mobility, ambulation

Question 1

levels of physical assist

Answer 1

• independent: pt does not require any assistance to complete task
• supervision: pt requires PT to observe throughout completion of task
• contact guard: pt requires PT to maintain contact w/ pt to complete task, usually needed to assist if there is a LOB
• minimal assist: pt requires 25% assist from PT to complete task
• moderate assist: pt requires 50% assist from PT to complete task
• maximal assist: pt requires 75% assist from PT to complete a task
• dependent: pt is unable to participate and PT must provide all effort to perform task

Question 2

WC seat height

Answer 2

• heel to popliteal fold and add 2 in for footrest clearance
• average adult size: 19.5-20.5 in

Question 3

WC seat depth

Answer 3

• post buttock along lat thigh to popliteal fold, then subtract 2 in
• average adult size: 16 in

Question 4

WC seat width

Answer 4

• widest aspect of buttock, hips, or thighs and add 2 in
• average adult size: 18 in

Question 5

WC back height

Answer 5

• seat of chair to floor of axilla w/ shoulder flexed to 90 degrees and subtract 4 in
• should be below inf angle of scapulae
• average adult size: 16-16.5 in

Question 6

WC armrest height

Answer 6

• seat of chair to olecranon process w/ elbow flexed to 90 degrees and add 1 in
• average adult size: 9 inch above chair seat

Question 7

parallel bar use

(I’m very proud of you)

Answer 7

• bar height that allows for 20-25 degrees of elbow flexion whil grasping bars 4-6 inches in front of body

walker also allows 20-25 degrees of flexion at elbow

Question 8

fitting axillary crutches

Answer 8

• fit with crutches 6 in in front and two in lateral to patient
• crutch height should allow 3 fingers between top of crutch and axilla
• handgrip to ulnar styloid process and allow 2-25 degrees of elbow flexion
• lofstrand/forearm crutches: same but arm cuff 1-1.5 in below olecranon