1. Patient Movement

2. Patient Movement Ambulation
Choose an ambulation aid
based on patient age
type of injury
patient’s condition
patient’s weight bearing status
A gait belt should be used by the health care provider to provide safety and support for the patient
3.01 Understand Diagnostic and Therapeutic Services

3. Patient Movement Ambulation Aids
Cane
Used to help with:
balance
weakness, injury or pain on one side
Place the cane on the unaffected side
Correct fitting:
Handle of cane is level with the head of the femur
Patient’s elbow is flexed degrees
3.01 Understand Diagnostic and Therapeutic Services

4. Patient Movement Ambulation Aids
Crutches
Axillary
Used by placing the pads under the armpits and holding on to the grip
Grips are below and parallel to the armpit pads
Forearm
Used by slipping the arm into the cuff and holding on to the grip
Platform
Forearm is placed on an armrest with secure strap
Used by person with poor hand grip
Axillary
Forearm
Platform
3.01 Understand Diagnostic and Therapeutic Services

5. Patient Movement Ambulation Aids
Crutches
Correct Fitting
Patient and crutch tips form a tripod:
Crutch tips are 4-6” in front
and to side of patient’s foot
2” between axilla and crutch
Elbows flexed degrees
3.01 Understand Diagnostic and Therapeutic Services

6. Patient Movement Ambulation
Crutch Gait
Gait is the pattern of movement.
Four Point Gait: Slow, both legs can bear some weight
Two Point Gait: Faster, more natural, both legs can bear some weight
4 point gait pattern
3.01 Understand Diagnostic and Therapeutic Services

7. Patient Movement Ambulation
Crutch Gait
Three Point Gait:
One leg is non-weight bearing
3 point gait pattern
3.01 Understand Diagnostic and Therapeutic Services

8. Patient Movement Ambulation
Crutch Gait
Swing –Through:
One leg is non-weight bearing; 2 point pattern.
Most rapid gait pattern
Swing – To:
One leg is non weight bearing; 2 point pattern.
3.01 Understand Diagnostic and Therapeutic Services

9. Patient Movement Ambulation Aids
Walker
Ambulation aide that provides support
Patient must be strong enough to hold themselves upright
3.01 Understand Diagnostic and Therapeutic Services

10. Patient Movement Ambulation Aids
Walker
Styles:
standard
folding
rolling
platform
3.01 Understand Diagnostic and Therapeutic Services

11. Patient Movement Ambulation Aids
Walker
Correct Fitting
Handles level with top of femur
Elbow flexed to degrees
3.01 Understand Diagnostic and Therapeutic Services

12. Patient Movement Ambulation
Walker Gait
Step-to/3 point gait
pattern for weight bearing on both legs
Swing-to/2 point gait
pattern for non-weight bearing
3.01 Understand Diagnostic and Therapeutic Services

13. Patient Movement Ambulation
Demonstrate the skill
Provide for guided practice
Provide for independent practice
Verify student passing

14. Patient Movement Transferring a Patient
Transfer to a Chair/Wheelchair Demonstrate the skill Provide for guided practice Provide for independent practice Verify student passing
3.01 Understand Diagnostic and Therapeutic Services

15. Patient Movement Transferring a Patient
Transfer to a Stretcher
3.01 Understand Diagnostic and Therapeutic Services