Gait Training Flashcards
How do you determine if a patient is ready to ambulate
WB tolerance
Balance assessment
Orientation
Strength assessment
What activities will you need to make sure the patient can do before ambulation
Bridge and bed mobility Get themself to edge of bed Keep their WB status Pre gait activities Follow directions
Activities
Assess capabilities Assess limitations Obtain consent Explain procedure Remove items in the way Select device and confirm measurement Demonstrate Footwear - SHOES Apply GAIT BELT
Step length
Measure from heel to heel
Stride length
heel to same heel contact
Assistive devices - parallel bars
helping them learn WB status
balance use
gives most support of the assistive devices
Assistive devices - walker and wheeled walker
second mos tlevel of support
Wide BOS
Wheeled walker - better when need to conserve energy
Assistive devices - crutches
axillary
Forearm (more for CP, spinal cord injuries)
Assistive devices - canes
Large base and small base quad canes
Straight cane - just if need a little balance support
Safety
Use of a gait/safety belt Guarding during gait Use of assistive device Community barriers Home barriers
Possible home barriers
Remove rugs, caution waxed floors Check crutch nuts, wings, and tips Rearrange furniture Narrow hallways, doorways, bathroom Grab bars installed
Possible community barriers
Ramps
Crosswalks
Curbs
Two point gait
two points of contact
crutch forward with the opp leg at same time
pt has WBAT or FWB
Three point gait
can step through or step to
two crutches and leg coming fown at same time with a hop
NWB or PWB
Four point gait
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