Ambulation and Gait Assistive Devices Quiz
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Questions and Answers

What is the main purpose of using a gait belt?

  • To prevent falls during pre-ambulation exercises
  • To provide support and safety during ambulation (correct)
  • To assist in transferring patients from one surface to another
  • To restrict the patient's movement
  • Which muscles are primarily responsible for supporting the lower extremity during stance?

  • Hip extensors & abductors (correct)
  • Knee flexors & extensors
  • Ankle plantar flexors
  • Scapular stabilizers
  • What is the definition of 'stride' in the context of gait cycle?

  • The distance from heel strike to opposite heel strike
  • The time when both feet are in contact with the floor
  • Two steps comprising a stride (correct)
  • The duration of the swing phase
  • What is the primary factor in choosing a gait pattern for a patient?

    <p>Medical condition</p> Signup and view all the answers

    At what angle should the crutch tip be placed in relation to the small toe?

    <p>45º angle out from the small toe</p> Signup and view all the answers

    What is the weight bearing status abbreviation for 'Patient can put full weight on involved LE'?

    <p>FWB</p> Signup and view all the answers

    Which test is used to measure the maximum distance a person can reach forward beyond arm’s length while maintaining a fixed base of support in standing?

    <p>Functional reach test</p> Signup and view all the answers

    What is the primary function of the otolith organs in the vestibular system?

    <p>Responds to linear acceleration &amp; orientation of head with reference to gravity</p> Signup and view all the answers

    Which system plays a greater role in resolving conflicts if both somatosensory and vision are affected?

    <p>Vestibular system</p> Signup and view all the answers

    What is the primary purpose of the foam-and-dome test in balance assessment?

    <p>To increase the level of sensory conflict and postural difficulty</p> Signup and view all the answers

    Which test involves the patient getting up from a chair, walking 3 meters, turning, returning to the chair, and sitting back down?

    <p>Timed up and go test</p> Signup and view all the answers

    What is the primary function of the semicircular canals in the vestibular system?

    <p>Detects angular acceleration &amp; deceleration forces acting on the head</p> Signup and view all the answers

    What does balance training involve?

    <p>Working on different sensory systems such as visual, vestibular, and somatosensory</p> Signup and view all the answers

    How can ambulatory devices benefit individuals?

    <p>Provide additional support and improve balance control</p> Signup and view all the answers

    What factors influence the selection of wheelchair type and components?

    <p>Impairments, functional ability, age, size, expected use, and potential for change in the patient's condition</p> Signup and view all the answers

    What do seating strategies and problems aim to provide?

    <p>Postural support, optimal soft tissue loading, comfort, distal extremity function, and independence</p> Signup and view all the answers

    What does using gait and assistive devices depend on?

    <p>Physical therapy assessment of muscle strength, ROM, balance, coordination, and endurance</p> Signup and view all the answers

    What does the physical therapist's positioning for guarding during ambulation depend on?

    <p>Patient's balance and skill with the assistive device, as well as the level and type of assistance required</p> Signup and view all the answers

    Which assistive device is advantageous for long-term users and allows for more mobility in tight spaces?

    <p>Forearm crutches</p> Signup and view all the answers

    Which gait pattern is used when the patient has only one functional upper extremity?

    <p>2-point gait pattern</p> Signup and view all the answers

    Which assistive device combines platform and standard axillary crutches and is used for patients with hand or forearm impairment?

    <p>Platform crutches</p> Signup and view all the answers

    Which gait pattern is used for patients with impairments of one lower extremity and requires the use of two crutches, two canes, or a walker?

    <p>3-point gait pattern</p> Signup and view all the answers

    Which gait pattern is best in crowded areas due to its stability and low energy expenditure?

    <p>4-point gait pattern</p> Signup and view all the answers

    Which assistive device is more functional with stairs and confined areas and is used for minor balance problems and minimal support needs?

    <p>Single tip canes</p> Signup and view all the answers

    Which strategy involves shifting the center of gravity by flexing or extending the hips?

    <p>Hip strategy</p> Signup and view all the answers

    Which muscles are activated when the ankle strategy shifts the center of gravity forward?

    <p>Plantar flexors</p> Signup and view all the answers

    Which system provides information about the environment and guides movements using mostly unconscious awareness?

    <p>Ambient vision</p> Signup and view all the answers

    What is the clinical manifestation of being unable to recognize common objects but being able to use the ambient visual system to reach and grab objects?

    <p>Visual agnosia</p> Signup and view all the answers

    What is the primary function of the semicircular canals in the vestibular system?

    <p>Detecting motion</p> Signup and view all the answers

    What is the clinical manifestation of being able to recognize an object in focal vision but unable to use the information to accurately guide the hand to the object due to impaired ambient vision?

    <p>Optic ataxia</p> Signup and view all the answers

    Which strategy shifts the center of gravity by flexing or extending the hips?

    <p>Hip strategy</p> Signup and view all the answers

    Which muscles are activated first in the ankle strategy for balance?

    <p>Plantar flexors</p> Signup and view all the answers

    Which system provides information about the environment and guides movements using mostly unconscious awareness?

    <p>Ambient vision</p> Signup and view all the answers

    What is the clinical manifestation of the inability to coordinate voluntary muscular movements symptomatic of some central nervous system disorders and injuries and not due to muscle weakness?

    <p>Ataxia</p> Signup and view all the answers

    Which strategy involves a change in support where upper or lower limbs make new contact with the surface?

    <p>Stepping strategy</p> Signup and view all the answers

    What is the primary function of the sensory system in balance?

    <p>All of the above</p> Signup and view all the answers

    Study Notes

    Assistive Devices for Ambulation and Gait Patterns

    • Forearm crutches have the advantage of providing greater selection of gait patterns and ambulation speeds.
    • The fitting and measuring of forearm crutches involve specific positioning of the patient, crutch tip, elbow flexion, and cuff height and width.
    • Forearm crutches are advantageous for long-term users and allow for more mobility in tight spaces.
    • Platform crutches combine platform and standard axillary crutches and are used for patients with hand or forearm impairment.
    • Quad canes have a stable base but can be troublesome if the patient cannot maintain full base contact.
    • Single tip canes are more functional with stairs and confined areas and are used for minor balance problems and minimal support needs.
    • The 2-point gait pattern is used with two assistive devices and is stable but less rapid and stable than the 4-point pattern.
    • The 2-point modified gait pattern is used when the patient has only one functional upper extremity.
    • The 3-point gait pattern is used for patients with impairments of one lower extremity and requires the use of two crutches, two canes, or a walker.
    • The 3-point PWB gait pattern is more stable than the 3-point NWB but slower and requires less energy and strength.
    • The 4-point gait pattern is used for more severe impairments and is best in crowded areas due to its stability and low energy expenditure.
    • The step-through gait pattern requires the use of two crutches or a walker and is used for patients with specific lower extremity impairments.

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    Description

    Test your knowledge of assistive devices for ambulation and gait patterns with this quiz. Learn about the advantages and specific fitting of forearm crutches, platform crutches, quad canes, single tip canes, and various gait patterns used for different impairments.

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