Exam 3: Patient Skills - Assisted Devices
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What are WB Restrictions of the LE typically based on
A percentage of the patients body weight that should be transmitted through the LE
Upper extremity WV restrictions can affect ___ if UEs are being used to compensate for LE difficulty
gait
What does NWB stand for
non weight bearing
Which term is used to describe a foot that does not touch the ground
non weight bearing
What does TTWB stand for
toe touch or touch down WB
Which term is used to describe a foot that contacts the ground for balance only, or 10 to 15 kg or up to 20% of BW
TTWB
What does PWB stand for
partial WB
Which term is used to describe usually 20% to 50% of body weight
partial WB
what does WBAT mean
weight bearing as tolerated
which term is used to describe pressure limited only by patient tolerance, usually 50% to 100%
weight bearing as tolerated
what does FWB stand for
full weight bearing
Which term is used to describe 100% weigh bearing with no restrictions
full weight bearing
List the assisted devices from most to least supportive
• Parallel Bars • Walker • Bilateral axillary crutches • Bilateral forearm crutches • Hemi walker • Quad cane • Single point cane
List the assisted devices from lest to most coordination
• Parallel bars • Walker • 1 Cane • 2 Canes • Axillary crutches • Forearm crutches (most coordination)
When guarding a patient, a gait belt should be used (sometimes/always) and the clinician’s grip should be (supinated/pronated)
always; supinated
What three factors does guarding a patient include
• verbal cues • monitoring the environment • physical assistance
Should initial guarding be on the patient’s involved or uninvolved side
uninvolved
Why should initial guarding be on the patient’s uninvolved side
Because it is the best position to pull a patient into PT’s base of support, reducing potential of placing weight on involved side. As the patient improves you can switch to involved side
How should a clinician guard a patient during moving in/out of a chair
The clinician should stand in stride and slightly behind the patient
How should a clinician guard a patient during ambulation on level surfaces
The clinician should stand in stride directly behind the patient and the AD on the side on which you are guarding. The clinician should advance the outside foot as the patient advances the AD.
Which term is used to describe a selected sequence of movements for the assisted device and lower extremities
gait pattern
Which point gait pattern is used for muscle weakness, pain, or decreased balance, usually with 2 assistive devices such as 2 canes or crutches
two point
What type of WB does 2 point gait pattern require
WBAT or FWB
Which point gait pattern is used with patients that have an impairment on one LE such as Fx, weakness, pain, injury or surgery requiring decreased WB
three point