Pre-Ambulation

Question 1

Preparation for Ambulation Activities

Answer 1

Assess the pt’s medical records
Assess, examine, and evaluate the pt’s capabilities
Identify suitable gait patterns and equipment
Clear the surroundings
Verify the initial equipment measurements
Apply gait belt to pt
Explain and demo the gait pattern to the pt
Pt’s shoulder or trunk should be the point of stabilization
Maintain proper body mechanics

Question 2

Where should the PT position during ambulation?

Answer 2

Behind the pt and slightly to one side

Question 3

Precaution for Ambulation Activities

Answer 3

Pt should wear appropriate footwear
Regularly observe the pt
Avoid guarding or controlling the pt by grasping their clothing or UE
Be alert for any unusual pt actions or equipment problems
Guard the pt and position well
Do not leave the pt unattended while standing

Question 4

Used when pt requires maximum
stability, support, and safety.

Answer 4

Parallel bars

Question 5

What can be initiated in parallel bars?

Answer 5

Balance training
Gait patterns

Question 6

What are the parameters for the fit of the parallel bar?

Answer 6

H: 20-25 deg of elbow flexion when pt is standing erect
W: 2 in wider than the pt’s hips

Question 7

It is when you want to control
the amount of weight you
want to pt to bear.

Answer 7

Support Suspension Ambulatory Aid

Question 8

The Support Suspension Ambulatory Aid are used by who?

Answer 8

Pts who need to be partially “unweighted” during gait training

Question 9

Indications of Support Suspension Ambulatory Aid

Answer 9

Cerebral Palsy (CP)
Parkinson’s Disease (PD)
Spinal Cord Injury (SCI)
Severe weakness requiring bilateral support

Question 10

What are the benefits of SSAA?

Answer 10

Controlled WB and posture to correct asymmetric movement
Facilitation of proper gait patterns
Ability to work on balance, posture, and sit-to-stand manuever

Question 11

Indications for using a tilt table

Answer 11

Prolonged recumbence
Disturbance in balance, proprioception, kinesthesia, and LE circulation
Generalized weakness

Question 12

Benefits of using a tilt table

Answer 12

Improve mental outlook
Increase bone density
Improves bladder function
Improves ability to exercise
Better than upright supine

Question 13

Put a pillow under the pt’s _____ and rolled towels underneath his/her _____ during tilt table sessions

Answer 13

head, knees

Question 14

Where should the restraints of a tilt table be applied?

Answer 14

Lower thigh (proximal to patellae)

Question 15

What are the indicators of a person’s tolerance?

Answer 15

Excessive increase/decrease in BP
Less than 20 mmHg systolic, less than 10 mmHg diastolic
Changes in consciousness
Excessive perspiration
Edema formation in the LE
Decrease of loss of the pedal pulse
Complaints of nausea or numbness
Change in facial or limb color
Tingling in LE
Dizziness

Question 16

At what angle is typically sufficient enough for a pt?

Answer 16

70-80 deg

Question 17

How long does a tilt table session last

Answer 17

around 5-10 mins up to an hour

Question 18

The frequency and duration of the tx depend on pt’s:

Answer 18

condition
response to tx
ability to tolerate an upright position