Exam 14: Navigating the Challenges of Ambulating

Match the following terms to their appropriate descriptors. -Provides the greatest amount of stability for the patient in a standing position

Which of the following is not a technique used to initiate a sit-to-stand transfer when the patient has lower-extremity weakness?

Your patient is a 72-year-old woman who fell at home and had surgery to repair a fractured left femur. The orthopedic surgeon has ordered a 25-lb. weight-bearing restriction on the left leg during gait. Which of the following methods will be most effective in ensuring compliance with this order?

When guarding a patient on steps, which of the following statements is true?

Which of the following is true of weight-bearing restrictions in general?

When selecting an assistive gait device, it is important to remember that the purpose of the device is to minimize the immobilizing effects of a patient's condition. Which statement best summarizes how this selection is made?

How much knee flexion range of motion is typically needed to descend steps?

Which of the following is true of balance?

Your patient is a 15-year-old girl who has just had knee surgery following a volleyball injury, and you are fitting her with axillary crutches. Which of the following is the greatest risk for the patient if her axillary crutches are too tall?

Match the following terms to their appropriate descriptors. -Cannot be used when non-weight-bearing status on one extremity is required

You have just completed an evaluation of a patient in your outpatient clinic. This patient needs gait training after sustaining a stroke. Which of the following tasks would be considered "gait training" instead of "ambulating" with the patient?

To stabilize a patient who is in the process of a(n) ________________fall, the clinician attempts to bring the patient's CoM back over his or her BoS.

Your patient is a 79-year-old woman who has just had right total hip arthroplasty because of degenerative joint changes. You are going to walk with her while she is using a walker. What is the best position for guarding this patient?

Which of the following statements regarding adjustment of assistive gait devices is true?

Your patient is a 69-year-old man who sprained his left ankle. You are teaching him to walk with a single-point cane. He has stairs to climb at home, so you are teaching him to go up and down steps with the cane. Which instruction will you give him?

Your patient underwent total right hip arthroplasty (posterior approach) 2 days ago. She required frequent reminders regarding movement precautions because she was getting out of bed. You are now initiating gait training with a walker. When it is time to turn around and walk back to her chair, in which direction should you instruct her to turn?

Your patient is a 57-year-old man who has just had undergone surgical revision of total right hip arthroplasty and is able to comply with his right lower-extremity 30-lb. weight-bearing restriction. Which of the following is the best instruction for a sit-to-stand transfer with his walker?

Match the following terms to their appropriate descriptors. -Another way to describe forearm crutches.

You have been working with a patient who had a stroke 3 weeks ago. He has made excellent progress with gait recovery and is now walking on level surfaces with a single-point cane, but he occasionally loses his balance when negotiating obstacles. Which of the following represents the best guarding position for this patient while he is practicing negotiating obstacles during gait training?

Your patient is beginning to walk after a brain injury. You observe that he hikes his right hip when he advances that limb. Which of the following represents the most appropriate reason for addressing this gait deviation in your treatment plan?