 stairs below the pt with hand on belt and other hand on shoulder