Question 1

What aspects of gait do the Functional Independence Measure (FIM)and the Function Assessment Measure (FAM)examine?

Accepted Answer

A) Patient's level of independence,amount of assistance required,and use of an assistive device 
B) Number and type of gait deviations the patient demonstrates at each phase of the gait cycle 
C) Forces on the patient's foot and how those affect the patient's function 
D) Type of gait deviations the patient demonstrates and the type of assistive devices in use 
A) Patient's level of independence,amount of assistance required,and use of an assistive device 
B) Number and type of gait deviations the patient demonstrates at each phase of the gait cycle 
C) Forces on the patient's foot and how those affect the patient's function 
D) Type of gait deviations the patient demonstrates and the type of assistive devices in use A

Question 2

What does the 6-Minute Walk Test examine?

Accepted Answer

A) The distance an individual is able to walk at a comfortable pace in 6 minutes 
B) The amount of time an individual is able to walk 300 m 
C) The number of stairs an individual is able to ascend/descend in 6 minutes 
D) The distance an individual is able to walk at fast speeds in 6 minutes 
A) The distance an individual is able to walk at a comfortable pace in 6 minutes 
B) The amount of time an individual is able to walk 300 m 
C) The number of stairs an individual is able to ascend/descend in 6 minutes 
D) The distance an individual is able to walk at fast speeds in 6 minutes A

Question 3

A patient has recently begun using a straight cane for ambulation and noticed that he is unable to walk as far as he did previously.What is the best method for examining decreased tolerance for gait?

Accepted Answer

A) Observational gait analysis to determine gait cycle abnormalities 
B) A force plate to determine plantar pressures 
C) Walking the patient with a different assistive device 
D) Metabolic cart to examine energy expenditure during gait 
A) Observational gait analysis to determine gait cycle abnormalities 
B) A force plate to determine plantar pressures 
C) Walking the patient with a different assistive device 
D) Metabolic cart to examine energy expenditure during gait D

Question 4

What does the Normalcy Index determine?

Accepted Answer

A) Parameters of normal gait for comparison with abnormal gait 
B) The normal distance an unimpaired person can walk in a period of time 
C) The amount of deviations present in a patient as compared with normal gait 
D) Energy costs for each type of deviation observed 
A) Parameters of normal gait for comparison with abnormal gait 
B) The normal distance an unimpaired person can walk in a period of time 
C) The amount of deviations present in a patient as compared with normal gait 
D) Energy costs for each type of deviation observed

Question 5

What happens during the double support time phase of the gait cycle?

Accepted Answer

A) Both feet are in contact with the supporting surface as weight is transferred. 
B) The reference limb is in swing phase and the other limb is supporting all of the body's weight. 
C) The reference limb is supporting twice the weight it does during normal stance. 
D) The reference limb is in midstance while the other limb is at heel strike. 
A) Both feet are in contact with the supporting surface as weight is transferred. 
B) The reference limb is in swing phase and the other limb is supporting all of the body's weight. 
C) The reference limb is supporting twice the weight it does during normal stance. 
D) The reference limb is in midstance while the other limb is at heel strike.

Question 6

What is measured in determining an individual's step length?

Accepted Answer

A) The distance from the point of heel strike of one extremity to the heel strike of the opposite extremity 
B) The distance from the point of heel-off of one extremity to the heel-off of the opposite extremity 
C) The distance from the point of heel strike of one extremity to the heel strike of the same extremity 
D) The distance from the point of heel-off of one extremity to the heel-off of the same extremity 
A) The distance from the point of heel strike of one extremity to the heel strike of the opposite extremity 
B) The distance from the point of heel-off of one extremity to the heel-off of the opposite extremity 
C) The distance from the point of heel strike of one extremity to the heel strike of the same extremity 
D) The distance from the point of heel-off of one extremity to the heel-off of the same extremity

Question 7

A force plate can assist the therapist in examining

Accepted Answer

A) ground reaction forces. 
B) muscle strength. 
C) quality of gait. 
D) step length. 
A) ground reaction forces. 
B) muscle strength. 
C) quality of gait. 
D) step length.

Question 8

What can a therapist determine by using the Gait Abnormality Rating Scale with a patient in a skilled nursing facility?

Accepted Answer

A) How gait deviations impact velocity of gait 
B) The patient's ability to walk a designated distance 
C) The patient's risk of falling based on gait abnormalities 
D) When gait deviations occur in the gait cycle 
A) How gait deviations impact velocity of gait 
B) The patient's ability to walk a designated distance 
C) The patient's risk of falling based on gait abnormalities 
D) When gait deviations occur in the gait cycle

Question 9

What is measured in determining an individual's stride length?

Accepted Answer

A) The distance from the point of heel strike of one extremity to the heel strike of the opposite extremity 
B) The distance from the point of heel-off of one extremity to the heel-off of the opposite extremity 
C) The distance from the point of heel strike of one extremity to the heel strike of the same extremity 
D) The distance from the point of heel-off of one extremity to the heel-off of the same extremity 
A) The distance from the point of heel strike of one extremity to the heel strike of the opposite extremity 
B) The distance from the point of heel-off of one extremity to the heel-off of the opposite extremity 
C) The distance from the point of heel strike of one extremity to the heel strike of the same extremity 
D) The distance from the point of heel-off of one extremity to the heel-off of the same extremity

Question 10

The therapist wants to know a patient's risk for ulceration from a new orthotic device.What is the best method for examining plantar pressures?

Accepted Answer

A) Metabolic cart to examine energy expenditure during gait 
B) A force plate to determine the plantar pressures 
C) Observational gait analysis to determine abnormal gait patterns 
D) The 6-Minute Walk Test 
A) Metabolic cart to examine energy expenditure during gait 
B) A force plate to determine the plantar pressures 
C) Observational gait analysis to determine abnormal gait patterns 
D) The 6-Minute Walk Test

Question 11

What is one of the strengths of the Functional Ambulation Profile?

Accepted Answer

A) It requires only short distances of gait. 
B) It measures a continuum of gait skills. 
C) It allows the patient to use an assistive device for safety. 
D) It measures performance at a given point in time. 
A) It requires only short distances of gait. 
B) It measures a continuum of gait skills. 
C) It allows the patient to use an assistive device for safety. 
D) It measures performance at a given point in time.

Question 12

Observational gait analysis can be used to

Accepted Answer

A) identify and describe the patient's gait pattern and any deviations. 
B) determine the cause of any deviations based on range of motion deficits. 
C) define the parameters of gait that are within normal limits. 
D) determine the cause of any deviations based on strengths and weaknesses. 
A) identify and describe the patient's gait pattern and any deviations. 
B) determine the cause of any deviations based on range of motion deficits. 
C) define the parameters of gait that are within normal limits. 
D) determine the cause of any deviations based on strengths and weaknesses.

Question 13

What is one of the disadvantages to using observational gait analysis to examine gait in the clinical environment?

Accepted Answer

A) There is very little equipment needed for this type of analysis. 
B) Studies have shown low interrater reliability in the clinic. 
C) Only one parameter of gait can be evaluated each session. 
D) It is difficult to find a long enough distance for the patient to walk. 
A) There is very little equipment needed for this type of analysis. 
B) Studies have shown low interrater reliability in the clinic. 
C) Only one parameter of gait can be evaluated each session. 
D) It is difficult to find a long enough distance for the patient to walk.

Question 14

What is the impact of age on walking speed?

Accepted Answer

A) There is no impact on speed based on age. 
B) Older individuals self-selected a slower speed. 
C) Younger individuals have a smaller step length. 
D) Older individuals demonstrate greater fatigue. 
A) There is no impact on speed based on age. 
B) Older individuals self-selected a slower speed. 
C) Younger individuals have a smaller step length. 
D) Older individuals demonstrate greater fatigue.

Question 15

When would measuring the physiological energy cost of gait be most useful?

Accepted Answer

A) When patient participation in the examination is limited 
B) When many gait deviations are present during observation 
C) When comparing an individual patient's costs with normal values 
D) When the patient fatigues easily during a walking task 
A) When patient participation in the examination is limited 
B) When many gait deviations are present during observation 
C) When comparing an individual patient's costs with normal values 
D) When the patient fatigues easily during a walking task

Question 16

What is the gait cycle?

Accepted Answer

A) The period of time from when the foot first leaves the supporting surface until the opposite foot leaves the surface 
B) The period of time from when the foot first leaves the supporting surface until the same foot leaves the surface again 
C) The period of time from when the foot first strikes the supporting surface until the opposite foot strikes the surface 
D) The period of time from when the foot first strikes the supporting surface until the same foot strikes the surface again 
A) The period of time from when the foot first leaves the supporting surface until the opposite foot leaves the surface 
B) The period of time from when the foot first leaves the supporting surface until the same foot leaves the surface again 
C) The period of time from when the foot first strikes the supporting surface until the opposite foot strikes the surface 
D) The period of time from when the foot first strikes the supporting surface until the same foot strikes the surface again

Question 17

The therapist determines the number of steps a patient is able to walk within a measured period of time.What is this measure?

Accepted Answer

A) Velocity of gait 
B) Step length 
C) Acceleration 
D) Cadence of gait 
A) Velocity of gait 
B) Step length 
C) Acceleration 
D) Cadence of gait

Question 18

How does the Physiological Cost Index evaluate energy cost during gait?

Accepted Answer

A) It determines the relative cost of walking per unit of distance walked. 
B) It determines functional muscle strength of the patient while walking. 
C) It converts the energy cost into a number that can be compared with normal values. 
D) It examines the distance walked within a given period of time. 
A) It determines the relative cost of walking per unit of distance walked. 
B) It determines functional muscle strength of the patient while walking. 
C) It converts the energy cost into a number that can be compared with normal values. 
D) It examines the distance walked within a given period of time.

Exam 10: Examination of Gait

What aspects of gait do the Functional Independence Measure (FIM)and the Function Assessment Measure (FAM)examine?

What does the 6-Minute Walk Test examine?

A patient has recently begun using a straight cane for ambulation and noticed that he is unable to walk as far as he did previously.What is the best method for examining decreased tolerance for gait?

What does the Normalcy Index determine?

What happens during the double support time phase of the gait cycle?

What is measured in determining an individual's step length?

A force plate can assist the therapist in examining

What can a therapist determine by using the Gait Abnormality Rating Scale with a patient in a skilled nursing facility?

What is measured in determining an individual's stride length?

The therapist wants to know a patient's risk for ulceration from a new orthotic device.What is the best method for examining plantar pressures?

What is one of the strengths of the Functional Ambulation Profile?

Observational gait analysis can be used to

What is one of the disadvantages to using observational gait analysis to examine gait in the clinical environment?

What is the impact of age on walking speed?

When would measuring the physiological energy cost of gait be most useful?

What is the gait cycle?

The therapist determines the number of steps a patient is able to walk within a measured period of time.What is this measure?

How does the Physiological Cost Index evaluate energy cost during gait?

Clinical Decision Making

Influence of Psychosocial Factors on Rehabilitation

Influence of Values on Patient Care: Foundation for Decision Making

Vital Signs

Examination of Sensory Function

Musculoskeletal Examination

Examination of Coordination

Examination of Motor Function: Motor Control and Motor Learning

Electromyography and Nerve Conduction Velocity Tests

Examination of Functional Status and Activity Level

Examination of the Environment

Strategies to Improve Motor Function

Locomotor Training

Chronic Pulmonary Dysfunction

Heart Disease

Vascular,lymphatic,and Integumentary Disorders

Stroke

Multiple Sclerosis

Amyotrophic Lateral Sclerosis

Parkinsons Disease

Traumatic Brain Injury

Traumatic Spinal Cord Injury

Vestibular Disorders

Amputation

Arthritis

Burns

Chronic Pain

Cognitive and Perceptual Dysfunction

Neurogenic Disorders of Speech and Language

Orthotics

Prosthetics

The Prescriptive Wheelchair

Filters