NDT - Bed Mobility

Question 1

True or False: As therapists, we should always approach our patients on their weaker side?

Answer 1

True - Patient may be more neglectful to weaker side. Also, if the pt. has osteoporosis and their legs fall during positioning, they can hurt themselves.

Question 2

Hooklying
Facilitation: 
Patient Position:
Manual Contacts:
Command:

Answer 2

Facilitation: least amount required
Patient Position: supine
Manual Contacts: posterior knee; dorsal ankle
Command: “Bend your knees”

Question 3

What are some reasons why we may use the Hooklying technique?

Answer 3

• To push self up
• Log roll
• Reduce pressure sores
• Bed pan positioning

Question 4

Bridging
Facilitation: 
Patient Position:
Manual Contacts:
Command:

Answer 4

Facilitation: least amount required
Patient Position: hooklying
Manual Contacts: postero-lateral pelvis; distal femurs
Command: “Lift your bottom”

Question 5

Scooting (Position 1)
Facilitation: 
Patient Position 1:
Manual Contacts 1:
Command 1:

Answer 5

Facilitation: least amount required
Patient Position 1: bridging
Manual Contacts 1: postero-lateral pelvis; distal femurs
Command 1: “Scoot your bottom”

Question 6

Scooting (Position 2)
Facilitation: 
Patient Position 2:
Manual Contacts 2:
Command 2:

Answer 6

Facilitation: least amount required
Patient Position 2: hooklying
Manual Contacts 2: upper shoulders
Command 2: “Scoot your shoulders”

Question 7

Supine to Sit (Position 1)
Facilitation:
Patient Position 1:
Manual Contacts 1:
Command 1:

Answer 7

Facilitation: least amount required
Patient Position 1: hooklying with appropriate UE position
Manual Contacts 1: distal shoulder; distal knee
Command 1: “Roll onto your side”

Question 8

Supine to Sit (Position 2)
Facilitation:
Patient Position 2:
Manual Contacts 2:
Command 2:

Answer 8

Facilitation: least amount required
Patient Position 2: sidelying with appropriate UE position
Manual Contacts 2: upper shoulders; lower extremities
Command 2: “Sit-up”

Question 9

Sit to Supine (Position 1)
Facilitation:
Patient Position 1:
Manual Contacts 1:
Command 1:

Answer 9

Facilitation: least amount required
Patient Position 1: sitting with appropriate UE position
Manual Contacts 1: upper shoulders; lower extremities
Command 1: “Lay on your side”

Question 10

Sit to Supine (Position 2)
Facilitation:
Patient Position 2:
Manual Contacts 2:
Command 2:

Answer 10

Facilitation: least amount required
Patient Position 2: sidelying with appropriate UE position
Manual Contacts 2: upper shoulders; lower extremities
Command 2: “Roll onto your back”

Question 11

Upright sit
Facilitation:
Patient position 1:
Patient position 2:
Patient position 3:
Patient position 4: 
Patient position 5:
Manual Contacts:
Command:

Answer 11

Facilitation: least amount required
Patient position 1: forefeet under knees
Patient position 2: knees in line with hips
Patient position 3: trunk midline; neutral
Patient position 4: hands on mat; minimal external rotation
Patient position 5: head neutral
Manual Contacts: Lower back; sub-clavicle region
Command: “Sit up tall”