Mobility Flashcards
_______ 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.
WHO
______ _______ defines a mobility problem as: someone requiring assertive devices to get around (cane, wheelchair, walker), or can not walked, needing help to walk.
stats canada
Persons with ______ ________ are more likely to experience falls and to be discharged to long term care facility rather than go home
impaired mobility
What are 5 ways to optimize mobility?
- address maximizing physical and sensory-motor function
- treat underlying diseases/condition
- compensate for loss
- advocate for social policy and change
- as rehab professionals we need to be advocates for social and health policy
Movement strategies used by non impaired adults to roll supine to prone are very variable (T/F).
TRUE
Most healthy YA don’t show rotation between the _______ and _______.
shoulders; pelvis
What are the 3 common approaches used by YA to roll?
- lift and reach above shoulder level
- shoulder girdle leans and initiates them motion of the head and trunk
- unilateral lift of the leg
Impairments to what structures will limit performance of rolling?
- head
- upper trunk
- shoulder
_______ is needed to generate momentum to move the body to vertical when rising from bed.
propulsion
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.
COM
When rising from bed, one needs to _____ how one moves to the characteristics of the movement.
adapt
Research has demonstrated _____ ________ movement patterns by non-disabled YA to rise from the bed.
extremely variable
It is important to train clients to first lie on their side and then sit up when rising out of bed (T/F).
FALSE (train using a variety of approaches)
What does the FIM stand for?
functional independence measure
What is the most common multidisciplinary independence measure in NA?
FIM
When should the FIM be completed?
- within 72 hours of admittance
2. 72 hours prior to discharge
FIM is a measure of ______ or _____ of _____; it measures how much assistance is required to carry out ADL’s.
disability; burden of care
What are the 6 functions of the FIM?
- self-care
- sphincter control
- mobility
- locomotion
- communication
- social cognition
The functions in the FIM collapse into what two domains?
- motor score
2. cognitive score
The ______ is the most frequently used global rehabilitation measure across the world.
FIM
What is the best strategy for older adults to stand form the floor?
kneel on one knee, get close to a wall or furniture, and PUSH to standing rather than pull.
Rising from a chair is particularly difficult for elderly individuals with a _________ or ________ disorder.
MSK; neurological
Standing up is more demanding in terms of _____ ROM and _____/____ forces than walking or stair climbing.
Knee; hip/knee
Chair rise ability assessed with the first 24 hours of hospital admission was significantly associated with _____ of ______.
length of stay
Patients who could not perform the chair rise task had on average expected lengths of stay approximately ___% longer than those who could.
45
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.
1.5-2; increased
What are the 3 phases of standing?
- pre-extension
- extension
- stabilization
Maximum hip extensor torque and knee extensor torque occur around _____-___.
lift-off
During lift-off, peak GRF reach around ____% of body weight decreasing immediately after thighs off to stabilize at body weight near completion of activity.
110
tibiofemoral can rise to __ times body weight at the point of thighs off and the patellofemoral force increases __-__ times body weight.
7;2-6
When standing, ___ degrees of DF is the most biomechanically effective position.
75
An _______ foot placement requires greater hip flexion angle and hip moments when going from sit to stand.
anterior
_______ ________ of the trunk as it rotates forward at the hips is the major contributor of the horizontal momentum of the body mass.
angular momentum
Older adults tend to have more trunk _________.
flexion
As you _______ the seat height, the knee extensor moment is most challenged.
reduce
Knee joint and muscle forces are considerably _______ when rising with the aid of arms.
reduced
What would be causing one foot to be more anterior than the other when rising from a chair?
effected limb is farther out front
What would cause wide foot stance when rising from a char?
balance issues
What would cause uneven weight-bearing through limbs when rising from a chair?
pain and weakness in limbs
What would cause frequent stops through movement when rising from a chair?
blood pressure changes
What would cause excessive trunk flexion or rocking at initiation of movement ?
to offset force needed from legs
Why would someone use armrests when rising from a chair?
offset weakness in legs
When rising from a seated position, the COM can only rise to the maximum length of the ______.
thigh
When would slipping most likely happen when walking?
when shear forces are highest (during heel contact or push-off phase)
Usually there is a toe clearance of ___ cm, but it is less in older adults
1
There are coordinated ______ and ___-limb postural reflexes in response to a trip or slip
within; cross
There is near maximal ________ and knee _______ biomechanics when going up stairs.
PF; extensor
There is _______ reserve to correct for mistake when when walking up stairs.
little
____% of stair falls when going down.
75
What is the CBMS an acronym for?
community balance and mobility scale
What are 5 example items of the CMBS?
- tandem pivot
- lateral foot scoot
- hop
- lateral dodge
- walk and look
When sitting and standing 5 times as quickly as possible, what is the threshold for balance problems?
13s
What does the TUGS stand for?
timed up and go test
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.
14
