1. Patient Movement

2. 3.01 Understand Diagnostic and Therapeutic Services 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 2

3. 3.01 Understand Diagnostic and Therapeutic Services 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 25-30 degrees 3

4. 3.01 Understand Diagnostic and Therapeutic Services 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 4

5. 3.01 Understand Diagnostic and Therapeutic Services 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 25-30 degrees 5

6. 3.01 Understand Diagnostic and Therapeutic Services 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 6

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

8. 3.01 Understand Diagnostic and Therapeutic Services 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. 8

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

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

11. 3.01 Understand Diagnostic and Therapeutic Services Patient Movement Ambulation Aids Walker Correct Fitting –Handles level with top of femur –Elbow flexed to 25-30 degrees 11

12. 3.01 Understand Diagnostic and Therapeutic Services 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 12

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

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

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