Title: Weekly Lab Activities 5
Course: PHT 1200C Basic Patient Care > Section: Module 5

Students are required to attend the weekly lab session for this course. The lab sessions will allow students time to practice various skills. Each Lab Activity aligns with the corresponding module topic.

Competency Check Off forms may be required for this activity. The Lab Competency check-off form will be provided to the students by the instructor when they meet for lab. Please refer to the Competency Check-Off Form for further details.

There may be SOAP note assignments that correlate with your lab activity. Please refer to the Course Calendar for more information.

The Lab Activities and Competency Check-Offs are worth 0 points. When applicable, SOAP Note Assignments are worth 20 points.

Module 5: Ambulation Training and Assistive Devices

Activities to be completed in this lab:

1. Measure and fit each piece of equipment.

2. Practice supine to sitting on edge of bed.

3. Instruct in proper sit to stand technique with device.

4. Perform gait training with walker, crutches, and cane on level ground and on steps.

5. Perform gait training with device with FWB, WBAT, PWB, TDWB, and NWB.

Measurement & fitting equipment

1. Cane: Figure 9-5

- handgrip should be at the level of the greater trochanter or wrist crease
- can be done in supine or standing

2. Axillary crutch: Figure 9-6

- length: ask patient’s height and set crutches to that
- handpiece: measure from greater trochanter or wrist crease to the heel of the shoe (arm must be extended)
- common errors – Box 9-4

3. Walker: Figure 9-3

- height – at level of greater trochanter or wrist crease
- in supine measure from the greater trochanter to the shoe (LE straight) –not commonly done

Confirmation of fit

- Improper fit will cause: decreased stability, increased energy expenditure, decreased function, and decreased pt. safety.
- Done with patient standing: head erect, shoulders relaxed, trunk erect, hips in extension, pelvis level, knees slightly flexed, feet flat.
- Crutches: 2-3 fingers between the axilla and top of crutch; tips 2 to 4 inches lateral and 4 to 6 inches anterior to the toes; elbows slightly flexed at handpieces (Figure 9-6)
- Walker, cane & forearm crutches: in standing with slight elbow flexion; tips of cane or forearm crutch 2-4 inches lateral & 4-6 inches anterior to foot.
- See Procedure 9-2

Weight bearing status

- NWB, TDWB, PWB, WBAT, FWB
- to determine PWB: can stand on a scale and bear weight to that amount; PTA can place a foot under patient’s foot initially to help assess; then pt. needs to use own proprioception to determine proper weight
- TDWB: can use scale or something like a dog toy to get audio feedback
- if TTWB or TDWB: use a heel strike or foot-flat approach

***Refer to your notes from lecture or your textbook for further details/instructions. ***

Gait training activities:

1. Four point gait pattern with 2 crutches or 2 canes

2. Two point gait pattern with 2 crutches or 2 canes

3. Modified four and two point gait pattern with 1 device

4. Three point/NWB gait pattern with crutches and a walker

5. Modified three point gait pattern with crutches and a walker

6. Sit to stand and stand to sit with each device for NWB, PWB, and FWB

7. Ambulation training on level ground with crutches and a walker NWB, PWB, and FWB

8. Ambulation training on stairs with crutches and a walker NWB, PWB, and FWB

9. Falling forward and backward

10. Transferring to the floor

11. Rising from the floor

12. Ambulation with assistive device and oxygen tank

13. Ambulation with assistive device and IV

14. Ambulation with assistive device and catheter

15. Ambulation with assistive device and wheelchair

***Refer to your notes from lecture or your textbook for further details/instructions. ***

Attachment

Lab_Activities 5(2).pdf