Walking Aids and Parallel Bars

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson
Download our mobile app to listen on the go
Get App

Questions and Answers

What is the primary function of walking aids?

  • To improve mobility by transferring a portion of body weight to the upper extremities. (correct)
  • To correct gait patterns without any weight transfer.
  • To completely eliminate weight-bearing on the lower extremities.
  • To strengthen the upper extremities.

Which of the following is a key criterion when selecting a walking aid for a patient?

  • The patient's preferred brand.
  • The color of the walking aid.
  • The stability of the patient. (correct)
  • The patient's shoe size.

Why are finger flexors important when using walking aids?

  • To stabilize the wrist.
  • To provide a firm handgrip. (correct)
  • To extend the elbow.
  • To depress the shoulder girdle.

What is the purpose of wrist dorsiflexors in the context of using walking aids?

<p>To stabilize the wrist for powerful finger flexion. (B)</p>
Signup and view all the answers

Elbow extensors stabilize the elbow in slight flexion. Why is this important when using walking aids?

<p>To prevent hyperextension and provide stability during weight-bearing. (D)</p>
Signup and view all the answers

What is the role of shoulder flexors when using walking aids?

<p>To move the aid forward during ambulation. (C)</p>
Signup and view all the answers

Why are depressors of the shoulder girdle (clavicle & scapula) important when using walking aids?

<p>They support the body weight. (A)</p>
Signup and view all the answers

For what main reason are parallel bars typically used with unstable patients?

<p>They allow the user to concentrate on correctly moving their lower limbs, and/or to develop a particular gait pattern. (B)</p>
Signup and view all the answers

What is the purpose of using a full-length mirror in conjunction with parallel bars?

<p>To allow patients to observe and correct their own movements. (D)</p>
Signup and view all the answers

When setting up parallel bars, what degree of elbow flexion should be allowed?

<p>30° (B)</p>
Signup and view all the answers

What is the main benefit of a walking frame for users with mobility issues?

<p>It reduces weight taken through the lower limbs and/or assists in balance. (C)</p>
Signup and view all the answers

For which of the following populations is a walking frame considered particularly reliable?

<p>Elderly people. (C)</p>
Signup and view all the answers

What is the recommended elbow flexion when setting the height of a walking frame?

<p>15° (D)</p>
Signup and view all the answers

What should a user do before walking towards a walking frame?

<p>Put the frame forward and stabilize it on the floor. (C)</p>
Signup and view all the answers

Why might a clinician recommend transitioning a patient from a walking frame to a cane or crutch?

<p>To allow for a more normal gait pattern. (A)</p>
Signup and view all the answers

What is the primary advantage of a rigid walking frame compared to other types of frames?

<p>Superior strength and stability. (C)</p>
Signup and view all the answers

For whom are folding frames most suitable?

<p>Users who travel regularly and need to store the frame easily. (C)</p>
Signup and view all the answers

What is the defining feature of reciprocal walking frames?

<p>They are hinged at the center, allowing each side to be moved independently. (C)</p>
Signup and view all the answers

How does using a reciprocal frame assist in walking?

<p>By simulating a normal walking pattern with simultaneous arm and leg movement. (C)</p>
Signup and view all the answers

For what type of patient are forearm supporting frames (Gutter frames) primarily designed?

<p>Patients with poor hand function who need to distribute weight through their forearms. (D)</p>
Signup and view all the answers

What is a key advantage of wheeled frames compared to standard walking frames?

<p>Reduced need to stop and lift the frame during walking. (D)</p>
Signup and view all the answers

What is a major disadvantage of wheeled frames?

<p>Reduced stability. (C)</p>
Signup and view all the answers

What braking mechanism is commonly found on rollators to enhance safety?

<p>Weight-activated brakes that engage with downward pressure on the handles. (B)</p>
Signup and view all the answers

Holding a walking stick on the contralateral side (opposite to the affected limb) increases what?

<p>Support area and stability. (A)</p>
Signup and view all the answers

What is the function of an anatomically molded handle on a walking stick?

<p>To distribute pressure over a greater area and avoid local tissue injury. (A)</p>
Signup and view all the answers

How does a swan-neck (offset) handle improve balance when using a walking stick?

<p>By bringing the center of balance over the longitudinal axis of the stick. (D)</p>
Signup and view all the answers

What is the recommended method for determining the correct length of a walking stick?

<p>Measure from the floor to the wrist crease at the thumb base with the elbow at 15° flexion. (B)</p>
Signup and view all the answers

What is the main advantage of using a tripod or quadripod walking stick compared to a standard single-point cane?

<p>They offer increased stability due to the wider base. (B)</p>
Signup and view all the answers

Why is it important to fit rubber ferrules to each leg of a tripod or quadripod walking stick?

<p>To prevent slipping and improve grip on various surfaces. (C)</p>
Signup and view all the answers

What is a critical consideration when using axillary crutches to prevent injury?

<p>The axillary top rests against the chest wall, without pressing into the armpit, with body weight taken through the hands. (A)</p>
Signup and view all the answers

How should the length of axillary crutches be determined for proper use?

<p>Measure 50 mm below the axillary fold to the ground. (D)</p>
Signup and view all the answers

What is a key advantage of forearm (elbow) crutches over axillary crutches?

<p>They allow for greater hand movement without the crutch falling. (B)</p>
Signup and view all the answers

What wrist condition would make forearm (elbow) crutches unsuitable?

<p>Very stiff wrist or with more than 45°elbow flexion. (C)</p>
Signup and view all the answers

For which patients are forearm trough crutches most appropriate?

<p>Patients who cannot take weight through their hands due to conditions like elbow/wrist flexion contractures. (D)</p>
Signup and view all the answers

Which gait pattern is characterized by advancing the crutches and then swinging the body to meet them?

<p>Swing-to gait (C)</p>
Signup and view all the answers

In which crutch gait does the patient swing their body beyond the crutches?

<p>Swing-through gait (B)</p>
Signup and view all the answers

A 4-point crutch gait is suitable for individuals who:

<p>Can bear weight on each foot but need increased stability (A)</p>
Signup and view all the answers

Which patient is most suited to the 3-point crutch gait?

<p>Patients with one painful or weak lower limb who cannot fully support their body weight on that limb (C)</p>
Signup and view all the answers

Which crutch gait enables the patient to move more quickly, but requires good balance?

<p>2-point gait (C)</p>
Signup and view all the answers

A new patient has been prescribed axillary crutches following a non-weight-bearing lower limb injury. They are struggling to maintain an appropriate gait, reporting discomfort and pain around the axilla after only short periods of ambulation. During your assessment, you observe significant leaning into the crutches, causing compression in the axillary region. Which of the following interventions is MOST appropriate to address this patient's immediate needs and prevent further complications?

<p>Adjust the height so that there is a 100mm space between the axilla and the top of the crutch. Immediately educate the patient on distributing weight through the hands and the importance of a straight posture, demonstrating proper technique. (B)</p>
Signup and view all the answers

A patient with chronic rheumatoid arthritis and significant wrist contractures requires a walking aid, but is struggling with pain and weight distribution. Your patient cannot fully extend their wrists or bear weight through their hands comfortably, and needs assistance with maintaining stability. Which of the following walking aids is MOST appropriate for the patient's needs?

<p>Forearm Trough Crutches. (C)</p>
Signup and view all the answers

Why might a clinician recommend parallel bars for a patient's initial gait training?

<p>To concentrate on moving their lower limbs correctly or to develop a particular gait pattern when unstable. (C)</p>
Signup and view all the answers

Which of the following is a key feature of reciprocal walking frames that distinguishes them from standard frames?

<p>They are hinged at the center, allowing each side to be moved independently. (B)</p>
Signup and view all the answers

What is the MOST critical factor to consider when using axillary crutches to prevent potential complications?

<p>Transferring body weight through the hands with the axillary top resting against the chest wall, ensuring it does not press into the armpit. (A)</p>
Signup and view all the answers

In the context of selecting a walking aid, if a patient exhibits significant wrist contractures and an inability to comfortably bear weight through their wrists and hands, which of the following muscle groups becomes MOST critical for providing stability and support?

<p>Elbow extensors and shoulder depressors (D)</p>
Signup and view all the answers

A patient is prescribed a 4-point crutch gait. Which of the following statements BEST describes the sequence of movements in this gait?

<p>The right crutch is advanced, followed by the left foot, then the left crutch, followed by the right foot. (C)</p>
Signup and view all the answers

Walking aids primarily reduce mobility by limiting body-weight transfer.

<p>False (B)</p>
Signup and view all the answers

Patient stability is not a key criterion when selecting appropriate walking aids.

<p>False (B)</p>
Signup and view all the answers

Finger flexors are essential for providing a firm handgrip when using walking aids.

<p>True (A)</p>
Signup and view all the answers

Wrist plantarflexors are responsible for stabilizing the wrist during finger flexion when using a walking aid.

<p>False (B)</p>
Signup and view all the answers

Elbow extensors help stabilize the elbow in slight extension when using walking aids.

<p>False (B)</p>
Signup and view all the answers

Parallel walk bars enhance stability for patients without lower limb mobility issues.

<p>False (B)</p>
Signup and view all the answers

The initial use of parallel bars is to develop a specific gait pattern.

<p>True (A)</p>
Signup and view all the answers

Using a full-length mirror during parallel bar exercises helps patients observe their own movements.

<p>True (A)</p>
Signup and view all the answers

The height and distance of parallel bars should be set to allow for 60-degree elbow flexion.

<p>False (B)</p>
Signup and view all the answers

Walking frames reduce the weight taken through the upper limbs.

<p>False (B)</p>
Signup and view all the answers

Walking frames are unsuitable for children with musculoskeletal issues.

<p>False (B)</p>
Signup and view all the answers

When using a walking frame, the frame should be moved forward, then the patient walking towards the frame.

<p>True (A)</p>
Signup and view all the answers

A walking frame should be used in a clinical setting, not at home.

<p>False (B)</p>
Signup and view all the answers

Rigid walking frames offer less stability than adjustable frames.

<p>False (B)</p>
Signup and view all the answers

Folding frames, rigid frames and reciprocal frames are all the same thing..

<p>False (B)</p>
Signup and view all the answers

Folding frames are designed for users with large storage spaces.

<p>False (B)</p>
Signup and view all the answers

Reciprocal frames facilitate movement by allowing each side to advance independently.

<p>True (A)</p>
Signup and view all the answers

Reciprocal frames are particularly unhelpful if the user can't lift a rigid frame.

<p>False (B)</p>
Signup and view all the answers

Forearm supporting frames are designed for patients with poor foot function.

<p>False (B)</p>
Signup and view all the answers

Wheeled frames are suitable for patients who can confidently lift a walking frame.

<p>False (B)</p>
Signup and view all the answers

Wheeled frames always have 4 legs, with wheels at the front and ferrules at the back.

<p>False (B)</p>
Signup and view all the answers

The use of a wheeled frame encourages a less normal gait pattern.

<p>False (B)</p>
Signup and view all the answers

Rollators offer more maneuverability compared to standard wheeled frames.

<p>False (B)</p>
Signup and view all the answers

Rollators always have weight-activated brakes, where downward pressure on the handle activates the brake.

<p>True (A)</p>
Signup and view all the answers

Walking sticks should be held on the ipsilateral (affected) side to reduce hip and knee ROM.

<p>True (A)</p>
Signup and view all the answers

Anatomically molded cane handles distribute pressure over a small area.

<p>False (B)</p>
Signup and view all the answers

Canes fitted with a swan-neck handle bring the center of balance over the longitudinal axis of the stick.

<p>True (A)</p>
Signup and view all the answers

A walking stick’s length should cause an elbow bend of 45 degrees.

<p>False (B)</p>
Signup and view all the answers

Tripod and quadripod walking aids have a limited base for staircases.

<p>False (B)</p>
Signup and view all the answers

Crutch walking gait requires no muscle strength.

<p>False (B)</p>
Signup and view all the answers

The 'swing-to' crutch gait involves swinging the body to the crutches.

<p>True (A)</p>
Signup and view all the answers

During a 'swing-through' crutch gait, the body is lifted and swung beyond the crutches.

<p>True (A)</p>
Signup and view all the answers

4-point crutch gait involves all or part of body-weight being taken on each foot.

<p>True (A)</p>
Signup and view all the answers

The 3-point crutch gait is suitable for patients with good strength in both lower limbs.

<p>False (B)</p>
Signup and view all the answers

In a 2-point crutch gait, the right crutch and left foot move simultaneously.

<p>True (A)</p>
Signup and view all the answers

Axillary crutches should press below the axilla.

<p>False (B)</p>
Signup and view all the answers

With axillary crutches the hands should bare the users body-weight.

<p>True (A)</p>
Signup and view all the answers

Forearm crutches are suitable for patients with a very stiff wrist.

<p>False (B)</p>
Signup and view all the answers

Knee walkers are an alternative to crutches.

<p>True (A)</p>
Signup and view all the answers

Wrist dorsiflexors are essential for stabilizing the wrist during powerful finger extension.

<p>False (B)</p>
Signup and view all the answers

Parallel bars are mainly utilized to treat stable patients.

<p>False (B)</p>
Signup and view all the answers

When using a walking frame, the height should be set to allow for upright standing and 30 degrees of elbow flexion without hunched shoulders.

<p>False (B)</p>
Signup and view all the answers

Reciprocal frames require the user to advance one leg and the ipsilateral arm simultaneously.

<p>False (B)</p>
Signup and view all the answers

When fitting axillary crutches, the length should be precisely at the axillary fold to maximize weight-bearing capacity.

<p>False (B)</p>
Signup and view all the answers

Flashcards

Function of walking aids

Walking aids improve mobility by transferring body-weight to the upper extremities.

Walking aid selection criteria

The selection of walking aids depends on stability, strength, coordination, and weight-relieving needs.

Finger flexors in walking aid use

Finger flexors provide a firm handgrip when using walking aids.

Wrist dorsiflexors function

Wrist dorsiflexors stabilize the wrist during finger flexion while using walking aids.

Signup and view all the flashcards

Elbow extensors' role

Elbow extensors stabilize the elbow in slight flexion for walking aid use.

Signup and view all the flashcards

Shoulder flexors' action

Shoulder flexors move the walking aid forward.

Signup and view all the flashcards

Shoulder depressors' function

Depressors of the shoulder girdle (clavicle & scapula) support the body weight.

Signup and view all the flashcards

Parallel bars: purpose

Parallel bars are typically used for unstable patients to concentrate on moving their lower limbs correctly or to develop a particular gait pattern.

Signup and view all the flashcards

Mirror use with parallel bars

A full-length mirror allows patients to observe their movement within parallel bars.

Signup and view all the flashcards

Parallel bars setup

The distance and height of parallel bars should allow for 30° elbow flexion.

Signup and view all the flashcards

Walking frame: main purpose

Walking frames reduce weight on lower limbs and/or assist in balance.

Signup and view all the flashcards

Walking frame: base design

Walking frames have a wide base to provide increased support and stability.

Signup and view all the flashcards

Walking frame: target users

Walking frames are reliable for elderly people with balance issues.

Signup and view all the flashcards

Walking frame: other users

Walking frames are suitable for children with neurological or musculoskeletal dysfunction.

Signup and view all the flashcards

Walking frame: height setting

The height of a walking frame should allow for upright standing and 15° elbow flexion without hunched shoulders.

Signup and view all the flashcards

Walking frame: usage

When using a walking frame, secure the frame before walking towards it.

Signup and view all the flashcards

Stepping pattern with frame

When using a walking frame, take even steps.

Signup and view all the flashcards

Rigid Frames Characteristics

Rigid frames are the strongest type of walking frames.

Signup and view all the flashcards

Rigid Frames Height

Rigid frames features fixed or adjustable height.

Signup and view all the flashcards

Folding Frames: Best Use Cases

Folding frames are useful for those who travel regularly or have limited storage space.

Signup and view all the flashcards

Folding Frames: Legs

Folding frames have 4-legged design.

Signup and view all the flashcards

Reciprocal Frames: Hinged Design

Reciprocal frames are hinged at the center, which allows each side to be moved independently.

Signup and view all the flashcards

Reciprocal Frames: Best Use Cases

Reciprocal frames are useful when there is difficulty to lift a rigid frame.

Signup and view all the flashcards

Reciprocal Frames: Movement

Reciprocal frames promote a simultaneous advancing of one leg and the opposite arm.

Signup and view all the flashcards

Forearm Frames: Support

Forearm supporting frames (gutter frames) help patients with poor hand function take weight through the forearms.

Signup and view all the flashcards

Wheeled Frame: Use Cases

Wheeled frames are useful for patients who cannot lift a frame.

Signup and view all the flashcards

Wheeled Frame: Specs

Wheeled frames have wheels at the front and ferrules at the back.

Signup and view all the flashcards

Wheeled Frame : Specifications

Wheeled frames can feature a swiveling wheel at the front and fixed wheels at the rear.

Signup and view all the flashcards

Wheeled Frame: Movement

More normal gait pattern since there is no to stop walking when using a wheeled frame.

Signup and view all the flashcards

Wheeled Frames; Disadvantage

Wheeled frames may lack stability due to more maneuverability.

Signup and view all the flashcards

Rollators: Composition

Rollators are typically made of aluminum or steel.

Signup and view all the flashcards

Rollators: wheels composition

Rollators have two swivel wheels at the front and two non-swivel wheels at the rear.

Signup and view all the flashcards

Rollators: Stability v Movement

Rollators provides stability but lack maneuverability.

Signup and view all the flashcards

Rollators: Brake activation

Rollators feature rear wheels with cable/weight-activated brakes.

Signup and view all the flashcards

Walking Sticks: Definition

Walking sticks/canes redistribute or transmit load for balance.

Signup and view all the flashcards

Walking sticks/canes: Composition

Walking sticks/canes requires strength in the forearm and upper arm with a good grip.

Signup and view all the flashcards

Stick Location

Holding a walking stick on the contralateral side increases support area and stability, and reduces load on the affected limb.

Signup and view all the flashcards

Stick Placement Strategy

Holding a walking stick on the affected side reduces hip and knee ROM, but may feel more supportive.

Signup and view all the flashcards

Cane Handle Design

An anatomically molded handle distributes pressure over a greater area for comfort.

Signup and view all the flashcards

Cane Handle Design

A Swan-neck/offset handle brings the center of balance over the longitudinal axis of the stick, improving balance.

Signup and view all the flashcards

Stick Length & Gait

When standing at a relaxed position with the elbows bend at 15° the stick length, should reach from the wrist crease at thumb base to the ground

Signup and view all the flashcards

Tripod walking aids Stability

Tripod & Quadrupod walking aids have three or four legs for increased stability.

Signup and view all the flashcards

Tripod walking aids Users

Use Tripod walking aids for users who lack confidence.

Signup and view all the flashcards

Folding Frames: User scenario

For users who travel and require storage, it's convenient.

Signup and view all the flashcards

Reciprocal Frames: Benefit

Useful for individuals who have difficulty lifting standard frames.

Signup and view all the flashcards

Forearm Frames: The goal

Used by patients with bad hands who need to to take the weight on forearms

Signup and view all the flashcards

Walking Sticks/Canes: main benefit

Can helps patients with bad balance.

Signup and view all the flashcards

Tripod walking aids: Definition

Tripod & Quadrupod walking helps to increase stability for users who lack confidence.

Signup and view all the flashcards

Walking Stick: Length Adjustment

A shorter stick may make it easier to relieve weight.

Signup and view all the flashcards

Clinical setting Definition

Using a walking frame at the clinic during a therapy session is not as useful as using it at home to perform daily activities.

Signup and view all the flashcards

Frame Grip

Frames should be gripped with both hands.

Signup and view all the flashcards

Ferrules addition on stick

Stick with rubber to prevent slide or slip and increase friction.

Signup and view all the flashcards

Rigid Frames: Benefits

Strongest walking aid option.

Signup and view all the flashcards

Walking Sticks: Primary Usage

The stick allow concentrate load.

Signup and view all the flashcards

Walking sticks/Placements:

Reduces hip and knee movement.

Signup and view all the flashcards

Walking Frames Usage: Posture

For walking frame users must perform daily activities without hunch.

Signup and view all the flashcards

Frames Elbow Flexion

Some walking aids require the elbow to be bent for proper use.

Signup and view all the flashcards

Study Notes

### Walking Aids Function
- Walking aids improve mobility by transferring body weight to the upper extremities.
- Selection criteria for walking aids includes patient stability, upper and lower extremities strength, movement coordination, and required weight-relieving extent.
- Finger flexors offer a firm handgrip while using these walking assistance devices.
- Wrist dorsiflexors stabilize the wrist for powerful finger flexion.
- Elbow extensors are needed to stabilize the elbow in slight flexion.
- Shoulder flexors move the aid forward.
- Depressors of the shoulder girdle (clavicle & scapula) support the body weight.

### Parallel Bars
- Parallel bars are typically used for unstable patients who need to focus on moving their lower limbs correctly or develop a particular gait pattern.
- The bars are used to practice the correct sequence of upper and lower limbs movement.
- Mirror can be used to allow the patients to observe their own movement
- It is important to set the distance and height of the bars to allow for 30° elbow flexion.

### Walking Frame
- Walking frames reduce weight taken through lower limbs and/or assist in balance, providing support and stability with a wide base.
- These are reliable for elderly individuals and children with neurological or musculoskeletal dysfunction.
- Set the height of the frame so the patient has upright standing & & 15° elbow flexion without hunched (rounded) shoulders
- Steps include to hold frame with both hands, put frame forward on the floor and stabilize before walking towards the frame, taking even steps
- Using the frame in a home environment is more practical than in a clinical setting
- Patients can then change to a cane or crutch to allow a more normal gait

### Rigid Frames
- These are the strongest walking frames
- Can be fixed or adjustable in height for user comfort

### Folding Frames
- These frames are ideal for people who travel frequently by car, have limited space in their homes, and need easy storage.
- The design is 4-legged

### Reciprocal Frames
- Reciprocal frames feature a hinged center, allowing each side to move independently.
- Frames are particularly useful when there is difficulty lifting a rigid frame.
- Facilitate simultaneously advancing one leg and the opposite arm.

### Forearm Supporting Frames
- Gutter frames are designed for patients with poor hand function, which enable them to take weight through the forearms.

### Wheeled Frames
- Wheeled frames are useful for patients who cannot lift a frame.
- 4 legs with wheels at front and ferrules at back
- 3 legs with swiveling wheel at front and fixed wheels at rear
- Result in a more normal gait pattern, with no need to stop walking to lift frame forwards,
- The disadvantages includes they are more maneuverable and lack stability

### Rollators
- These are made of aluminum or steel.
- There are two swivel wheels at the front, and two non-swivel wheels at the rear.
- Rollators provide stability but are not easily maneuvered.
- They feature rear wheels with cable/weight activated brakes with downward pressure on the handle activates brake

### Walking Sticks / Canes
- Walking sticks redistribute or transit load for balance, requiring good strength in the forearm, upper arm, and grip.
- Holding a cane on the contralateral side increases support area and stability, reducing load on the affected lower limb.
- Holding a cane on the affected side decreases hip and knee ROM, though some may subjectively feel more supportive using it on this side.

### Handle
- An anatomically molded handle distributes pressure over a greater area, avoiding local tissue injury from excessive pressure and increasing comfort.
- A swan-neck/offset handle brings the center of balance over the longitudinal axis of the stick, improving balance.

### Stick Length & Gait
- The stick should reach from the wrist crease at the thumb base to the ground with the elbow at 15° flexion.
- A slightly shorter stick may facilitate weight relieving and a slightly longer stick may facilitate balance
- Needs a fitted ferrule at the bottom for safety and support

### Tripod & Quadrupod
- These are three or four-legged walking aid that increase stability
- Use provides increased support area and increased stability for users who lack balance or confidence
- The small base area designed for use on stairs
- Fit with rubber ferrules to each leg
- Length should be measured from wrist crease at thumb base to floor, with 15° elbow flexion

### Crutches
- Types include: axillary, elbow, and gutter crutches
- Key factors for efficient crutching walking includes sufficient muscle strength, balance, correct aid use, gait pattern, training, practice and energy

### Swing to Crutch Gait
- When using this gait it is performed by advancing crutches and then swinging body to crutches
- Both crutches are moved forward
- Then the body will lift and swing to the crutches

### Swing through Crutch Gait
- This is when the swing body moves through beyond crutches
- Both crutches are moved forward and the body will lift & swing beyond crutches

### 4-point Crutch Gait
- It is used when all or part of body weight can be taken on each foot
- Important to have a wide base of support, with increased stability
- The sequence includes the Right Crutch, Then the Left Foot, Left Crutch, Then the Right Foot

### 3-point Crutch Gait
- It is used for patients with one painful / weak lower limb that cannot support the whole body weight requiring the Crutch-foot sequence

### 2-point Crutch Gait
- This is used for patients with good balance, but who also have painful/weak lower limbs that cannot support the whole body-weight
- This gait has the sequence where the right crutch & left foot move simultaneously, then the left crutch & right foot simultaneously

### Axillary crutches
- Axillary crutches are used for non-weight-bearing gait
- To use, the axillary top rests against the chest wall, not pressing below the axilla, which could cause serious injury to arteries and nerves
- The body weight is then taken through the hands to provide good lateral stability.
- Measure from 50 mm below axillary fold to the ground; slight elbow flexion

### Forearm (Elbow) Crutches
- These are for full/partial weight-bearing use
- A closed cuff design allows hand movement without crutch falling
- Handle fixed at about 97° to the shaft
- Not suitable for very stiff wrist or with more than 45 °elbow flexion
- Includes a Positioned Elbow cuff around upper 1/3 forearm which is below & not impeding the elbow joint
- Measure with Wrist crease at thumb to floor and 15 °elbow flexion
- Regularly Fit and replace ferrules

### Forearm Trough Crutches
- Are for patients who cannot take weight through hand
- Or for patients with elbow/wrist flexion contractures or due to pain/deformity
- Measurement: Forearm to ground with elbows flexed at 90° and shoulders are not hunched
- Only For partial weight-bearing

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

Related Documents

More Like This

Walking Away Key Quotes Flashcards
5 questions
Wheelchair and Walking Aids Overview
24 questions
Use Quizgecko on...
Browser
Browser