Systems II Week 15 & 16

Get a hint

Which of the following statements regarding adjustment of assistive gait devices is true?
a. upper-extremity effort is minimized when the device the fitted so that the elbow is flexed to approximately 45°
b. optimal elbow angles vary from device to device
c. the hand grip of the device should come to the level of the pelvic crest
d. the hand grip of the device should come to the level of the ulnar styloid process

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d. the hand grip of the device should come to the level of the ulnar styloid process

Your patient is a 72-year-old woman who fell at home and had surgery to repair a fractured left femur. The orthopedic surgeon has ordered a 25-lb. weight-bearing restriction on the left leg during gait. Which of the following methods will be most effective in ensuring compliance with this order?
a. defer gait training until her condition is upgraded to weight-bearing as tolerated
b. instruct her regarding the limit by using a bathroom scale
c. question her frequently during gait training
d. use a limb-load monitor during gait training

d. use a limb-load monitor during gait training

You have just completed an evaluation of a patient in your outpatient clinic. This patient needs gait training after sustaining a stroke. Which of the following tasks would be considered "gait training" instead of "ambulating" with the patient?
a. completing a 5-min walk with the patient
b. facilitating advancement of the patient's hemiparetic leg during treadmill training
c. guarding the patient during treadmill walking for endurance
d. transporting portable oxygen for the patient during walking

b. facilitating advancement of the patient's hemiparetic leg during treadmill training

Your patient is a 57-year-old man who has just had undergone surgical revision of total right hip arthroplasty and is able to comply with his right lower-extremity 30-lb. weight-bearing restriction. Which of the following is the best instruction for a sit-to-stand transfer with his walker?
a. extend the right knee and keep the foot in front of the body while rising to a standing position
b. extend the right knee and keep the foot off the ground completely while rising to a standing position
c. extend the left knee and keep the foot in front of the body while rising to a standing position
d. place both feet underneath the body while rising to a standing position

a. extend the right knee and keep the foot in front of the body while rising to a standing position

Your patient is a 79-year-old male who has just had left total knee arthroplasty because of degenerative joint changes. You are going to walk with her while he is using a walker. What is the best position for guarding this patient?
a. standing directly behind him
b. standing directly in front of the patient
c. standing behind the patient and slightly to the left
d. standing behind the patient and slightly to the right

c. standing behind the patient and slightly to the left