Lecture 8: Assistive Devices Flashcards
want them to maintain a normal gait pattern if they have the potential to progress
What do we use to determine which assistive device to prescribe
* Their posture
* Impacts gait speed
* Cognitiion
* Age
*
Non weight bearing means
No weight on affected extremeity
Full weight bearing
Full weight on affected emtremity
Weight bearing as tolerated means
Weight to tolerance (usually pain) on imapcted extremeity
* as much weight as you can put on it and maintain your normal pattern
most kids don’t do great w/ this because they’ll just put their full weight on it
partial weight bearing means
Weight to set pound or percetage on affected extremeity
Touch down or toe touch weight bearing meaning
Affected extremity used for balance only- can be heel, foot, or toe
Crutch/cane moves at same time as opposite LE. Right LE and Left Device together then Left LE and Right Device together
Two point
Modified two point: single device in one hand
Assistive device-involved side-uninvolved side
Three point
Two devices or single device held w/ both hands (think walker)
* Device step, step
Device then opposite LE then device and opposite LE one at a time
Right LE-Left Device-Left LE-Right Device
**Why do we use this? ** - probs a practical question
Four Point
Left left, right, right
we use this to slow pts down
* its also very stable
* However, kids dont love being slowed down
LE in swing phase to assistive device
Step To
LE in swing phase past assistive device
Step Through
Device and then bilatearl LE’s together to device
Swing To
only a swing to if both legs stay together
Device and then bilatearl LE
Device and then bilatearl LE’s pass device
NOTE: Swing to / through are both legs because both must contact the ground
* Can’t use if they’re none weight bearing on one leg
What is a reciprocal gait pattern
Opposite arm and leg move forward at the same time
What is a continuous gait pattern?
Continuous forward progression of the LE’s
What is a discontinuous gait pattern?
Stop and start progression-both feet remain in stance phase while assistive device advanced
