W4L7 Measurement And Fit Of Assistive Devices

Front 1

Width of parallel bars for measuring

Back 1

2 inch wider than the pt's greater trochanters

Front 2

height of parallel bars for measuring

Back 2

Level of Greater trochanters, wrist crease, or ulnar styloid process

Front 3

The height of the parallel bar should create how many degrees of elbow flexion?

Back 3

20-25 elbow flexion

Front 4

In using the parallel bar, the patient should hold onto the bar approximately?

Back 4

6 inches anterior to the hips

Front 5

in using walkers, the height or the hand grip of the walker should be leveled with?

Back 5

patient's wrist crease, ulnar styloid process, or greater trochanters

Front 6

The height of the walker should allow how many degrees of elbow flexion?

Back 6

20-30 degrees

Front 7

Position of walker

Back 7

Front of and along the patient's sides with the patient's arms straight along the side

Front 8

1st height measurement of walker using a tape measure

Back 8

Measure from a pt's GT to the heel with shoes one and hips and kneess straight

Front 9

2nd height measurmement of walker using a tape measure

Back 9

Use the previous value to adjust the walker's height by measuring from the floor to the top of the handpiece

Front 10

The front of the walker shold be maintained approximately ____ inches in front of the patient during standing and ambulation

Back 10

12 inches

Front 11

Height length of Axillary crutches formula

Back 11

Height (in inches) x 77%

Front 12

Height length of axillary crutches mentioned in sullivan

Back 12

16 inches

Front 13

How to measure the length of axillary crutches in supine based on pierson

Back 13

Measure the distance from the anterior axillary fold (armpit) to a point 6-8 inches lateral to the heel

Front 14

How to measure the length of axillary crutches in sitting based on pierson

Back 14

UE is abducted at shoulder level with one elbow extended and one elbow flexed to 90 degrees

Then measure from olecranon process of the flexed elbow to the tip of the long finger to the hand of the opposite UE

Front 15

How to measure the length of axillary crutches in standing based on braddom

Back 15

Measure the distance from the anterior axillary fold to apoint 6 inches lateral to the 5th toe with the patientstanding with the shoulders relaxed

Front 16

How to measure the length of axillary crutches in standing based on sullivan

Back 16

From a supported standing position, crutches should be measured from 2 inches below the axilla

During measurement, the distal end of the crutch should beresting at a point 2 inches lateral and 6 inches anterior to the foot.

Front 17

How to measure hand piece height of crutch using tape measure in supine

Back 17

Measure from GT, wrist crease, or ulnar styloid process with the arm by the side and elbow extending to the heel of the shoe

Ise the previous value to position the handpiece by measuring up from the rubber tip of the crutch

Front 18

Alternative method using tape measure to measure hand piece height of crutches

Back 18

Measure from the anterior axillary fold to the patient’strochanter or ulnar styloid with the arm along the side, with the elbow extended.

Use the previous value to position the handpiece by measuring downward from the center of the axillary rest to the handpiece

Front 19

In measurint the length of FA crutches the distal end of the crutch should be positioned at how many inches

Back 19

2 inches lateral and 6 inches anterior to the foot

Front 20

How many degrees of elbow flexion should be produced in forearm crutches

Back 20

20-30 degrees

Front 21

The top of the forearm cuff of forearm crutches should be __________ distal to the olecranon process and the wirst is in neutral flexion-extension

Back 21

1-1.5 inches

Front 22

in standing position, the length of canes can be measured by what level according to Pierson?

Back 22

Level of GT, wrist crease, or the ulnar styloid process with the arm straight along the side

Front 23

How many degrees of elbow flexion should canes produce?

Back 23

approximately 20 degrees

Front 24

How to measure length of cane in supine by Pierson?

Back 24

Measure from greater trochanter to the heel of the shoe with the hip and knee straight

Front 25

How to measure length of cane in standing position according to Sullivan?

Back 25

Cane (or center of a broad-based cane) is placed ~6 inches from the lateral border of the toes

Front 26

The top of the cane should be at the level of the _______ when holding the cane

Back 26

Greater trochanter

Front 27

Movement which is an importnat indicator for correct cane height

Back 27

Elbow flexion

Front 28

Common errors in fitting assistive devices

T/F The shoulders should be depressed when measuring AD

Back 28

False If the patient elevates or depresses the shoulders, the device will be too long when relaxed

Front 29

If the patient depresses or drops ttheir shoulder or flexes their trunk at the hips, the AD will be (long/short) when standing

Back 29

short

Front 30

T/F The patient should flex the wrist so that the handpiece will be properly positioned

Back 30

False, neutral position only

Front 31

T/F patient should be wearing the shoes already so that the device would not be long when those items are added

Back 31

True

Front 32

T/F If the evaluation of the fit of the crutches is made without the crutches in the tripod position, the crutches may be too short or too long depending on the crutch position

Back 32

True

Front 33

Improper fit of an AD is likely to cause:

Back 33

○ decreased stability;

○ increased energy expenditure;

○ decreased function;

○ decreased safety.

Front 34

T/F During the evaluation of fit, the patient should be standing with the head erect, shoulders relaxed and level, trunk erect, pelvis level, knees flexed slightly, and feet flat

Back 34

True

Front 35

How many inches should the tips be when positioning the axillary rest in the axilla?

Back 35

6AN2LA

6 in anterior, 2 in laterally

Front 36

Position the forearm crutch tips approximately ___ incheslateral and _____ inches anterior to the toe of theshoe(s).

Back 36

2, 4-6

Front 37

Position the cane so the tip is approximately _____inches lateral and _____ inches anterior to the toeof the shoe.

Back 37

2, 4-6 (yes same sila ng forearm crutches)

Front 38

Rate the ADs based on Stability

Back 38

Walkers

Bilateral crutches

Suiungle crutches

Bilateral canes

Quad canes

hemi canes

Single canes

Front 39

Rate the ADs based on Mobility

Back 39

Single canes

Hemi canes

Quad canes

Bilateral canes

Single Crutches

Bilateral Crutches

Walkers

Front 40

Weight bearing status where there are no restrictions onweight-bearing; 100% of body weight can be borne on the LE

Back 40

FWB

Front 41

Weight bearing status where no weight is borne on the involved limb; foot/toes make no contact with floor/ ground surface

Back 41

NWB

Front 42

Weight bearing status where only a portion of weight can be borne on the extremity, sometimes expressed as a percentage of a body weight (e.g, 20% or 50%)

Back 42

PWB

Front 43

Weight bearing status where only the toes of the affected extremity contact the floor to improve balance (not to support body weight)

Back 43

Toe-tough WB or Touch-down WB

Front 44

Weight bearing status where Weight-bearing is limited to the amount comfortably tolerated by the patient.

Back 44

WB as tolerated

Front 45

T/F Doctors and Caregivers can tell what the Pt's weight bearing status

Back 45

False, doctors only