Questions and Answers
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?
3 point gait
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?
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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?
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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?
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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.
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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.
