Physical Therapist Assistant how-to
How to Guard a Patient During Gait Training
Good guarding lets patients practice walking safely, even when their balance is unsteady.
Good guarding lets patients practice walking safely, even when their balance is unsteady. In short: review; fit; put, then complete the remaining steps below.
Step by step
Review the plan of care, weight-bearing status and fall risk.
Fit the assistive device to the right height and check the patient’s footwear.
Put on a gait belt and stand slightly behind and to the weaker side.
Hold the gait belt with one hand and keep the other near the shoulder.
Walk in step with the patient and give short, clear cues.
If the patient starts to fall, guide them down to the floor rather than trying to catch them.
Safety reminders for physical therapist assistants
- Use gait belts and proper guarding for every mobility task
- Check vital signs when patients have cardiac or blood pressure concerns
- Use good body mechanics and ask for help with heavy patients
- Clean equipment between patients
Key terms
Plan of care · ROM · AROM and PROM · Gait training · Assistive device · Weight-bearing status: see the full physical therapist assistant glossary.