What Does Ambulation Mean

TESTS AND MEASURES: Ambulation: 22 feet once on level surface with wheeled walker. She is weight bearing as tolerated right lower extremity. Only puts half of her weight through her right leg because of pain. Needs min assistance of 1 person for balance. Too tired to ambulate further. Deviations with ambulation: decreased cadence, decreased step length, decreased stance time right lower extremity; decreased lateral weight shift to right lower extremity in stance phase, decreased right hip & knee flexion during swing phase, flat foot at initial contact right LE; increased forward flexed posture at waist with increased weight bearing through bilateral upper extremities as patient more fatigued. Stairs: ascend one six-inch step with wheeled walker
Bed  manual wheelchair: minimal assist of 1 person for balance for stand-step transfer. Uses bilateral upper extremities on wheeled walker. Bed mobility: Rolling: modified independent with use of bedrail to right with complaint of pain in right hip; minimal assist of 1 person toward left for right lower extremity movement. Minimal assistance of 1 person with use of draw sheet for repositioning in bed. ROM: (L) LE: WNL for active range of motion at all joints. (R)LE: AAROM: hip flexion to 90 degrees with pain, knee flexion in supine to 93 degrees with complaint of pain. AROM: -15 degrees knee extension, 1 degree ankle dorsiflexion, -4 degrees hip adduction, 0 degrees hip extension with patient actively resisting movement because of pain, hip abduction 15 degrees. Patient too painful for formal examination of hip external or internal rotation motion. Flexibility: 90/90 hamstring length: (R) LE: -56 degrees, (L) LE: -38 degrees. Prone quadriceps length: patient unable to tolerate lying on stomach at this time because of pain, so test not performed. Patellar mobility: decreased inferior, superior, & lateral right patellar glide; WNL (L)