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22 Cards in this Set
- Front
- Back
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Cane selection:
Function: to ... the base of support (BOS) and improve balance A ... BOS decreases joint compression forces Improved balance increases dynamic stability Canes are NOT intended for use with ... gaits. |
widen
wide restricted weight bearing |
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Cane measurement:
The cane (or center of WBQC) is placed ... inches from the lateral border of the toes. 2 landmarks are used during measurement : - ... -... Top of cane should come to the level of the ... Elbow should be flexed ... degrees |
6
greater trochanter angle of the elbow greater trochanter 20-30 |
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Cane measurement:
-Height of the cane should be assessed with regard to patient comfort and the cane’s effectiveness in accomplishing the goal -Hand grip: judge and select on basis of patient comfort and function, grip’s ability to provide enough surface area to let weight from the UE transfer to the floor/ground (if grip is weak need a ... grip SA) -Tip: distal rubber tip- at least ... inch in diameter- CHECK IT REGULARLY. |
larger
1 |
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Cane: gait pattern
-Cane should be held in UE ... the affected limb. * Cane and involved limb are advanced simultaneously. ... leg and cane are advanced together. * Stairs- ... with the good, ... with the bad |
opposite
Bad up down |
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Quad canes give additional ...
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support
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WEIGHT BEARING
-Full (FWB): ... body weight -Partial (PWB): ...% of total body weight -Foot Flat (FFWB): ...% (> 10% but < 50%) -Toe Touch (TTWB) (hardest one): ...% or less -Non Weight Bearing (NWB): ... |
total
50 25 10 NONE |
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crutches: measurement
-Axillary Crutches- fit from the ... position -Crutches should go from the floor, ... inches lateral and ... inches anterior to the foot, up to approximately ... inches below the axilla -Hand piece should be adjusted to ... degrees of elbow flexion with shoulders relaxed |
standing
2 6 2 20-30 |
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-Forearm (Lofstrand) crutches: fit from the standing position
-Should go from the floor, 2 inches lateral and 6 inches anterior to the foot. -Hand piece should be adjusted to 20-30 degrees of elbow flexion with shoulders relaxed -Cuff should be on ... of forearm, ... inches below the elbow |
proximal third
1-1.5 |
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Crutches: measurement:
-Tip: distal rubber tip should be ... inches in diameter -Patient should be able to raise the body ... inches with complete elbow extension |
1.5-3
1-2 |
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Crutch gait patterns are selected on basis of patient’s balance, muscle function, and WB status
For all Patients: - Body weight should always be on the ..., NOT the ... bar -Always maintain a wide (tripod) BOS; the foot should never be parallel with the crutches -Axillary bars should be held close to the chest to provide lateral stability |
hands
axillary |
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... point gait:
... points of support contact the floor Used when a NWB status is needed for one LE Can be modified for PWB gait |
3
3 |
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... Gait
A modification of 3 point pattern Used if patient can bear some weight on the LE |
PWB
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... POINT GAIT:
Used with bilateral involvement due to poor balance or muscle weakness Weight is placed on both LEs. |
4
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Crutch gait:
Swing Through- used with ... LE involvement Swing To- used with ... LE involvement Two Point- Similar to 4 point but less stable -More similar to ... gait |
bilateral
bilateral normal |
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Of the 3 types of ambulatory assistive devices, ... are provide the most stability
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walkers
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what 2 landmarks are used during measurement for walkers?
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greater trochanter and angle of the elbow (should be flexed to 20-30 degrees)
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Walker:
Gait pattern is selected based on patient’s WB status For all Patients: * Walker should be picked up and placed down on all 4 legs ... *Do not step too close to the ... -this will decrease the overall BOS (base of support) and may cause a fall *Patient should maintain good posture with their head ... Just doing this decreases the likelihood of fall by 70% - want to document that you did this |
simultaneously
front crossbar up |
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Walker:
... WEIGHT BEARING - walker in picked up and moved forward an arm’s length - the first LE is moved -the second LE is moved forward past the first LE -repeat |
FULL
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Walker:
... WEIGHT BEARING -the walker is picked up and moved forward an arm’s length -the involved LE is moved forward and body weight is transferred partially onto the involved LE and partially through the UE to the walker (lead with the bad leg) -The uninvolved LE is then moved forward past the involved limb -Repeat |
PARTIAL
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Walker:
... WEIGHT BEARING - the walker is picked up and moved forward an arm’s length - weight is then transferred through the UE to the walker -The involved LE is held anterior to the patient’s body but does not touch the floor -The uninvolved limb is moved forward -Repeat |
NON
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assisted device prescription:
Rx: a medical diagnosis with delineation of impairment and disability should be made ... rx. Is written Goals should be ... Physical Therapy: needs diagnosis, prognosis, goals, precautions, instructions, frequency, duration, etc. How many days/week, stairs, uneven surfaces, in/out of home/car/bus, get off ground, OOB (out of bed),etc. |
before
documented |
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Each of the 3 major categories of ambulatory assistive devices has modifications to basic design for specific problems
Each device must be prescribed on ... basis ... in proper use is needed Provide patient with ... instructions Remember what each device is used for so the proper one is prescribed and safely used. Denote why pts need certain modifications (for insurance purposes) |
individualized
Training written |
