Deck 10: Examination of Gait

Question 1

What aspects of gait do the Functional Independence Measure (FIM)and the Function Assessment Measure (FAM)examine?

A)Patient's level of independence,amount of assistance required,and use of an assistive device
B)Number and type of gait deviations the patient demonstrates at each phase of the gait cycle
C)Forces on the patient's foot and how those affect the patient's function
D)Type of gait deviations the patient demonstrates and the type of assistive devices in use

Answer 1

A

Question 2

What happens during the double support time phase of the gait cycle?

A)Both feet are in contact with the supporting surface as weight is transferred.
B)The reference limb is in swing phase and the other limb is supporting all of the body's weight.
C)The reference limb is supporting twice the weight it does during normal stance.
D)The reference limb is in midstance while the other limb is at heel strike.

Answer 2

A

Question 3

What is measured in determining an individual's step length?

A)The distance from the point of heel strike of one extremity to the heel strike of the opposite extremity
B)The distance from the point of heel-off of one extremity to the heel-off of the opposite extremity
C)The distance from the point of heel strike of one extremity to the heel strike of the same extremity
D)The distance from the point of heel-off of one extremity to the heel-off of the same extremity

Answer 3

A

Question 4

What can a therapist determine by using the Gait Abnormality Rating Scale with a patient in a skilled nursing facility?

A)How gait deviations impact velocity of gait
B)The patient's ability to walk a designated distance
C)The patient's risk of falling based on gait abnormalities
D)When gait deviations occur in the gait cycle

Question 5

What does the 6-Minute Walk Test examine?

A)The distance an individual is able to walk at a comfortable pace in 6 minutes
B)The amount of time an individual is able to walk 300 m
C)The number of stairs an individual is able to ascend/descend in 6 minutes
D)The distance an individual is able to walk at fast speeds in 6 minutes

Question 6

What does the Normalcy Index determine?

A)Parameters of normal gait for comparison with abnormal gait
B)The normal distance an unimpaired person can walk in a period of time
C)The amount of deviations present in a patient as compared with normal gait
D)Energy costs for each type of deviation observed

Question 7

What is the impact of age on walking speed?

A)There is no impact on speed based on age.
B)Older individuals self-selected a slower speed.
C)Younger individuals have a smaller step length.
D)Older individuals demonstrate greater fatigue.

Question 8

When would measuring the physiological energy cost of gait be most useful?

A)When patient participation in the examination is limited
B)When many gait deviations are present during observation
C)When comparing an individual patient's costs with normal values
D)When the patient fatigues easily during a walking task

Question 9

What is one of the strengths of the Functional Ambulation Profile?

A)It requires only short distances of gait.
B)It measures a continuum of gait skills.
C)It allows the patient to use an assistive device for safety.
D)It measures performance at a given point in time.

Question 10

How does the Physiological Cost Index evaluate energy cost during gait?

A)It determines the relative cost of walking per unit of distance walked.
B)It determines functional muscle strength of the patient while walking.
C)It converts the energy cost into a number that can be compared with normal values.
D)It examines the distance walked within a given period of time.

Question 11

What is measured in determining an individual's stride length?

A)The distance from the point of heel strike of one extremity to the heel strike of the opposite extremity
B)The distance from the point of heel-off of one extremity to the heel-off of the opposite extremity
C)The distance from the point of heel strike of one extremity to the heel strike of the same extremity
D)The distance from the point of heel-off of one extremity to the heel-off of the same extremity

Question 12

A force plate can assist the therapist in examining

A)ground reaction forces.
B)muscle strength.
C)quality of gait.
D)step length.

Question 13

The therapist determines the number of steps a patient is able to walk within a measured period of time.What is this measure?

A)Velocity of gait
B)Step length
C)Acceleration
D)Cadence of gait

Question 14

A patient has recently begun using a straight cane for ambulation and noticed that he is unable to walk as far as he did previously.What is the best method for examining decreased tolerance for gait?

A)Observational gait analysis to determine gait cycle abnormalities
B)A force plate to determine plantar pressures
C)Walking the patient with a different assistive device
D)Metabolic cart to examine energy expenditure during gait

Question 15

What is one of the disadvantages to using observational gait analysis to examine gait in the clinical environment?

A)There is very little equipment needed for this type of analysis.
B)Studies have shown low interrater reliability in the clinic.
C)Only one parameter of gait can be evaluated each session.
D)It is difficult to find a long enough distance for the patient to walk.

Question 16

What is the gait cycle?

A)The period of time from when the foot first leaves the supporting surface until the opposite foot leaves the surface
B)The period of time from when the foot first leaves the supporting surface until the same foot leaves the surface again
C)The period of time from when the foot first strikes the supporting surface until the opposite foot strikes the surface
D)The period of time from when the foot first strikes the supporting surface until the same foot strikes the surface again

Question 17

The therapist wants to know a patient's risk for ulceration from a new orthotic device.What is the best method for examining plantar pressures?

A)Metabolic cart to examine energy expenditure during gait
B)A force plate to determine the plantar pressures
C)Observational gait analysis to determine abnormal gait patterns
D)The 6-Minute Walk Test

Question 18

Observational gait analysis can be used to

A)identify and describe the patient's gait pattern and any deviations.
B)determine the cause of any deviations based on range of motion deficits.
C)define the parameters of gait that are within normal limits.
D)determine the cause of any deviations based on strengths and weaknesses.