Review Sheet

Question 1

Why use aids

Answer 1

Pain
Impaired balance, coord, strength
Cant weight bear
amputation

Question 2

Aid goals

Answer 2

Protect (for healing)
prevent (neg adaptations)
improve mobility

Question 3

Most stable device

Answer 3

Walker

Question 4

Downside of walkers

Answer 4

Bulky, no arm swing,stairs

Question 5

How to get sized for walker

Answer 5

Heals with wheels w shoes, wrist crease at height of walker when little bit of flexion at elbow (20-30degs)

Question 6

Types of walkers

Answer 6

2 wheel, 4 wheel, standard, three wheel, platform walker

Question 7

Downside of crutches

Answer 7

Safety in crowds, leaning on axillary bar

Question 8

Downside Canadian crutches

Answer 8

Arm/shoulder strength needed, less lateral support

Question 9

Types of crutches

Answer 9

Axillary, forearm, platform, smart

Question 10

Measurement for crutches

Answer 10

2 inch lateral and 6 inches anterior from fore foot

hand piece level with wirst crease with a little bit of elbow flexion (20/30degs)

Question 11

Measuring axillary crutches

Answer 11

Axilla 2 inches below (2-3 fingers), adjust leg piece, standing is best, axillary bar adjusted and then hand grip

Question 12

Measuring forearm crutches

Answer 12

1-1.5 inches below elbow is cut off, piece, adjust hand grip then elbow cuff

Question 13

Cane not used for

Answer 13

Restricted WB

Question 14

Types of canes

Answer 14

Standard, orthopedic (7 looking), quad

Question 15

Difficulty quad cane

Answer 15

Stairs, unsteady if not evenly applied

Question 16

Measuring cane

Answer 16

Cane is parrall to leg, hand grib same as all else

Question 17

Clinical uses walking poles

Answer 17

Fitness, rehab for gait, core, posture, balance
Chronic conditions (arthritis, osteoporosis, diabetes)
Recovery from injuries/surgery
Older adults who require more stability and balance when walking

Question 18

Fit for walking poles

Answer 18

Elbows at side at 90

Question 19

Partial weight bearing

Answer 19

50%

Question 20

Weight bearing as tolerated

Answer 20

50-100%

Question 21

4 point and 2 point gait when

Answer 21

Weakness, balance impairment

Full or near full WB through all extremities

Question 22

Before deciding which gait

Answer 22

Consent
Readiness of client / enviorment
Measure
Demo
Client practice (with assistance)
Feedback
practice no assistance

Question 23

Safety on aids

Answer 23

Fit, tips, transfer belt, footwear, chair available

Question 24

Common problems aids

Answer 24

Fit, tips, weight on axillary bars

Question 25

Why pre amb exercises

Answer 25

Strength, balance, coordination, flexibility, endurance

Question 26

Before starting on a client

Answer 26

Chart for WB status, consent, goals, cooperation, screen, prep client equip envior

Question 27

Keys to teaching with stairs

Answer 27

Teach with and without hand rail Stand below and lateral Use belt

Question 28

Ramps key

Answer 28

Same as stairs

Question 29

ROM of a joint determined by

Answer 29

Structure, flexibility of soft tissue

Question 30

Define joint ROM

Answer 30

Angular movements, rotational movements

Question 31

Angular movements

Answer 31

Produce inc or dec in angle between bones

Question 32

Rotational movements

Answer 32

In the tranverse plane generally (int/ext)

Question 33

Passive insufficiency

Answer 33

When the lengthening of mm prevents further movement of a joint that the mm crosses over

Question 34

Active insufficiency

Answer 34

When the shortening of mm limits the abilty to develop effective tension

Question 35

Why assessing ROM important

Answer 35

Performance functional acts, underlying pathologies, baseline

Question 36

Assesisng active ROM what you need to know

Answer 36

Patient (willining, conscious, follow, attention), movements (pain, stnreght)

Question 37

Limits of joint ROM

Answer 37

Pain, weaknesses, disease, surgery, inactivity

Question 38

ROM contraindications

Answer 38

Unhealed fracture, motion disruptive in healing, suspected ectopic ossification

Question 39

ROM precautions

Answer 39

``` Trauma may result Medications Hypermobile Painful conditions Haemophilia Region of hematoma Suspect joint ankyloses Immediatiyl after injury Newly united fracture After prolonged immbnolization of seg ```

Question 40

Principals for assessing ROM

Answer 40

``` Explain, consent Expose Instruct, demo Patient positioning Therapist positioning Movement within available range ```

Question 41

``` Normal ranges knee: Flexion in supine Extention in supine Int rotation in sitting Ext rotation in sitting ```

Answer 41

0-135 0 40-58 40-58

Question 42

``` Normal ranges elbow: Fleixion sitting / supine Extention supine sitting Pronation sitting Supination sitting ```

Answer 42

0-150 0 0-80 0-80

Question 43

Steps in assessing ROM

Answer 43

Position, demo, client active ROM, position, passive ROM – think about both sides!

Question 44

Indicitation for PROM

Answer 44

Client unable to actively move Maintains mobility, circulation, healing, joint integrity Facilate client awarenss Prepares for passive stretch, demos

Question 45

What does PROM not do

Answer 45

Prevent mm atrophy, increase strength, assist circulation as much as active ROM, restore voluntary movement

Question 46

Procedures for PROM treatment

Answer 46

Stabilize prox seg, move pain free, perform 5-10, work prox to distal

Question 47

Indications AROM

Answer 47

Client is week and unable to move joint through range | Increase circulation coordination motor skills

Question 48

AROM will not

Answer 48

Incrase strength, develop skill beyond pattern used

Question 49

Procedure for AROM

Answer 49

Demo, client, cue, assist, move within available range