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Adults+Seniors - Spring 2011 - DUC Lecture - Sue LeBlanc

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Hierarchy   Bed Mobility - Beginning of Independent mobility - The lowest level developmentally for movement & movement strategies • Assess long & short leg sitting balance Movements pertain to a variety of more complex movement patterns • Rolling side to side • R  
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Functional Ambulation    
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Hemiplegic gait   - Affected leg is circumducted or pushed ahead  
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Gluteus maximus gait   - Thrust trunk posterior to maintain hip extension  
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Festinating gait (Parkinson gait   - Small fast shuffling steps  
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Ataxic gait   - Wide based, unsteady; tendency to veer from side to side, lurch or stagger - Sensory ataxia; slap the ground, watches feet  
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Spastic or scissors gait   - Spastic paralysis of hip ADD causing knees to be drawn together  
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Supramalleolar (SMO)   - Foot stability  
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Knee Ankle Foot Orthosis (KAFO)   - Knee weakness, hyperextension - Paraplegia, CP, spina bifida  
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Orthotics: require increased    
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Ankle Foot Orthosis (AFO)   - "foot drop splint" - Weakness in dorsiflexion  
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Wheelchair Assessment Goals   Facilitate function • Respiratory, circulation, digestion • ADL, mobility, communication  
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Wheelchair Assessment Goals   Protect skin  
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Wheelchair Assessment Goals   Provide comfort  
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Wheelchair Assessment Goals   Support posture  
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Wheelchair Assessment Goals   Prevent/correct deformity  
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Wheelchair Assessment Goals   Accommodate deformity  
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Wheelchair Assessment Goals   Normalize tone  
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