PTAS100 Assitive Devices and gait
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 indications for handwashing? | Before and after contact with patient, donning and removing gloves, contact with wounds/mucosal surfaces, when there is doubt
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| How long should a PTA wash his/her hands for? | 30 seconds
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| What are the 3 categories of assistive devices? | Canes, crutches and walkers
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| What are the indications for using an AD? | Balance, fatigue, weaknes, instability, cosmesis, reduce WBing
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| What is the most stable AD? | Walker (parallel bars are static)
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| What is the least stable AD? | Cane
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| How should crutches be measures? | 20-30' of elbow flexion, with crutches 2" lateral and 6" anterior, 2-3 fingers from axilla
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| List the types of gait: | 3-point, modified 3-point,4-point,2-point, swing-to and swing-through
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| How should a patient ascend/descend stairs with crutches? | Ascend: unaffected extremity, crutchesDescend: affected extremity, crutches
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| What is the purpose of a cane? | Widen BOS and improve balance
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| What is the purpose of a walker? | Improve balance and relieve WBing
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| Where should the PTA guard the patient | On affected side slightly behind
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| What requirements are needed for a functional gait? | Support the upright body, maintain balance in upright position and execute the stepping motion
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| What are the major components of the gait cycle? | Stance phase and swing phase
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| Name components of stance phase using Rancho Los Amigos terminology | Initial contact, load response, midstance, terminal stance and preswing
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| Name components of swing phase using Rancho Los Amigos terminology | Initial swing, midswing, terminal swing
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| Name components of stance phase using traditional terminology | Heel-strike, foot flat, single-et support, heel-off and toe-off
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| Name components of swing phase using Rancho Los Amigos terminology | Acceleration, midswing, deceleration
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| What is the usual base width? | 6-8"
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| What is the step length? | 12-16"
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| What is the stride length? | 24-32"
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| Where is the center of gravity? | 5cm in front of S-2
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| What are other components that contribute to gait? | Lateral pelvic shift, pelvic rotation, reciprical arm-swing
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