Gait Training Flashcards

1
Q

How do you determine if a patient is ready to ambulate

A

WB tolerance
Balance assessment
Orientation
Strength assessment

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2
Q

What activities will you need to make sure the patient can do before ambulation

A
Bridge and bed mobility 
Get themself to edge of bed
Keep their WB status
Pre gait activities 
Follow directions
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3
Q

Activities

A
Assess capabilities
Assess limitations
Obtain consent 
Explain procedure
Remove items in the way
Select device and confirm measurement
Demonstrate
Footwear - SHOES
Apply GAIT BELT
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4
Q

Step length

A

Measure from heel to heel

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5
Q

Stride length

A

heel to same heel contact

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6
Q

Assistive devices - parallel bars

A

helping them learn WB status
balance use
gives most support of the assistive devices

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7
Q

Assistive devices - walker and wheeled walker

A

second mos tlevel of support
Wide BOS
Wheeled walker - better when need to conserve energy

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8
Q

Assistive devices - crutches

A

axillary

Forearm (more for CP, spinal cord injuries)

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9
Q

Assistive devices - canes

A

Large base and small base quad canes

Straight cane - just if need a little balance support

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10
Q

Safety

A
Use of a gait/safety belt
Guarding during gait
Use of assistive device
Community barriers
Home barriers
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11
Q

Possible home barriers

A
Remove rugs, caution waxed floors
Check crutch nuts, wings, and tips
Rearrange furniture
Narrow hallways, doorways, bathroom
Grab bars installed
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12
Q

Possible community barriers

A

Ramps
Crosswalks
Curbs

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13
Q

Two point gait

A

two points of contact
crutch forward with the opp leg at same time
pt has WBAT or FWB

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14
Q

Three point gait

A

can step through or step to
two crutches and leg coming fown at same time with a hop
NWB or PWB

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15
Q

Four point gait

A

If they are in a crowded area will use this or an obstacle in the house
Crutch, leg, crutch, leg…
Everything is separate
WBAT or FWB

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16
Q

Surfaces

A
Level 
Curb/Step
Stairs
Uneven (grass,gravel, etc)
Slopes
17
Q

A

A

Assistance

18
Q

amb

A

ambulation

19
Q

II

A

parallel bars

20
Q

SBA

A

stand by assist - no point of contact

21
Q

CGA

A

contact guard - you are touching

22
Q

max, mod, min

A
max = you are providing 75% of the assist
mod = 50/50
min = you are providing about 25% of assist for them
23
Q

LBQC

A

large based quad cane

24
Q

SBQC

A

short basaed quad cane

25
Q

w/walker

A

wheeled walker

26
Q

FWW

A

front wheeled walker

27
Q

Independent

A

patient does not require any physical supervision or assistance from another person to perform activity

28
Q

Modified Independent Assisted

A

Patient uses adaptive or assistive equipment

29
Q

Assisted

A

Patient requires assistance from another person to perform the activity safely in an acceptable time frame

30
Q

Minimal Assistance

A

Patient performs 75% or more of the activity; assistance is required to complete the activity

31
Q

Moderate Assistance

A

Patient performs 50-75% of the activity; assistance required to complete activity

32
Q

Maximal assistance

A

Patient performs 25% to 50% of the activity; assistance is required to complete the activity

33
Q

Standby (supervision) assistance

A

Patient requires verbal or tactile cues, directions, or instructions from another person positioned close to, but not touching, the person to perform the activity safely and in acceptable time frame

34
Q

Dependent Assistance

A

Patient requires total physical assistance from one or more persons to accomplish the activity safely; special equipment or devices may be used

35
Q

Guarding (close, contact)

A

Patient requires guarding during the performance of the activity for safety

36
Q

Close guarding

A

Caregiver is positioned close to, but not touching, the patient; similar to standby assists; likelihood the patient will require protection during the performance is minimal

37
Q

Contact guarding

A

caregiver is positioned close to the patient with hands on the patient or safety belt; it is very likely that the patient will require protection during the performance of the activity