Transfers and AD

Question 1

Sit to Stand with Walker:

Sit to stand
Hips ______ in seat
Unaffected LE slightly _______ to affected
B hands on _______ of chair or one hand on _______ or on _______
Trunks leans _______ “nose over toes” with simultaneous _____ through UEs and the ______ LE

Answer 1

forward
posterior
armrest; walker; chair
forward
push
strongest

Question 2

Sit to Stand with Walker:

Stand to sit
Pt approaches the chair and pivots on the _______ LE until back is in the ______

Steps ______ until the strongest LE is in _____ with chair

Reaches with one hand at a time for the ____ _____ and uses the UEs to control ________

Answer 2

strongest
chair

back
contact

descent

Question 3

Sit to stand with Axillary crutches w/ NWB LE or Forearm crutches w/ WBAT:

Sit to stand:
Hips move ______ in chair

Instruct pt to place NWB or weaker LE _______ to stronger LE or PT can support ______ LE during task

Hand pieces of both crutches are ______ in hand on the ______ side and slightly in _____ of chair

Strong side is on ____ _____ or supporting surface

Stand “_____ _____ _____” pushing through BUEs and stronger LE

Switch one ______ to other hand once stable

Answer 3

forward
anterior
NWB
grasped
weaker
front
arm rest
nose over toes
crutch

Question 4

Sit to stand Alternative method w/ Axillary crutches WBAT

Sit to stand
Less _______ and should ______ be used if possible!!!!

Pt should have normal if not greater strength in bilateral _____

Stronger LE is more _______ patient

Hand pieces of crutches are _______ in each hand (slightly in front of the chair)

To stand, “_______ _______ _____” pushing through BUEs and stronger _______

Answer 4

SAFE
NOT

UEs
underneath
grasped
nose over toes

Question 5

Sit to stand Alternative method w/ Axillary crutches WBAT

Stand to sit

Need to control ______ with hand on destination surface

Answer 5

descent

Question 6

Cane
Sit to Stand
Hips moved _______ in chair

Cane is placed on _______ side next to armrest

To stand, “_____ ______ _____” pushing through BUEs and LEs

If chair does not have armrests, pt can use cane in ________ hand

Answer 6

forward
either
nose over toes
opposite

Question 7

Transferring from crutches to the floor

Shift both crutches to side of _______ LE

Pt reaches to the floor with _______ side UE using crutches for ________

Answer 7

weaker
stronger
balance

Question 8

Transferring from floor to the crutches

Pt side _____ and grasps both crutches on side of _______ LE

Pt pushes to stand using _______ LE and both hands

Answer 8

sits
weaker
stronger

Question 9

Guarding on stairs or ramps

Typically guard in _____ of patient during descent and _______ during ascent

If no handrail is present, generally recommended for ____ people to guard pt.

For some PT’s it’s comfortable to place one _____ on step the patient is _______ on and one ____ steps down

Answer 9

front
behind

2
foot
standing
2

Question 10

Ascending stairs or curbs with HR’s

Standard Walker
If patient uses walker for ______ only and is relatively _____

If significant strength deficits are present:
Can use _______ walker for greater _______

Up with the ______ and down with the _______

Answer 10

balance
strong

opened
stability

good
bad

Question 11

Ascending stairs or curbs with HR’s

Ascending stairs with HRs
Bilateral canes or SPC:
- Hold both ______ in one and with the other on ______ OR hold _____ cane in hand holding onto HR ________ and other cane in ______ hand

• Up with ______ LE, ________ LE, and cane (s) follow

Answer 11

canes
HR
one
parallel
other
stronger
weaker

Question 12

Ascending stairs or curbs with HR’s

Bilateral axillary crutches:
NWB/WBAT/PWB
- Hold both _______ in one hand OR one hand in a “__” formation OR one in one hand the other ______ to the HR in the other hand

• Up with _____ LE

Answer 12

crutches
T
parallel
strong

Question 13

Descending stairs or curbs with HRs

Back two legs on the same _____ with patient; front two legs on the step _______

Down with the _______ LE

Answer 13

step
below
weaker

Question 14

Descending stairs or curbs with HRs

Descending Stairs w/ HRs:
Bilateral canes or SPC
- Hold both canes in one _____ with other on ______ OR hold one cane in hand holding onto _____ parallel and other cane in the other hand

• Down with the ________ LE and cane(s) while slightly flexing ________ LE hip and knee

Answer 14

hand
HR
HR
weaker
stronger

Question 15

Descending stairs or curbs with HRs

Descending Stairs w/ HRs: Bilateral crutches-NWB/WBAT/PWB

• Hold both _________ in one hand OR in one hand in a “___” formation OR one in one hand the other parallel to the ____ in the other hand
• Down with the ______ LE

Answer 15

crutches
T
HR
affected

Question 16

Ascending stairs or curbs WITHOUT HRs

Bilateral canes or SPC
- Up with the ______ LE, _______ LE, and cane(s) follow

Bilateral crutches
NWB- NWB LE is held in hip ________ and _______ rotation with either knee ext or flex
- Up with ______ LE

Answer 16

stronger
weaker
extension
external
strong

Question 17

Ascending stairs or curbs WITHOUT HRs

Standard Walker (curb only)
- Low curb, patient can place walker onto the curb with _______ LE
- Higher curb, patient backs up to the curb and goes up with the stronger LE, backs away from ________ prior to _______ around

Answer 17

stronger
edge
turning

Question 18

Descending stairs or curbs without HRs

Bilateral canes or SPC:
- Down with ________ LE and cane(s) while slightly ________ stronger LE hip and knee

Bilateral crutches NWB: down with crutches and ______ LE

Answer 18

weaker
flexing
weaker

Question 19

Descending stairs or curbs without HRs

Standard Walker (curb only)
- Patient places walker onto the ______ surface
- Down with the ______ LE first followed by ______ LE

Answer 19

lower
weaker
stronger

Question 20

Important to remind patient to _____ stronger LE as AD is being _______ down

This increases ______ and ______
Lowers _______

Answer 20

flex
lowered
support; stability
COG

Question 21

Instructing the patient in movement on level surfaces- crutches

Sideward movement:
To move to R
- Position _____ AD to outside of L foot
- Position _____ AD ___-_____ inches away from foot
- Pt steps _______ the R AD
- Reposition _______ as necessary

Answer 21

left
right
6; 8
toward
crutches

Question 22

Instructing the patient in movement on level surfaces

Turning movement
- Suggested patient’s initially learn to ______on the _______ side, but learn BOTH directions

• AD should be moved in the direction of the ________

Answer 22

pivot; stronger
turn

Question 23

Doors
Self closing door (not automated)

If door opens toward pt:
- Pt. approaches at an ______ facing the hinges

• Pt positions body ________ of where the door needs to ____, but close to it
• Pt shifts weight to ______ LE/crutch and momentarily uses hand close to the door to ______ pull it open
• Hand returns to _____ and crutch is placed so that it acts a ____ ______
• This can be related to open the door _______

Answer 23

angle
outside; opens
opposite
quickly
crutch
door stop
wider

Question 24

Doors
Self closing door (not automated)

If door opens AWAY from pt.
- Patient approaches at an angle with back to the ______ almost

• Pt shifts weight to ______ LE/crutch and momentarilly uses hand ____ to the door to quickly ____ it open
• Hand returns to crutch, and crutch is placed so that it acts as a _____ _____

OR

• Patient can use body to keep door _____ and use ______ movements to get outside

Answer 24

hinges
opposite
close
push
door step
open; side