11 Questions
When using crutches to ascend a curb, if the patient is steady, what is the recommended sequence of steps?
Up with STRONG leg, Weaker leg, Crutches
When using crutches to descend a curb and the patient is less steady, what is the recommended sequence of steps?
Down with 1 Crutch from the Strong Leg side, Down the other Crutch, Weaker Leg, STRONG leg
When ascending a curb with a cane and the patient is steady, what is the recommended sequence of steps?
Up with STRONG Leg, Weaker Leg + Cane
When descending a curb with a cane, what is the recommended sequence of steps?
Down with Cane, Weaker Leg, STRONG leg
When walking on a ramp or incline with assistive devices, what should the patient do when ascending?
Lean forward
When walking on a ramp or incline with assistive devices, what should the patient do when descending?
Take slightly shorter steps
When using axillary crutches to climb stairs, what is the recommended movement pattern?
Move crutches with the involved or weaker LE
When using a cane to climb stairs, what is the recommended movement pattern?
Move cane to other hand in order to use handrail
When using a walker to climb stairs, what is the recommended approach?
Not recommended due to risk of loss of balance
When ascending stairs, where should the therapist's starting position be when providing assistance?
Behind and slightly to the weaker side
When descending stairs, where should the therapist's starting position be when providing assistance?
Face patient (therapist will descend backward)
Study Notes
Ascending a Curb with Crutches
- When patient is steady, recommended sequence: bring good leg up, then bring crutches up, and finally bring bad leg up.
Descending a Curb with Crutches
- When patient is less steady, recommended sequence: bring bad leg down, then bring crutches down, and finally bring good leg down.
Ascending a Curb with a Cane
- When patient is steady, recommended sequence: bring good leg up, then bring cane up, and finally bring bad leg up.
Descending a Curb with a Cane
- Recommended sequence: bring bad leg down, then bring cane down, and finally bring good leg down.
Walking on a Ramp or Incline
- When ascending: keep the assistive device on the lower step, and bring the good leg up to the higher step.
- When descending: keep the assistive device on the higher step, and bring the bad leg down to the lower step.
Climbing Stairs with Assistive Devices
- With axillary crutches: bring good leg up, then bring crutches up, and finally bring bad leg up.
- With a cane: bring good leg up, then bring cane up, and finally bring bad leg up.
- With a walker: bring walker up, then bring good leg up, and finally bring bad leg up.
Therapist's Position when Providing Assistance
- When ascending stairs: stand behind the patient, with hands on the patient's hips or waist.
- When descending stairs: stand in front of the patient, with hands on the patient's hips or waist.
Test your knowledge of mobility aids with this quiz on sit-to-stand techniques using axillary crutches and a cane. Learn the proper steps for standing and sitting with these assistive devices to improve mobility and independence.
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