Gait, Assistive Devices, and Wheelchairs

Which one of the following devices is the LEAST supportive

• Forearm crutches

• Quad cane

• Standard Walker

• Axillary crutches

Sierra is 1 day post surgery for an ACL and meniscus repair. Her surgeon has put her on NWB restrictions at this time. What gait pattern would be most appropriate for Sierra?

• Modified 4 point

• 2 point

• 3 point

• Modified 2 point

When rising to a standing position which of the below statements is correct?

• Use both hands to push through the assistive device

• Scoot to the back of the chair and lean forward

• Place the stronger leg slightly posterior to the weaker leg

• Maintain the COG posterior to the BOS

Proper seat depth for a standard wheelchair should be which of the following?

• Front edge of the seat touching the user's popliteal fold

• 2-3 fingers between the front edge of the seat and the user's popliteal fold

• One hands width between the front edge of the seat and the user's popliteal fold

• Front edge of the seat touching the proximal 1/3 of the gastroc soleus complex

While there may be exceptions, generally speaking a physical therapist should guard a patient while standing where? (Choose the statement that is MOST appropriate)

• In front of the patient

• Either side of the patient

• To the back behind the weaker leg/side

• To the back behind the stronger leg/side

When instructing a patient in a 3 point partial weight bearing gait pattern with crutches, what is the correct sequence of steps?

• Move the crutches and the weaker leg forward together, then advance the stronger leg

• Step with the strong leg first, then move the crutches and the weak leg together

• Move the strong leg first, then the weak leg, and finally the crutches

• Move both crutches forward, then bring the weaker leg forward, followed by the stronger leg

Which of the following is the most appropriate placement for a gait belt on a patient?

• Around the patient's hips, loosely so they can move freely

• Directly on the patient's skin, beneath their clothing

• Under the patient's armpits, tightly secured to prevent falls

• Around the patient's waist, over clothing, ensuring it is snug but not restrictive

Which of the following indicates proper fit for a standard wheelchair?

• The footrests are high enough that the patient's feet dangle freely without touching the footplates

• The patient's elbows are slightly above the armrests when shoulders are relaxed

• The patient's hips are touching both sides of the seat, indicating a snug and secure fit

• There is approximately a 2 inch clearance between the patient's hips and the side of the seat

A four point gait pattern would be appropriate when the patient requires all of the following EXCEPT

• A wider BOS

• Slower speed of ambulation

• Greater safety

• Compliance with a NWB restriction

When a patient loses their balance backward while you are guarding them during gait you should use your hand on their shoulder to push them forward

• True

• False