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

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
Functional Ambulation
Hemiplegic gait - Affected leg is circumducted or pushed ahead
Gluteus maximus gait - Thrust trunk posterior to maintain hip extension
Festinating gait (Parkinson gait - Small fast shuffling steps
Ataxic gait - Wide based, unsteady; tendency to veer from side to side, lurch or stagger - Sensory ataxia; slap the ground, watches feet
Spastic or scissors gait - Spastic paralysis of hip ADD causing knees to be drawn together
Supramalleolar (SMO) - Foot stability
Knee Ankle Foot Orthosis (KAFO) - Knee weakness, hyperextension - Paraplegia, CP, spina bifida
Orthotics: require increased
Ankle Foot Orthosis (AFO) - "foot drop splint" - Weakness in dorsiflexion
Wheelchair Assessment Goals Facilitate function • Respiratory, circulation, digestion • ADL, mobility, communication
Wheelchair Assessment Goals Protect skin
Wheelchair Assessment Goals Provide comfort
Wheelchair Assessment Goals Support posture
Wheelchair Assessment Goals Prevent/correct deformity
Wheelchair Assessment Goals Accommodate deformity
Wheelchair Assessment Goals Normalize tone
Created by: OTMythTx