Rehab Chap 9

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Rehab Chap 9
2013-11-07 12:46:03
Assistive Devices

Assistive Devices
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  1. What is two point ambulation
    repetitive, reciprocal forward movement of an assistive device and person's opposite lower extremity
  2. What are the assistive devices a patient would use from greatest to least in the amount of support and stability
    • walker
    • bilateral crutches
    • single crutch
    • bilateral cane 
    • quad cane
    • hemi cane
    • single cane
  3. When measuring for axillary crutches where are the measurements taken and what are the guidelines for making the measurements
    • There must be 2" of clearance from the axilla and axillary rest of the crutch taken from behind the patient
    • the crutches must be 4"-6" inches laterally from patients heel 
    • the handpiece may be equal to the ulnar styloid process with arm by side, or the crease of the wrist
  4. When measuring for forearm crutches what are the guidelines to ensure proper fit
    when patient has the the crutch handgrip with forearm in cuff the crutch should be 2" laterally & 4"- 6"  anterior of of the toes of the shoe. it should allow for 20-25 degrees of flexion at the elbow. the upper edge of the cuff should be 1.5-2" below the olecranon process
  5. When measuring for a cane, where should the grip of the cane be placed
    patients greater trochanter, wrist crease or ulnar styloid process of arm as it rest along the side of the body
  6. When adjusting parallel bars for a patient what are the requirements for a proper fit
    • allow 2"-4" inches of space between patients hips and bars
    • have bars equal with greater trochanter so elbows can be flexed at 20-25 degrees
  7. Describe the four point gait pattern and who does it work well for
    • the assistive device and opposite lower extremity advance alternately
    • patients with guillain barre or peripheral neuropathy
  8. Describe three-one-point ambulation
    the assistive aid and and PWB extremity advance simultaneously