Post-Operative Spine Precautions, Gait 1&2 Quiz
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Questions and Answers

What are the spine precautions following back surgery?

  • No bending sideways, no lifting > 10 pounds, no jumping
  • No bending forward and backward, no lifting > 5 pounds, no twisting/rotation of the spine (correct)
  • No bending during exercise, no lifting > 8 pounds, no twisting while standing
  • No bending at the waist, no lifting heavy objects, no reaching above the head

    • When should the orthosis be donned and properly fitted?

  • Only if the patient complains of discomfort
  • In sitting position before any physical therapy session
  • In standing position before any movement or exercise
  • In supine, flatbed, in an anatomical position prior to any movement, ROM, or repositioning (correct)

    • What is the correct sequence for supine to sitting movement?

  • Lowering head of bed, logrolling only, positioning patient in hook-lying, instructing patient to initiate logrolling, therapist assists at shoulder/scapula and pelvis, preparation, instructing patient to push off from elbow
  • Instructing patient to initiate logrolling, lowering head of bed, positioning patient in hook-lying, logrolling only, preparation, therapist assists at shoulder/scapula and pelvis, instructing patient to push off from elbow
  • Logrolling only, then lowering head of bed, positioning patient in hook-lying, instructing patient to initiate logrolling, therapist assists at shoulder/scapula and pelvis, preparation, instructing patient to push off from elbow (correct)
  • Positioning patient in hook-lying, logrolling only, lowering head of bed, instructing patient to initiate logrolling, therapist assists at shoulder/scapula and pelvis, preparation, instructing patient to push off from elbow

    • What is the purpose of logrolling in the supine to sitting movement?

    <p>To keep the shoulders, hips, and knees facing the same direction throughout</p> Signup and view all the answers

    What should the therapist do during the logrolling process?

    <p>Assist at shoulder/scapula and pelvis to maintain a neutral spine</p> Signup and view all the answers

    How should the patient initiate logrolling to the right?

    <p>By gently pushing the left foot off the mattress while the left arm reaches across for the bedrail or edge of bed</p> Signup and view all the answers

    What should the patient do with the head while pushing off from the elbow to sit up?

    <p>Keep the head tucked gently</p> Signup and view all the answers

    What should the patient do with the ankles while pushing off from the elbow to sit up?

    <p>Drop both ankles off the bed</p> Signup and view all the answers

    What should the patient do with the elbows while preparing to push off to sit up?

    <p>Position the right elbow forward</p> Signup and view all the answers

    What is the maximum weight limit for lifting according to the spine precautions?

    <p>5 pounds</p> Signup and view all the answers

    What is the primary purpose of the orthosis after surgery?

    <p>To provide support and proper alignment</p> Signup and view all the answers

    What is the linear distance between the occurrence of one point in the gait cycle of one foot and the same point in the gait cycle accomplished by the opposite extremity?

    <p>Step length</p> Signup and view all the answers

    What is the period that an extremity is off the ground during the swing phase of that extremity called?

    <p>Swing time</p> Signup and view all the answers

    What does 'NWB RLE' stand for in terms of weight-bearing status for lower extremities?

    <p>Non-Weight-Bearing</p> Signup and view all the answers

    What is the primary purpose of 'TTWB RLE' or 'TDWB RLE' weight-bearing status?

    <p>To avoid crushing a potato chip underfoot</p> Signup and view all the answers

    When should the orthosis be donned and properly fitted?

    <p>In upright sitting, feet flat on the floor, knees hip-width apart</p> Signup and view all the answers

    What is the purpose of having the edge of the bed slightly elevated when the patient is in a hospital bed?

    <p>To reduce the need and workload the patient needs to exert to go from sitting to standing</p> Signup and view all the answers

    What does 'WBAT RLE' stand for in terms of weight-bearing status for lower extremities?

    <p>Weight-Bearing As Tolerated</p> Signup and view all the answers

    What is the linear distance between the occurrence of one point in the gait cycle of one foot and the recurrence of that point by the same extremity called?

    <p>Stride length</p> Signup and view all the answers

    What is the period when only one extremity is in contact with the ground called?

    <p>Single-limb support time</p> Signup and view all the answers

    What is the period when both feet are in contact with the ground called?

    <p>Double-limb support time</p> Signup and view all the answers

    What is the period that an extremity is in contact with the ground called?

    <p>Stance time</p> Signup and view all the answers

    What does 'FWB RLE' stand for in terms of weight-bearing status for lower extremities?

    <p>Full Weight Bearing</p> Signup and view all the answers

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