Mobility And Gait Flashcards
What are four components of bed mobility
Rolling scooting sideline and supine to and from sit
What are the three types to get from supine to sit
Rolling technique long sitting technique and synchronous pattern
What is the first part of scooting left and right for a maximum assistance patient
Bringing the knees up into a flexed position then you can lift the button move them over
What are some requirements for the rolling method
Contraction of abdominals head flexion and rotation and arm strength to push yourself up
What are some requirements for the long sitting method
Trunk stability arm stability shoulder range of motion hamstring flexibility low back flexibility knee extension
What are interventions determined by
Patient goals for ambulation deviations identified during gait analysis and patient’s prognosis diagnosis and weight-bearing status
What are the goals of lead up activities
Improve strength and improve sensory motor control normalize sensory input increase postural stability develop or improve balance responses
What are the functional postures for lead up activities
Hook lying and bridging prone on elbows quadruped sitting sit to stand kneeling half kneeling modified plantigrade and standing
What are the benefits of hook lying and bridging
You wait bear on the foot ankle knee and scapula you strengthen the erector gluteals hamstrings and of Domino muscles you combine flexor and extensor synergies similar to pre-swings and it is related to bed mobility pressure relief dressing in sit to stand
What phase of gate combines flexor and extensor synergies and what posture is similar to this
Pre-swing phase of gate and it is similar to hook lying in bridging
What are the advantages of quadruped
Weight-bearing through the knees hips and upper extremity strengthens the erector spinal abdominals scapula scary Blazers biceps triceps and hip muscle contraction it combines lower extremity flexor with upper extremity extensors and is related to floor transfers cleaning picking up items from the floor or under the bed
What are three ways you can get a patient to quadruped
Start side sitting swing hips up start
standing crawl onto the mat this is the easiest
or start prone on elbows and “walk up”
What are the advantages of sitting
Weight-bearing through spine hips upper extremities it strengthens the erector spinae and abdominals helps with static and dynamic postural control it is reactive and anticipatory to balance control
What are the two types of sitting
Short and long long requires low back and hamstring flexibility
What is an issue with reaching back for the chair and sit to stand
A lot of patients will lean backwards to reach the chair when they should still remain leaning forward this is more functional forget
Where should the patients ankles be in relation to their knees during sit to stand
The ankle should be posterior to the knees
What are the advantages of kneeling
Weight-bearing through the hips and spine trunk and hip balance control strengthening abdominals hip extensors and erector spinae and kneeling really gets add to hip extension
How can you get a patient into the kneeling position
Start in quadruped and help them extend their hips to tall sitting or crawl onto the mat from standing
What is half kneeling
When you are only kneeling on one side and the other knee is flexed to 90°
What are the advantages with half kneeling
It is harder to do there is increased weight-bearing on the posterior limb it facilitates lateral pelvic control hip extension and ankle movements it strengthens the abdominals quads erector spinae hamstrings glutes tibial and gastroc Solias of the flexed knee and hip
How does half kneeling help us with gait
It helps us with the single limb stance for the gate cycle it also makes the pelvis sit in a posterior tilt which is good to stretch the hip flexors
What are the advantages of the modified plantigrade
It uses full weight-bearing in the lower extremity the center of mass moves forward encouraging you extension requires balance and postural control although it is easier than standing and can transition from sitting with hands on the surface in front
How can using just one finger help your body in plantigrade
Your somatosensory system tells your ankles that they don’t have to work as hard to maintain balance
What are the advantages of standing
Weight bearing weight shifting balance and postural control can start in a parallel bar or a hemi rail to help
