Transfers and Final Tasks

Question 1

instructions for sit to stand using a walker

Answer 1

hips fwd in seat

unnaffected LE posterior to affected

have either both hands on armrest of chair or one on chair and one on walker

nose over toes with trunk

push with UEs and stronges LE

Question 2

instructions for a stand to sit with walker

Answer 2

pt approaches chair and pivots on stronger LE until back is to chair

steps back until stronger LE is in contact with chair

reaches for arm rest with one hand at a time and uses UEs to control descent

Question 3

instructions for sit to stand using axillary crutches (NWB) or forearm crutches (WBAT)

Answer 3

hips move toward chair

instruct pt to place NWB/weaker LE anterior to stronger LE or PT can support NWB LE

hand peices of both crutches grasped in hand (initially on weaker) slightly in front of chair

strong side hand on armrest

nose over toes push through BUEs and stronger LE

switch one crutch to other hand once stable

Question 4

sit to stand with cane

Answer 4

hips move fwd in chair

cane placed either side next to arm rest

nose over toes

if no arm rest pt can use cane as support in hand opposite of LE weakness

Question 5

where to typically guard a pt on stairs and ramps

Answer 5

in front during descent and behind during ascent

if no handrail present it is reccommended to have 2 people guarding

some PTs may be comfortable to have steps spanning a few steps if they have a long enough stance

Question 6

how to ascend stairs or curbs with s standard walker

Answer 6

only if pt uses walker for balance only and is relatively strong

can used closed walker unless significant strength deficits then use open for greater stability

up with good down with bad

Question 7

how to ascend stairs with hand rails with bilateral canes or SPC

Answer 7

hold both canes in one hand or hold one cane in hand holding onto hand rail parallel and other in hand

up with stronger LE, weaker LE and cane follow

Question 8

ascending stairs with hand rail with bilateral axillary crutches

Answer 8

hold both crutches in one hand or in one hand in a T formation or one un one hand and the other parallel to the hand rail in the other hand

up with strong LE

Question 9

how to use a walker to descend stairs

Answer 9

back to legs of walker on step with pt

front two on step below

down with weaker LE