1. Assistive Devices and Mobility Rick Rosenstein DO Dept of Rehab Medicine

2. Base of Support

3. Phases of Gait

4. Abnormal Gait

5. Why Assistive Device?

6. Levels of Assist  Dependant: Needs total assist  Max Assist: 75% of work by outside source  Mod Assist: 50% of work by outside source  Min Assist: 25% of work by outside source  Contact Guard: 10-15% of outside source  Close Supervision: within arms length “im not touching you”  Supervision: beyond arms length but within sight  Independent: no help needed  Modified Independent: (I) with assistive device

7. Weight Bearing Statuses  Non weight bearing (NWB): either LE or UE and no use of that limb during functional task  Toetouch (toedown) weight bearing: (LE)10-25% of body weight on ground, essentially toes down for balance only  Partial weight bearing: (LE) 50% of body weight through limb  Weight bearing as tolerated: (UE/LE) May be limited by vascular, orthopedic or neurological reason why patient may not be using limb completely  Full weight bearing: (UE/LE) No reason to not be using limb for mobility/functional tasks

8. Tasks

9. Hospital Bed

10. Parallel Bars

11. Wheelchairs

13. Walkers

18. Crutches

20. Canes

26. Special Devices