Crutch Techniques and Measurements

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Questions and Answers

What is the correct measurement for the length of a crutch?

At the anterior axillary fold

2-3 finger widths below the anterior axillary fold (correct)

1-2 finger widths below the anterior axillary fold

3-4 finger widths below the anterior axillary fold

Which crutch gait involves moving two crutches and the bad leg together?

3 point gait (correct)

4 point gait

2 point gait

Swing-through gait

When is it appropriate to use even numbered gaits, such as the 2 point and 4 point gaits?

When bilateral crutches are not available

When the patient is fully weight bearing

When weakness is evenly distributed (correct)

When there is unilateral weakness

What is the recommended elbow flexion for the hand grip when using crutches?

30 degrees Signup and view all the answers

Which gait would be best for a patient who has undergone total knee replacement and is seeking stability?

4 point gait Signup and view all the answers

What movements are described for the swing-through gait?

Plant the crutches and swing the feet through Signup and view all the answers

What is a major risk of improperly measuring crutches?

Nerve damage Signup and view all the answers

What is the key step in performing a 2 point gait?

Move one crutch and the opposite foot together Signup and view all the answers

What does the term 'non-weight bearing' refer to in the context of using crutches?

Putting no weight on one leg while using crutches Signup and view all the answers

Which gait is appropriate for an individual with a unilateral problem when using crutches?

Three-point gait Signup and view all the answers

When assisting a patient with bilateral total knee replacement on the first day post-operation, which gait should be employed?

Four-point gait Signup and view all the answers

What is the correct sequence for going up and down stairs using crutches?

Up with the strong, down with the weak Signup and view all the answers

For a left hip replacement patient, which approach should be followed on the second day post-operation when the patient is non-weight bearing?

Employ a swing-through gait Signup and view all the answers

Which of the following statements about using a cane is true?

The cane should be held on the strong side Signup and view all the answers

What is the recommended method for getting out of a chair to reach a walker?

Push off the chair to rise Signup and view all the answers

During which situation would a two-point gait be utilized after bilateral total knee replacement?

Three weeks post-op, weight bearing allowed Signup and view all the answers

Which packing method should be avoided when using a walker?

Attaching items to the front of the walker Signup and view all the answers

In which scenario is a four-point gait specifically advised?

Advanced stages of amyotrophic lateral sclerosis (ALS) Signup and view all the answers

Study Notes

Crutches

Crutch Length: Measure 2-3 finger widths below the anterior axillary fold to a point lateral and slightly in front of the foot.
Hand Grip: When correctly positioned, the elbow should be flexed at approximately 30 degrees.
Crutch Gait Types:
- 2-Point Gait: Crutch and opposite foot move together, then the other crutch and foot move together.
  - Use for mild weakness on both sides (bilateral). Examples: One knee replacement.
- 3-Point Gait: Two crutches and the affected (bad) leg move together, followed by the unaffected leg.
  - Use for unilateral problems (weakness on one side). Examples: Stairs
- 4-Point Gait: Each movement is separate.
  - Use for severe weakness on both sides (bilateral). Examples: Total knee replacement right after surgery.
- Swing-Through Gait: For non-weight-bearing situations like amputations. Plant crutches and swing through.
  - Example: Arthritis, braced legs
Crutch Usage Up and Down Stairs:
- Going Up: Lead with the good foot.
- Going Down: Lead with the bad foot.
- The crutches always move with the bad leg.

Cane

Positioning: Hold the cane on the strong (unaffected) side.
Movement: Advance the cane with the weak side for a wider base of support.

Walkers

Movement: Pick up the walker, set it down, and walk towards it.
Safety:
- Tie belongings to the side of the walker, not the front to prevent tipping.
- Always push, never pull when getting out of a chair with a walker (same for canes and crutches).
- Avoid using wheels or tennis balls on walkers.

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Description

This quiz covers essential techniques for using crutches, including proper measurement, hand grip positioning, and different types of crutch gait. It provides guidance for individuals with varying levels of mobility who may need crutches for rehabilitation or support.