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PHTH 517 > Mobility > Flashcards

Mobility Flashcards

1
Q

_______ definition of mobility: moving by changing the body position or location or by transferring from one place to another, by carrying, moving or manipulating objects, by walking, running or climbing, and by using various forms of transportation.

A

WHO

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2
Q

______ _______ defines a mobility problem as: someone requiring assertive devices to get around (cane, wheelchair, walker), or can not walked, needing help to walk.

A

stats canada

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3
Q

Persons with ______ ________ are more likely to experience falls and to be discharged to long term care facility rather than go home

A

impaired mobility

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4
Q

What are 5 ways to optimize mobility?

A
  1. address maximizing physical and sensory-motor function
  2. treat underlying diseases/condition
  3. compensate for loss
  4. advocate for social policy and change
  5. as rehab professionals we need to be advocates for social and health policy
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5
Q

Movement strategies used by non impaired adults to roll supine to prone are very variable (T/F).

A

TRUE

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6
Q

Most healthy YA don’t show rotation between the _______ and _______.

A

shoulders; pelvis

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7
Q

What are the 3 common approaches used by YA to roll?

A
  1. lift and reach above shoulder level
  2. shoulder girdle leans and initiates them motion of the head and trunk
  3. unilateral lift of the leg
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8
Q

Impairments to what structures will limit performance of rolling?

A
  1. head
  2. upper trunk
  3. shoulder
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9
Q

_______ is needed to generate momentum to move the body to vertical when rising from bed.

A

propulsion

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10
Q

When rising from bed, one needs to control the _____ as it changes from within the support base defined by the horizontal body to that defined by the buttocks and feet.

A

COM

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11
Q

When rising from bed, one needs to _____ how one moves to the characteristics of the movement.

A

adapt

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12
Q

Research has demonstrated _____ ________ movement patterns by non-disabled YA to rise from the bed.

A

extremely variable

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13
Q

It is important to train clients to first lie on their side and then sit up when rising out of bed (T/F).

A

FALSE (train using a variety of approaches)

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14
Q

What does the FIM stand for?

A

functional independence measure

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15
Q

What is the most common multidisciplinary independence measure in NA?

A

FIM

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16
Q

When should the FIM be completed?

A
  1. within 72 hours of admittance

2. 72 hours prior to discharge

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17
Q

FIM is a measure of ______ or _____ of _____; it measures how much assistance is required to carry out ADL’s.

A

disability; burden of care

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18
Q

What are the 6 functions of the FIM?

A
  1. self-care
  2. sphincter control
  3. mobility
  4. locomotion
  5. communication
  6. social cognition
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19
Q

The functions in the FIM collapse into what two domains?

A
  1. motor score

2. cognitive score

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20
Q

The ______ is the most frequently used global rehabilitation measure across the world.

A

FIM

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21
Q

What is the best strategy for older adults to stand form the floor?

A

kneel on one knee, get close to a wall or furniture, and PUSH to standing rather than pull.

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22
Q

Rising from a chair is particularly difficult for elderly individuals with a _________ or ________ disorder.

A

MSK; neurological

23
Q

Standing up is more demanding in terms of _____ ROM and _____/____ forces than walking or stair climbing.

A

Knee; hip/knee

24
Q

Chair rise ability assessed with the first 24 hours of hospital admission was significantly associated with _____ of ______.

A

length of stay

25
Q

Patients who could not perform the chair rise task had on average expected lengths of stay approximately ___% longer than those who could.

A

45

26
Q

The time taken to stand is ___-___ sec for healthy older subjects when performed in a self-paced manner in normal subjects and is _________ in individuals with neurological conditions.

A

1.5-2; increased

27
Q

What are the 3 phases of standing?

A
  1. pre-extension
  2. extension
  3. stabilization
28
Q

Maximum hip extensor torque and knee extensor torque occur around _____-___.

A

lift-off

29
Q

During lift-off, peak GRF reach around ____% of body weight decreasing immediately after thighs off to stabilize at body weight near completion of activity.

A

110

30
Q

tibiofemoral can rise to __ times body weight at the point of thighs off and the patellofemoral force increases __-__ times body weight.

A

7;2-6

31
Q

When standing, ___ degrees of DF is the most biomechanically effective position.

A

75

32
Q

An _______ foot placement requires greater hip flexion angle and hip moments when going from sit to stand.

A

anterior

33
Q

_______ ________ of the trunk as it rotates forward at the hips is the major contributor of the horizontal momentum of the body mass.

A

angular momentum

34
Q

Older adults tend to have more trunk _________.

A

flexion

35
Q

As you _______ the seat height, the knee extensor moment is most challenged.

A

reduce

36
Q

Knee joint and muscle forces are considerably _______ when rising with the aid of arms.

A

reduced

37
Q

What would be causing one foot to be more anterior than the other when rising from a chair?

A

effected limb is farther out front

38
Q

What would cause wide foot stance when rising from a char?

A

balance issues

39
Q

What would cause uneven weight-bearing through limbs when rising from a chair?

A

pain and weakness in limbs

40
Q

What would cause frequent stops through movement when rising from a chair?

A

blood pressure changes

41
Q

What would cause excessive trunk flexion or rocking at initiation of movement ?

A

to offset force needed from legs

42
Q

Why would someone use armrests when rising from a chair?

A

offset weakness in legs

43
Q

When rising from a seated position, the COM can only rise to the maximum length of the ______.

A

thigh

44
Q

When would slipping most likely happen when walking?

A

when shear forces are highest (during heel contact or push-off phase)

45
Q

Usually there is a toe clearance of ___ cm, but it is less in older adults

A

1

46
Q

There are coordinated ______ and ___-limb postural reflexes in response to a trip or slip

A

within; cross

47
Q

There is near maximal ________ and knee _______ biomechanics when going up stairs.

A

PF; extensor

48
Q

There is _______ reserve to correct for mistake when when walking up stairs.

A

little

49
Q

____% of stair falls when going down.

A

75

50
Q

What is the CBMS an acronym for?

A

community balance and mobility scale

51
Q

What are 5 example items of the CMBS?

A
  1. tandem pivot
  2. lateral foot scoot
  3. hop
  4. lateral dodge
  5. walk and look
52
Q

When sitting and standing 5 times as quickly as possible, what is the threshold for balance problems?

A

13s

53
Q

What does the TUGS stand for?

A

timed up and go test

54
Q

According to the TUGS, if the time to stand from a chair, walk 3 meters at a comfortable pace, and sit back in your chair is over ___s you are are increased fall risk.

A

14

PHTH 517 (16 decks)

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