Name: Johansson: Gait With Front-Wheeled Walker With Sit to Stand

Description: Johansson: Gait With Front-Wheeled Walker With Sit to Stand

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Duration: T00H03M00S

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Upload Date: 2022-02-27T00:00:00.0000000

Transcript: Language: EN.
Segment:0 .
When using a front-wheeled walker for gait, the patient scoots forward in the chair and slides the feet underneath. Have the patient rise from a sitting to standing position by pushing on the armrests for support. If armrests aren't available, instruct the patient to push straight down with one hand on the crossbar of the walker.
The patient leans forward, pushes into a standing position from the armrests, and reaches for the handgrips of the walker. Properly guard the patient during ambulation. Notice as the patient begins to walk, that he steps past the front bar of the walker with each step. The clinician cues the patient to step only to the front bar of the walker before advancing the walker a stride length forward again.
The clinician must take care to ensure that the patient doesn't place the walker too far forward, which increases the patient's risk of falling. Here, the patient walks correctly. It can be challenging to go up and down steps safely using a walker. Here, a patient ascends and descends steps with a stair-climbing walker. The patient turns the walker, and places it up one step. The patient then pushes down on the handle extensions and steps up with the stronger leg first, followed by the weaker leg.
When going down steps, the patient lowers the walker one step, followed by the foot of the weaker leg, followed by the stronger leg. The patient may progress from a step-to to a step-through gait pattern, advancing the walker in a smooth motion.
Once the patient reaches the chair, he turns, taking small steps in order to maintain balance. With the back of the patient's legs touching the wheelchair, often the patient will begin to sit while holding the walker for support. In this case, instruct the patient to reach for each armrest. First with one hand, and then the other, before sitting.

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