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When should ambulation aids be used?
- impaired balance
- decreased strength
- alteration of coordination
- pain during wb
- absence of LE
- altered stability
- improve functional mobility
- enhance function
- fracture healing
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What must be documented for gait training:
- specific instructions
- education
- level of asst.
- distance
- type of equipment used
- progress: safety, efficiency, balance, endurance, technique
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Gait cycle:
initial contact of a given foot to next initial contact of the same foot.
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What are the phases of normal gait?
- Swing
- stance
- double support-brief
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Stance phase of gait cycle:
- initial contact
- loading response
- midstance
- terminal stance
- pre-swing
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Swing phase of gait cycle:
- initial swing
- midswing
- terminal swing
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PT interventions concerning gait:
- strengthening
- ROM
- balance
- coordination
- fitting of assistive device
- safety training
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Pre-ambulation:
- preparation and training of the patient
- focusing on functional activities
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Purpose of Pre-ambulation activities
- safe practice
- improve use of asst. device
- strengthen UE and LE, balance, coordination activities, ROM, stretching, cardiopulmonary activities
- determine functional skills needed
- build pt's confidence
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