31 terms

jmk: Mobility and Safety

Parallel bars should allow how many degrees of elbow flexion?
Walker should allow how many degrees of elbow flexion?
Gait Pattern Used with a Walker
3 Point Gait Pattern
6, 2, 3
Crutches should be positioned____ inches in front and _____inches lateral to the patient. Height should be no greater than____ finger widths from the axilla.
Guidelines for ______ crutches. 20-25º of elbow flexion, with crutches 6 inches in front and 2 inches lateral to the patient. Arm cuff should be 1-1.5 inches below the olecranon process.
Proper height for what?
Level of the wrist crease and ulnar styloid process. 20-25º of elbow flexion.
Two Point
Gait Pattern:
The patient uses two crutches or canes. The patient ambulates moving the left crutch forward with simultaneously advancing the right lower extremity and vice versa. Each step is one-point and a complete cycle is two points.
Three Point
Gait Pattern
Seen with a walker or crutches, involves one injured lower extremity that may have decreased weight bearing. The assistive device is advanced followed by the injured lower extremity. The assistive device and each lower extremity are considered separate points.
Four Point
Gait Pattern:
The patient advances the crutch or cane and then advances the opposite leg.
Swing To
Gait Pattern
A gait pattern where a patient with trunk and/or bilateral lower extremity weakness, paresis, or paralysis, uses crutches or a walker and advances the lower extremities simultaneously only to the point of the assistive device.
Swing Through
Gait Pattern:
A gait pattern where the patient performs the same sequence as a swing-to pattern; however, advances the lower extremities beyond the point of the assistive device.
2 hours
How often should a patient who is dependent in bed be repositioned?
The therapist at the _______ of the patient should give commands if more than one therapist is involved in a transfer
Patient does not require any assistance to complete the task
Patient requires therapist to observe task
Contact Guard
Patient requires therapist to maintain contact with the patient to complete the task. Usually needed to assist if pt has loss of balance
Minimal Assist
Patient requires 25% assist
Moderate Assist
Patient requires 50% assist
Maximal Assist
Patient requires 75% assist
Patient is unable to participate and therapist must provide all of the effort to perform the task
When performing a hydraulic lift transfer what should remain in place for the return transfer?
Stand Pivot
What type of transfer requires that the patient be able to stand with one or both legs and have some balance
Ulnar styloid process
What anatomical landmark is used to determine handgrip height for axillary crutches?
How many degrees of elbow flexion should be present when using axillary crutches?
Level of weight bearing:
Unable to place any weight through involved extremity. AD required
Level of weight bearing:
Unable to place any weight through the involved extremity but may place toes on ground to assist with balance. AD required
Level of weight bearing:
Patient is allowed to put a particular weight through the involved extremity, needs to be monitored and assessed by PT.
Level of weight bearing:
Patient determines amount of weight bearing based on comfort
Level of weight bearing:
Pt can place full weight on involved extremity
When guarding the therapist should stand on which side of the patient
Safety belt, shoulder
When guarding the therapist should place one hand on the ________ and the other on the patient's _______