Functional Mobility

Question 1

Describe the task-oriented approach (2)

Answer 1

• Manipulation of activities is the primary mode
• Focuses on pt. centered functional goals

Question 2

List the essential elements of task (3)

Answer 2

• progression (move in desired direction)
• stability (maintain postural control)
• adaptation (repond to change)

Question 3

List mobility tasks (5)

Answer 3

• Gait
• Transfers
• Bed mobility
• WC mobility
• Stairs

Question 4

Describe what needs to be considered in the following for a STS transfer

1. Progression
2. Stability
3. Adaptation

Answer 4

1. Generate force to rise
2. Move center of mass from wider to small BOS
3. chair height, softness, arm rests, etc

Question 5

Describe the momentum transfer strategy (3)

Answer 5

• Transferring movement/momentum of your head to lift yourself up and out
• Useful in those who can’t follow direction well
• Efficient and fast if stable

Question 6

Describe how the momentum transfer strategy would be applied to the STS transfer (4)

Answer 6

• Upper body flexes forward
• Butt leaves sit (critical transition)
• Lift; Ext of legs
• Stabilization

Question 7

Describe the Zero Momentum or Force Control Strategy (2)

Answer 7

• “Nose over Toes”
• No momentum generated for transfer, rather use of strength

Question 8

List ways mobility can be assessed (3)

Answer 8

• STS x5 for time
• FIM
• STREAM mobility subscale (STS, supine to sit, supine to SL, etc)

Question 9

Describe what needs to be considered in the following for a Supine to sit transfer

1. Progression

Answer 9

1. push up with arms, flex head and neck into partial sit and roll

Question 10

Describe what needs to be considered in the following for stair climbing

1. Progression

Answer 10

Reciprocal gate: requires greater knee extensor strength and foot clearance than gait

Question 11

Describe abnormal stair climbing mobility (2)

Answer 11

• reliance on railing
• non-reciprocal pattern