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PTAS100 Gait

PTAS100 Assitive Devices and gait

What are indications for handwashing? Before and after contact with patient, donning and removing gloves, contact with wounds/mucosal surfaces, when there is doubt
How long should a PTA wash his/her hands for? 30 seconds
What are the 3 categories of assistive devices? Canes, crutches and walkers
What are the indications for using an AD? Balance, fatigue, weaknes, instability, cosmesis, reduce WBing
What is the most stable AD? Walker (parallel bars are static)
What is the least stable AD? Cane
How should crutches be measures? 20-30' of elbow flexion, with crutches 2" lateral and 6" anterior, 2-3 fingers from axilla
List the types of gait: 3-point, modified 3-point,4-point,2-point, swing-to and swing-through
How should a patient ascend/descend stairs with crutches? Ascend: unaffected extremity, crutchesDescend: affected extremity, crutches
What is the purpose of a cane? Widen BOS and improve balance
What is the purpose of a walker? Improve balance and relieve WBing
Where should the PTA guard the patient On affected side slightly behind
What requirements are needed for a functional gait? Support the upright body, maintain balance in upright position and execute the stepping motion
What are the major components of the gait cycle? Stance phase and swing phase
Name components of stance phase using Rancho Los Amigos terminology Initial contact, load response, midstance, terminal stance and preswing
Name components of swing phase using Rancho Los Amigos terminology Initial swing, midswing, terminal swing
Name components of stance phase using traditional terminology Heel-strike, foot flat, single-et support, heel-off and toe-off
Name components of swing phase using Rancho Los Amigos terminology Acceleration, midswing, deceleration
What is the usual base width? 6-8"
What is the step length? 12-16"
What is the stride length? 24-32"
Where is the center of gravity? 5cm in front of S-2
What are other components that contribute to gait? Lateral pelvic shift, pelvic rotation, reciprical arm-swing
Created by: woblevalenski