Podcast
Questions and Answers
Which gait involves partial weight bearing on both feet, provides less support, and is faster than a 4 point gait?
Which gait involves partial weight bearing on both feet, provides less support, and is faster than a 4 point gait?
2 point gait
Which gait is non weight bearing (on one foot), requires good balance, and requires arm strength?
Which gait is non weight bearing (on one foot), requires good balance, and requires arm strength?
3 point gait
Which gait involves partial weight bearing on both feet and provides maximum support?
Which gait involves partial weight bearing on both feet and provides maximum support?
4 point gait
Which gait is weight bearing on one or both feet and requires coordination and balance?
Which gait is weight bearing on one or both feet and requires coordination and balance?
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What findings demonstrate that the crutches were adjusted correctly by the patient? (Select all that apply)
What findings demonstrate that the crutches were adjusted correctly by the patient? (Select all that apply)
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Which description below best describes the two-point gait with crutches?
Which description below best describes the two-point gait with crutches?
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What type of gait is used when both crutches move forward along with the injured leg?
What type of gait is used when both crutches move forward along with the injured leg?
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Which demonstration indicates understanding of the four-point gait?
Which demonstration indicates understanding of the four-point gait?
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While using crutches, what describes moving both crutches forward and then both legs forward past the placement of the crutches?
While using crutches, what describes moving both crutches forward and then both legs forward past the placement of the crutches?
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When using the swing-to gait with crutches, the patient will move both crutches forward, and then will move both legs forward to the same point as the crutches.
When using the swing-to gait with crutches, the patient will move both crutches forward, and then will move both legs forward to the same point as the crutches.
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What finding during ambulation with crutches requires re-education?
What finding during ambulation with crutches requires re-education?
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Study Notes
Crutch Gait Types
- 2 Point Gait: Involves partial weight bearing on both feet, provides less support, and is faster than the 4 point gait.
- 3 Point Gait: Non-weight bearing on one foot, requires good balance and arm strength, suitable for faster movements, and can also be used with a walker.
- 4 Point Gait: Involves partial weight bearing on both feet, offers maximum support, and requires constant weight shifting.
- Swing Through/Tripod Gait: Weight bearing can be on one or both feet, necessitates arm strength, coordination, and balance, considered the most advanced gait technique.
Crutch Adjustment Guidelines
- Correct crutch height ensures hand grips are even with the mid-forearm.
- Elbow should bend at approximately 30 degrees when gripping hand grips.
- Maintain a 2-3 finger width gap between the axillae and the crutch rest pad.
- Avoid placing weight on the axillae while ambulating; weight should be on the hands.
Patient Instruction Scenarios
- Two-Point Gait Explained: Patient moves both the right crutch and left foot forward together, followed by moving the left crutch and right foot forward together.
- Identifying Three-Point Gait: Patient moves both crutches forward with the injured leg, followed by moving the non-injured leg.
Movement Demonstrations
- Four-Point Gait Demonstration: Sequential movement of right crutch, left foot, left crutch, and right foot to illustrate the correct sequence.
- Swing-to-Gait: Characterized by moving both crutches forward followed by moving both legs to the same point as the crutches.
Observation and Re-Education
- Identify a gap between axillae and crutch rest pad during ambulation as a potential red flag for improper adjustment.
- Correct use of crutches is necessary to avoid leaning on crutch rest pads during ambulation, especially important in a three-point gait.
Stair Ambulation
- Proper understanding of crutch usage while ascending stairs includes moving the crutches first, followed by the injured leg, signifying correct technique.
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Description
Test your knowledge of various crutch gaits with this informative flashcard quiz. Learn about the 2 point, 3 point, and 4 point gaits, along with the swing through/tripod technique. Ideal for students and professionals in physical therapy or rehabilitation fields.
