sit to stand - thighs off impairments

Question 1

Extends knees very quickly using back of

bed to assist

Answer 1

Weakness concentrically of quads from 110/120
degrees flexion to full extension (failed to pass 20
degrees off full extension)

Question 2

Lack of final knee extension – 20 degrees

Answer 2

Weakness concentrically of quads from 110/120 degrees flexion to full extension (failed to pass 20 degrees off full extension),

Question 3

Lack of final hip extension – 20 degress

Answer 3

Weakness concentrically hip extensors and or tight hip flexors. Lacked final 20 degrees hip extension

Question 4

Weight still on right side when standing

Answer 4

Weakness in glut med concentrically to assist in weight bearing to the left.

Question 5

Sitting down
No anterior translation of knees, simply
flexed at hips , no control

Answer 5

Sitting down weakness eccentrically of quad and hip extensors from -20 degrees off full extension to 90 degrees flexion.

Question 6

left leg lifts up off floor on sitting.

Answer 6

Noted weakness of hamstrings to stabilise left foot on ground with concentric control as into final sitting.

Question 7

additional observations

Answer 7

neck position = Noted excessive neck flexion

• No right hand use on sitting down.
• weight distribution: Decreased weight on the left through all phases

Question 8

left hemi additions

Answer 8

Sensory loss on the left
Inattention or neglect
Visual loss on the left
Lack of insight,
impulsivity
Fear

Question 9

levels of dependance:

Answer 9

• requires supervision – close / distance
• requires verbal cuing
• requires minimal physical assistance x 1
• requires moderate physical assistance x 1
• requires physical assistance x 2
• unable to perform even with maximal
assistance