Week 2 Gait Interventions Flashcards
what are we doing during a gait exam
asking about level of function and prior level
observing
using measure for speed, endurance, balance and postural stability
what are speed measures
TUG and gait speed
what are endurance measures
6MWT
2MWT
what are balance measures
Tinetti, Berg 4 square step test
what are dual task measures
TUG cognitive
TUG manual
what are multiple task tests
DGI
FGA
what is a very important functional measure to take with gait
walking backwards, and side to side
what does the 3 meter backward walk test show
faster than 3 seconds, unlikely to fall, more than 4.5 seconds, very likely to report falling.
gait is the
6th vital sign
what speed is required for independent with ADLs
1.0
what speed will make you D/C to a SNF
less that 0.2
what speeds are household limited community community cross street and normal WS
0-0.4 household
- 4-0.8 limited community
- 8-1.2 is community
- 2 -1.4 is cross street
what levels are dependent in ADLs and more likely to be hospitalized
less than 0.6
what is the gait speed for fun, function, frail and failure
fun over 1.5 m/s
function 0.9-1.4m/s
frail 0.3-0.8
failure under 0.3
what is the 6 min walk test for fun, function, frail and failure
fun: over 500
function: 300-500
frail: 200-299
failure: under 200m
what is the chair rise(30 seconds no hands) for fun, function, frail and failure
fun: over 15
function: 8-14
frail: less than 8
failure: unable
what is the climb ten stairs for fun, function, frail and failure
fun: under 10 second, no rails
function: 9-30 seconds with or without rails
frail: 31-50 seconds, with rails
failure: unable
what is the floor stand for fun, function, frail and failure
fun: under 10 seconds, no assistance
function: 11-30 seconds, with or without assistance
frail: over 30 seconds with assistance
failure: unable
what can AD do for you
improve posture, or make it worse, support and confidence improve activity and participation may help with goals should be lest restrictive with optimal stability need instruction and practice patient must buy in
what should interventions focus on
reducing deviations
improving gait efficiency
improving gait safety
increasing endurance
what should we incorporate with interventions
specificity task oriented dual tasking task and enviro constraints rehab all components. set up like their home to practice
how can we do flexibility training
change what you can and adapt what you can’t, address structural limitations n
what muscles do we target for strength power and agility
target PF, DF, quads, abductors, extensors, lats and triceps.
what must you achieve before increasing velocity
mobility and stability
pre-gait actives can focus on
strength and control
how can we cardiovascular training
assess vitals and use AD to promote stability
what is dual task training
performance to two tasks at once, something that demands attention while walking, and results in increased gait variability, instability and increased fall risk
TF: when you age, attention demands increase
true
what are some dual task motor things we can do
- multi-directional (fwd/bkwd, side to side, turning)
- balance (dynamic weight shifts with perturbations)
- external curing on speed, stride length and timing.
- carry/pick things up/reaching
what are some cognitive dual tasking things
music, listening to talk radio verbal fluency answer autobiographical questions subtraction by 3 visuospatial task of pattern matching
