Gait Training
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| What are the three requirements for gait? | Stability, mobility and dynamic stability
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| What is dynamic stabililty? | maintaing posture while shift weight
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| How do we think of gait? | Constant falling and recovering from falling. COG in BOS
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| What do you need to know before getting a pt up? | any wt bearing restrictions
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| When do you use parallel bars? | for a pt who needs support or are weak
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| How do you position the wheelchair in the parallel bars? | Make sure foot rests are off and you move the wheel chair into position so that it is locked
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| What is orthostatic hypotension? | change in body position when BP drops. Do ankle pumps and deep breathing to increase O2 return, get initial BP if not DVT!
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| What are weight shifting techniques and when are they used? | front/back, side/side, single hand, with/without challenge (pevis push or pull), used to start gait training
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| What is the open or closed chain activities for gait | hip hike and partial squats
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| Why teach foward and backwards stepping? | requires wt shift and push down on parallel bars for wt restrictions
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| Why is turning in parallel bars imporant? | turn to stronger side, ears can adjust to space, and cordination with other systems
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| What are some advance moves in the parallel bars? | Add resistance, stepping over, step up, speed, walking backwards, sidesepping, braiding,change of diection
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| What are considerations for gait training | pt level of cognition, motivation, pt readiness, general health, ablitiy to tolerate pain, saftey, vital signs, pts prior expereince, wt bearing restictions
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| What is NWB? | Non wt bearing (always 3 pt)
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| What is TTWB | Toe touch wt bearing (3 pt mod)
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| What is PWB | Partial wt bearing (always 3 pt)
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| What is WBAT | Wt bearing as tolerated
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| What is FWB | Full wt bearing (cane)
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| How do you measure for a cane? | when standing elbow bent 25-3o degrees, cane at creast of wrist, ht of greater trochanter
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| How do you use a cane? | Opposite involved leg, involved leg steps with the cane
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| List the 4 types of crutches | standard axillary crutch, ortho crutch, forarm (lofstand) crutch, plateform attachement
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| What are two different 3 point gait patterns with a crutch? | step to, step through (explain the difference)
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| What are gait patterns with a crutch | 4 point gait, two point gait, swing to, swing through
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| What are the different types of walkers and explain the differences? | standard walker,rolling walker, platform walker
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| How do you guard on stairs? | be down of the pt
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| How do you instruct the pt to go up stairs? | up with good leg, down with the bad, when bad leg moves so does the assisted device
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| How do you use a walker on the stairs? | Use it like a cane
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| How do you use crutches on the stairs? | Like a cane
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| What does documentation look like for gait? | assistive device required, transfer level, wt bearing statis, distance, speed, function, surface, level of assistance
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| planning gait | review medical record, appropriate equip, explain or demo activity, clear area, gard with gait belt, maintain body mechanics
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| safety first | appropriate foot wear, monitor vitals, pay attention, clear area
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| guard pt | stay alert, guard behind and to weak side, pt sits while alone, care for appliances
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| pregait activities | develop base of strength balance and coordination, improve use of devices, increase pt confidence
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| assistive devices | provide support, increase balance, BOS, and decrease wt bearing
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| parallel bars | most stable, not long enough/ use for gait and pre-gait activites
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| walkers | max stability with mobility/difficult to store, use on stairs, slow, to perform normal gait patterns, and use in crowded spaces
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| crutches | bi or unilateral, provide speed, less stable can damage axillary area, requires balance
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| loftstrand | cuff all the advantages of crutches, but requires balance and upper body strength, cuff makes if difficult to remove
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| canes | compensate for impaired balance or improve stability/provide limited support, not to be used for NWB
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| fit parallel bars | 2 in from trochanter, level with styloid process
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| walker and cane | even with styloid process
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| fit crutches | hold 4 in anterior to toes, 3 in or 2 fingers below auxillary fold. hand rest at styloid process
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| 4 point and mod 4 point | alternate between each stick and each leg, alternate one stick, one leg
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| 2 point and mod 2 point | affected leg and both sticks, affected leg with stick then good leg
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Created by:
llacorte
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