Implementing Device-Specific Gait Exam Prep Ch.15 3e

Chapter 15: Implementing Device-Specific Gait

Multiple Choice

1. Your patient recently underwent a second right total hip arthroplasty (posterior approach) because of repeated dislocation following the first procedure. Which of the following instructions is MOST appropriate during initial gait training with this patient?
   1. “Turn toward whichever side you prefer.”
   2. “Turn toward your dominant side.”
   3. “Turn toward your left side.”
   4. “Turn toward your right side.”
2. Which instruction is MOST appropriate for negotiating stairs for a patient who has a sprained left ankle?
   1. “Place the cane on the step above, followed by the left leg, then the right leg.”
   2. “Place the cane on the step above, followed by the right leg, then the left leg.”
   3. “Place the right foot on the step above, followed by the cane and the left leg simultaneously.”
   4. “Place the left foot on the step above, followed by the cane and the right leg simultaneously.”
3. Which of the following is the BEST instruction for a sit-to-stand transfer with a walker for a patient who is limited to 30 lb weight-bearing on the right lower extremity?
   1. Extend the right knee and keep the foot in front of the body while rising to a standing position.
   2. Extend the right knee and keep the foot off the ground completely while rising to a standing position.
   3. Extend the left knee and keep the foot in front of the body while rising to a standing position.
   4. Place both feet underneath the body while rising to a standing position.
4. Your patient is a 15-year-old patient who has just had knee surgery following a volleyball injury, and you are fitting the patient with axillary crutches. Which of the following is the greatest risk for the patient if the axillary crutches are too tall?
   1. The crutches will increase the energy expenditure required for ambulation.
   2. The crutches will be unstable and increase the risk of falling.
   3. The crutches will cause irritation of the rib cage and make using the crutches painful.
   4. The crutches will cause pressure in the axilla, potentially damaging nerves and vessels.
5. Which of the following is true of rollator walkers?
   1. They allow patients to walk with less energy expenditure than standard walkers.
   2. They are hinged in the middle to allow the walker to be advanced one side at a time.
   3. The patient propels the device using the lower extremities from a seated position.
   4. They are ideal for patients who have difficulty ambulating short distances.
6. Which of the following assistive devices requires the most energy to advance?
   1. Single-point cane
   2. Rolling walker
   3. Standard “pick up” walker
   4. Knee walker
7. For a patient with right-leg weakness who is ascending a curb using a walker, which of the following sequences is MOST appropriate?
   1. Right foot, left foot, walker
   2. Right foot, walker, left foot
   3. Left foot, walker, right foot
   4. Walker, left foot, right foot
8. Which of the following can be used to estimate the appropriate length of axillary crutches while the patient is seated?
   1. 50% of the patient’s known height
   2. The patient’s known height minus 6 inches
   3. The distance between the fingertips of the patient’s arm held out to the side and the elbow of the opposite abducted arm
   4. The patient’s shoulder height in sitting
9. Which of the following is the recommended method of standing up from a seated position with two axillary crutches?
   1. Place one crutch on either side of the chair and push down on the hand grips.
   2. Place both crutches on one side, grasp both hand grips with one hand, and push down on the hand grip and chair armrest to stand.
   3. With a crutch on each side, grasp the armrest and crutch hand grip in one hand and push to standing.
   4. Lay both crutches down against the chair, stand by pushing down on the armrests of the chair, and then reach for the crutches.
10. Which of the following assistive devices can be used for a patient who is non–weight-bearing on one side because of a femoral fracture?
    1. Knee walker
    2. Two axillary crutches
    3. Two single-point canes
    4. Hemi-walker
11. Which of the following is recommended to minimize risk of injury during a fall with crutches?
    1. Drop the crutches in front.
    2. Turn the head to one side.
    3. Reach both hands out in front with locked elbows.
    4. Tuck the head down.
12. A patient has right hip pain from osteoarthritis that is exacerbated with walking. Which hand would be MOST appropriate for the patient to use in handling a single-point cane?
    1. The right hand
    2. The left hand
    3. Either hand; it does not make a difference
    4. A cane in each hand

Matching

Match the following terms to their appropriate descriptors.

A. Hemi-walker

B. Lofstrand or Canadian

C. Parallel bars

13. Another way to describe forearm crutches

14. Provides the greatest amount of stability for the patient in a standing position

15. Cannot be used when non–weight-bearing status on one extremity is required