Standardized Assessment for Adults: Skills Lab
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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.

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    Assistive Device

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

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    Walkway Width

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

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    Gait Deviations

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

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    Sensory Detection Deficit

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

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    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.

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    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.

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    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.

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    Step Over Obstacle (Severe Impairment)

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

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    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.

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    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.

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    Moderate impairment - Walking Speed

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

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    Severe Impairment - Obstacle Crossing

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

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    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.

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    Related Documents

    Standardized Assessment for Adults: Skills Practice Lab PDF

    Description

    This quiz focuses on the Functional Gait Assessment, evaluating the ability of patients to perform various gait tasks. Participants will learn about partner scoring, sensory deficits, and important re-instruction techniques required during assessments. Understanding these components is crucial for effective therapy and patient management.

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