Standardized Assessment for Adults: Skills Lab

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

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?

  • 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?

  • 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?

<p>Requires multiple steps to regain balance after a turn (C)</p> Signup and view all the answers

What is a sign of severe impairment when ambulating with a narrow base of support?

<p>Ambulates less than 4 steps heel to toe (A)</p> Signup and view all the answers

During the gait with eyes closed assessment, what indicates moderate impairment?

<p>Ambulates 20 feet with a slow speed and imbalance (A)</p> Signup and view all the answers

What is the condition for using an assistive device during the assessment of gait with a narrow base of support?

<p>Not allowed to use any assistive devices (D)</p> Signup and view all the answers

What action should be taken if someone shows moderate impairment during gait with horizontal head turns?

<p>Record their ability to recover after slowing down (C)</p> Signup and view all the answers

What should the patient do if they accidentally walk too fast or slow during the assessment?

<p>Tell the physical therapist the correct time. (B)</p> Signup and view all the answers

What constitutes a 'mild impairment' in the Gait Level Surface assessment?

<p>Walks 20 ft in less than 7 seconds but greater than 5.5 seconds, with an assistive device. (A)</p> Signup and view all the answers

What should the therapist avoid doing during the Functional Gait Assessment?

<p>Holding onto the patient while they walk. (B)</p> Signup and view all the answers

In the Change in Gait Speed assessment, what is a key factor indicating a mild impairment?

<p>Exhibiting mild gait deviations and slight deviation from the walkway width. (A)</p> Signup and view all the answers

How should the total points be scored in the assessment?

<p>The partner should score after the assessment is completed. (C)</p> Signup and view all the answers

What is the primary role of the physical therapist during the assessment?

<p>To monitor the patient's safety and timing during ambulation. (C)</p> Signup and view all the answers

What indicates a moderate impairment in the Gait Level Surface assessment?

<p>Deviating 10-15 inches outside the walkway width. (C)</p> Signup and view all the answers

What is an essential part of the assessment process?

<p>Re-instructing the patient if they do not follow instructions. (C)</p> Signup and view all the answers

Flashcards

Functional Gait Assessment

A practice evaluation of walking ability, focusing on speed, assistive devices, and gait deviations.

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)

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)

Assessing the ability to adjust walking speed, evaluating for variations in gait, assistive device use, and velocity changes.

Signup and view all the flashcards

Assistive Device

A tool, like a cane, used to aid in walking and maintain balance.

Signup and view all the flashcards

Walkway Width

The specified distance (typically 12 inches/30cm) a person should remain within while walking during the assessment.

Signup and view all the flashcards

Gait Deviations

Variations in how a person walks, from the typical pattern, including speed changes and deviations from the walkway width.

Signup and view all the flashcards

Sensory Detection Deficit

A condition affecting a person's ability to sense and process sensory input. (Note: This affects the task)

Signup and view all the flashcards

Gait with Horizontal Head Turns (Mild Impairment)

Smooth head turns with slight change in walking speed; deviations of 6-10 inches from a 12-inch walkway; may use assistive device.

Signup and view all the flashcards

Gait with Vertical Head Turns (Mild Impairment)

Head turns up or down with minor changes to walking speed, deviations of 6 to 10 inches from a 12-inch walkway; may use assistive device.

Signup and view all the flashcards

Gait and Pivot Turn (Moderate Impairment)

Slow turns, needing verbal cues or multiple steps to regain balance after turning and stopping; assistive devices not allowed.

Signup and view all the flashcards

Step Over Obstacle (Severe Impairment)

Inability to step over obstacles without assistance; assistive devices should be tried first.

Signup and view all the flashcards

Gait with Narrow Base of Support (Severe Impairment)

Walking less than 4 steps heel-to-toe, or unable to walk without assistance; assistive devices not allowed.

Signup and view all the flashcards

Gait with Eyes Closed (Moderate Impairment)

Walks 20 feet with slow speed, abnormal gait pattern, imbalance and deviations of 10-15 inches from a 12-inch walkway; more than 9 seconds to complete 20 ft.

Signup and view all the flashcards

Moderate impairment - Walking Speed

Walking speed changes, possible gait deviations; can use cane if needed.

Signup and view all the flashcards

Severe Impairment - Obstacle Crossing

Inability to step over obstacles without assistance; assistive device trial required by therapist.

Signup and view all the flashcards

Study Notes

Standardized Assessment for Adults: Skills Practice Lab

  • Functional Gait Assessment: This practice assesses a patient's ability to perform various gait tasks.

  • Partner Scoring: A partner scores the patient's performance prior to feedback.

  • Sensory Detection Deficit: A patient may have a sensory detection deficit, likely requiring assistive devices/techniques.

  • Re-instruction/Reassessment: If the patient deviates from instructions, the therapist should re-instruct and re-assess.

  • Guiding: Therapist should guard the patient closely, but not overly assist. Over-guarding scores higher on the assessment.

  • Timing/Counting: Therapist should time and/or count out loud during practice sessions.

    • Timed assessments preferred
    • Counting should not be done mentally.

  • Gait Level Surface: Assesses gait on a level surface.

  • 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.

  • 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.

  • 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.

  • Following items include variations on gait with specific scenarios, including turning, obstacles, and limited support, including:

  • Item 4: Gait with Vertical Head Turns

  • Item 5: Gait and Pivot Turn

  • Item 6: Step Over Obstacle

  • Item 7: Gait with Narrow Base of Support

  • Item 8: Gait with Eyes Closed

  • Item 9: Ambulating Backwards

  • Item 10: Steps

Scoring and Totals

  • Total score possible: 14/30, indicating the total points possible with the tests on each evaluated item.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

Related Documents

Standardized Assessment for Adults: Skills Practice Lab PDF

More Like This

Use Quizgecko on...
Browser
Open
Browser
Browser