Week 2 Gait Interventions

Question 1

what are we doing during a gait exam

Answer 1

asking about level of function and prior level
observing
using measure for speed, endurance, balance and postural stability

Question 2

what are speed measures

Answer 2

TUG and gait speed

Question 3

what are endurance measures

Answer 3

6MWT

2MWT

Question 4

what are balance measures

Answer 4

Tinetti, Berg 4 square step test

Question 5

what are dual task measures

Answer 5

TUG cognitive

TUG manual

Question 6

what are multiple task tests

Answer 6

DGI

FGA

Question 7

what is a very important functional measure to take with gait

Answer 7

walking backwards, and side to side

Question 8

what does the 3 meter backward walk test show

Answer 8

faster than 3 seconds, unlikely to fall, more than 4.5 seconds, very likely to report falling.

Question 9

gait is the

Answer 9

6th vital sign

Question 10

what speed is required for independent with ADLs

Answer 10

1.0

Question 11

what speed will make you D/C to a SNF

Answer 11

less that 0.2

Question 12

what speeds are 
household 
limited community
community
cross street and normal WS

Answer 12

0-0.4 household

0. 4-0.8 limited community
1. 8-1.2 is community
2. 2 -1.4 is cross street

Question 13

what levels are dependent in ADLs and more likely to be hospitalized

Answer 13

less than 0.6

Question 14

what is the gait speed for fun, function, frail and failure

Answer 14

fun over 1.5 m/s
function 0.9-1.4m/s
frail 0.3-0.8
failure under 0.3

Question 15

what is the 6 min walk test for fun, function, frail and failure

Answer 15

fun: over 500
function: 300-500
frail: 200-299
failure: under 200m

Question 16

what is the chair rise(30 seconds no hands) for fun, function, frail and failure

Answer 16

fun: over 15
function: 8-14
frail: less than 8
failure: unable

Question 17

what is the climb ten stairs for fun, function, frail and failure

Answer 17

fun: under 10 second, no rails
function: 9-30 seconds with or without rails
frail: 31-50 seconds, with rails
failure: unable

Question 18

what is the floor stand for fun, function, frail and failure

Answer 18

fun: under 10 seconds, no assistance
function: 11-30 seconds, with or without assistance
frail: over 30 seconds with assistance
failure: unable

Question 19

what can AD do for you

Answer 19

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

Question 20

what should interventions focus on

Answer 20

reducing deviations
improving gait efficiency
improving gait safety
increasing endurance

Question 21

what should we incorporate with interventions

Answer 21

specificity 
task oriented 
dual tasking 
task and enviro constraints
rehab all components. 
set up like their home to practice

Question 22

how can we do flexibility training

Answer 22

change what you can and adapt what you can’t, address structural limitations n

Question 23

what muscles do we target for strength power and agility

Answer 23

target PF, DF, quads, abductors, extensors, lats and triceps.

Question 24

what must you achieve before increasing velocity

Answer 24

mobility and stability

Question 25

pre-gait actives can focus on

Answer 25

strength and control

Question 26

how can we cardiovascular training

Answer 26

assess vitals and use AD to promote stability

Question 27

what is dual task training

Answer 27

performance to two tasks at once, something that demands attention while walking, and results in increased gait variability, instability and increased fall risk

Question 28

TF: when you age, attention demands increase

Answer 28

true

Question 29

what are some dual task motor things we can do

Answer 29

• 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

Question 30

what are some cognitive dual tasking things

Answer 30

music, 
listening to talk radio 
verbal fluency 
answer autobiographical questions 
subtraction by 3
visuospatial task of pattern matching