Podcast
Questions and Answers
What is the primary characteristic of a person with moderate impairment during the gait assessment with horizontal head turns?
What is the primary characteristic of a person with moderate impairment during the gait assessment with horizontal head turns?
- Slows down and deviates 10-15 inches outside of the walkway width (correct)
- Completes the task without changes in gait velocity
- Walks without any deviation while maintaining speed
- Performs head turns smoothly with slight change in gait velocity
What describes the gait of a person with mild impairment during vertical head turns?
What describes the gait of a person with mild impairment during vertical head turns?
- Experiences slight change in gait velocity with minor deviations (correct)
- Cannot maintain balance during the head turns
- Uses an assistive device and has no deviation
- Performs turns with a significant change in gait velocity
During the assessment of step over an obstacle, what indicates severe impairment?
During the assessment of step over an obstacle, what indicates severe impairment?
- Cannot perform the task without assistance (correct)
- Can step over with assistance
- Successfully steps over without any cues
- Requires multiple attempts without assistance
In the gait and pivot turn assessment, what behavior represents moderate impairment?
In the gait and pivot turn assessment, what behavior represents moderate impairment?
What is a sign of severe impairment when ambulating with a narrow base of support?
What is a sign of severe impairment when ambulating with a narrow base of support?
During the gait with eyes closed assessment, what indicates moderate impairment?
During the gait with eyes closed assessment, what indicates moderate impairment?
What is the condition for using an assistive device during the assessment of gait with a narrow base of support?
What is the condition for using an assistive device during the assessment of gait with a narrow base of support?
What action should be taken if someone shows moderate impairment during gait with horizontal head turns?
What action should be taken if someone shows moderate impairment during gait with horizontal head turns?
What should the patient do if they accidentally walk too fast or slow during the assessment?
What should the patient do if they accidentally walk too fast or slow during the assessment?
What constitutes a 'mild impairment' in the Gait Level Surface assessment?
What constitutes a 'mild impairment' in the Gait Level Surface assessment?
What should the therapist avoid doing during the Functional Gait Assessment?
What should the therapist avoid doing during the Functional Gait Assessment?
In the Change in Gait Speed assessment, what is a key factor indicating a mild impairment?
In the Change in Gait Speed assessment, what is a key factor indicating a mild impairment?
How should the total points be scored in the assessment?
How should the total points be scored in the assessment?
What is the primary role of the physical therapist during the assessment?
What is the primary role of the physical therapist during the assessment?
What indicates a moderate impairment in the Gait Level Surface assessment?
What indicates a moderate impairment in the Gait Level Surface assessment?
What is an essential part of the assessment process?
What is an essential part of the assessment process?
Flashcards
Functional Gait Assessment
Functional Gait Assessment
A practice evaluation of walking ability, focusing on speed, assistive devices, and gait deviations.
Gait Level Surface (Item 1)
Gait Level Surface (Item 1)
Assessment of walking speed over a level surface, considering assistive device usage, and deviation from the walkway width.
Mild Impairment (Item 1)
Mild Impairment (Item 1)
Walking 20ft (6m) within 7-5.5 seconds, using an assistive device, showing minor gait abnormalities, or deviations of 6-10 inches from the 12-inch walkway width.
Change in Gait Speed (Item 2)
Change in Gait Speed (Item 2)
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Assistive Device
Assistive Device
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Walkway Width
Walkway Width
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Gait Deviations
Gait Deviations
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Sensory Detection Deficit
Sensory Detection Deficit
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Gait with Horizontal Head Turns (Mild Impairment)
Gait with Horizontal Head Turns (Mild Impairment)
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Gait with Vertical Head Turns (Mild Impairment)
Gait with Vertical Head Turns (Mild Impairment)
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Gait and Pivot Turn (Moderate Impairment)
Gait and Pivot Turn (Moderate Impairment)
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Step Over Obstacle (Severe Impairment)
Step Over Obstacle (Severe Impairment)
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Gait with Narrow Base of Support (Severe Impairment)
Gait with Narrow Base of Support (Severe Impairment)
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Gait with Eyes Closed (Moderate Impairment)
Gait with Eyes Closed (Moderate Impairment)
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Moderate impairment - Walking Speed
Moderate impairment - Walking Speed
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Severe Impairment - Obstacle Crossing
Severe Impairment - Obstacle Crossing
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Study Notes
Standardized Assessment for Adults: Skills Practice Lab
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Functional Gait Assessment: This practice assesses a patient's ability to perform various gait tasks.
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Partner Scoring: A partner scores the patient's performance prior to feedback.
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Sensory Detection Deficit: A patient may have a sensory detection deficit, likely requiring assistive devices/techniques.
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Re-instruction/Reassessment: If the patient deviates from instructions, the therapist should re-instruct and re-assess.
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Guiding: Therapist should guard the patient closely, but not overly assist. Over-guarding scores higher on the assessment.
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Timing/Counting: Therapist should time and/or count out loud during practice sessions.
- Timed assessments preferred
- Counting should not be done mentally.
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Gait Level Surface: Assesses gait on a level surface.
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Item 1: Gait Level Surface: Evaluates walking speed and gait deviations.
- Mild Impairment: 20ft (6m) in less than 7 seconds but more than 5.5 seconds, using an assistive device and exhibiting slight deviations, or walking slower than expected.
- Moderate Impairment: Specified deviations and time requirements for walking 20 ft.
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Item 2: Change in Gait Speed: Evaluates ability to change speed with assistive device and gait deviations.
- Mild Impairment: Ability to change speed with minor deviations or use of an assistive device.
- Moderate Impairment: Minor adjustments to speed with accompanying significant gait deviations or inability to maintain balance.
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Item 3: Gait with Horizontal Head Turns: Evaluates head turning while walking, including assistive device use.
- Mild Impairment: Smooth head turns with slight change in gait velocity and/or use of assistive device; deviations limited to 6-10 inches outside 12-inch walkway width.
- Moderate Impairment: Head turns with moderate change in gait velocity and/or use of assistive device; deviations up to 10-15 inches outside 12-inch walkway width.
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Following items include variations on gait with specific scenarios, including turning, obstacles, and limited support, including:
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Item 4: Gait with Vertical Head Turns
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Item 5: Gait and Pivot Turn
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Item 6: Step Over Obstacle
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Item 7: Gait with Narrow Base of Support
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Item 8: Gait with Eyes Closed
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Item 9: Ambulating Backwards
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Item 10: Steps
Scoring and Totals
- Total score possible: 14/30, indicating the total points possible with the tests on each evaluated item.
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