Mobility/ Immobility and Physical Activity T4 Flashcards
Types of immobility
Temporary
Permanent
Sudden onset
Slow onset
Temporary immobility
Follows a procedure or injury
Ex
-knee arthroplasty
Permanent immobility
Not being able to transfer or ambulated alone
Ex
-paraplegic
Sudden onset immobility
Caused by an injury or trauma
- fracture
- broke bone
- muscle or ligament tear
Slow oneself immobility
Caused by disease or illness that causes decreased or no mobility
Ex
-multiple sclerosis
Body mechanics
Involves
- coordination of musculoskeletal and nervous system
- use of alignment
- use of balance
- use of gravity
- use of friction
Factors that affect mobility
Alterations in muscles Injury to musculoskeletal Poor posture Impaired CNS Health status Age
Assistive devices
Can
Crutches
Walker
Walker
Move walker first
Step with affected leg first
Types of walkers
Standard (no wheels)
-person must pick up walker to move
Rolling walker (with wheels)
-person may slide walker to move
Cane
Maintain 2 points of contact Hold cane on strong side Hold at hip height Directions to move: -move cane 15-25cm or 6-10in first -move affected leg to even with cane
Types of canes
Single leg Quad peg (offers more stability)
How do you hold crutches
Crutches should no be shoved in armpit
-elbows should be flexed at 20-30° angle
When standing hold crutches in one hand
Crutches should be 15cm (6in) to the side and front of feet
Crutches gait
4-point
-client weight bears on both legs while moving crutches
-client steps one foot at a time to crutches
-weak leg moves first
3-point
-bare weight on one foot
-move crutches
-swing body to crutch
2-point
-partial weight beat on both feet
-patient moves opposite leg and crutch at the same time
Types of ROM
Active
-movement without help
Passive
-moving joints by assistance