Podcast
Questions and Answers
What is the primary function of walking aids?
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?
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?
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?
What is the purpose of wrist dorsiflexors in the context of using walking aids?
Elbow extensors stabilize the elbow in slight flexion. Why is this important when using walking aids?
Elbow extensors stabilize the elbow in slight flexion. Why is this important when using walking aids?
What is the role of shoulder flexors when using walking aids?
What is the role of shoulder flexors when using walking aids?
Why are depressors of the shoulder girdle (clavicle & scapula) important when using walking aids?
Why are depressors of the shoulder girdle (clavicle & scapula) important when using walking aids?
For what main reason are parallel bars typically used with unstable patients?
For what main reason are parallel bars typically used with unstable patients?
What is the purpose of using a full-length mirror in conjunction with parallel bars?
What is the purpose of using a full-length mirror in conjunction with parallel bars?
When setting up parallel bars, what degree of elbow flexion should be allowed?
When setting up parallel bars, what degree of elbow flexion should be allowed?
What is the main benefit of a walking frame for users with mobility issues?
What is the main benefit of a walking frame for users with mobility issues?
For which of the following populations is a walking frame considered particularly reliable?
For which of the following populations is a walking frame considered particularly reliable?
What is the recommended elbow flexion when setting the height of a walking frame?
What is the recommended elbow flexion when setting the height of a walking frame?
What should a user do before walking towards a walking frame?
What should a user do before walking towards a walking frame?
Why might a clinician recommend transitioning a patient from a walking frame to a cane or crutch?
Why might a clinician recommend transitioning a patient from a walking frame to a cane or crutch?
What is the primary advantage of a rigid walking frame compared to other types of frames?
What is the primary advantage of a rigid walking frame compared to other types of frames?
For whom are folding frames most suitable?
For whom are folding frames most suitable?
What is the defining feature of reciprocal walking frames?
What is the defining feature of reciprocal walking frames?
How does using a reciprocal frame assist in walking?
How does using a reciprocal frame assist in walking?
For what type of patient are forearm supporting frames (Gutter frames) primarily designed?
For what type of patient are forearm supporting frames (Gutter frames) primarily designed?
What is a key advantage of wheeled frames compared to standard walking frames?
What is a key advantage of wheeled frames compared to standard walking frames?
What is a major disadvantage of wheeled frames?
What is a major disadvantage of wheeled frames?
What braking mechanism is commonly found on rollators to enhance safety?
What braking mechanism is commonly found on rollators to enhance safety?
Holding a walking stick on the contralateral side (opposite to the affected limb) increases what?
Holding a walking stick on the contralateral side (opposite to the affected limb) increases what?
What is the function of an anatomically molded handle on a walking stick?
What is the function of an anatomically molded handle on a walking stick?
How does a swan-neck (offset) handle improve balance when using a walking stick?
How does a swan-neck (offset) handle improve balance when using a walking stick?
What is the recommended method for determining the correct length of a walking stick?
What is the recommended method for determining the correct length of a walking stick?
What is the main advantage of using a tripod or quadripod walking stick compared to a standard single-point cane?
What is the main advantage of using a tripod or quadripod walking stick compared to a standard single-point cane?
Why is it important to fit rubber ferrules to each leg of a tripod or quadripod walking stick?
Why is it important to fit rubber ferrules to each leg of a tripod or quadripod walking stick?
What is a critical consideration when using axillary crutches to prevent injury?
What is a critical consideration when using axillary crutches to prevent injury?
How should the length of axillary crutches be determined for proper use?
How should the length of axillary crutches be determined for proper use?
What is a key advantage of forearm (elbow) crutches over axillary crutches?
What is a key advantage of forearm (elbow) crutches over axillary crutches?
What wrist condition would make forearm (elbow) crutches unsuitable?
What wrist condition would make forearm (elbow) crutches unsuitable?
For which patients are forearm trough crutches most appropriate?
For which patients are forearm trough crutches most appropriate?
Which gait pattern is characterized by advancing the crutches and then swinging the body to meet them?
Which gait pattern is characterized by advancing the crutches and then swinging the body to meet them?
In which crutch gait does the patient swing their body beyond the crutches?
In which crutch gait does the patient swing their body beyond the crutches?
A 4-point crutch gait is suitable for individuals who:
A 4-point crutch gait is suitable for individuals who:
Which patient is most suited to the 3-point crutch gait?
Which patient is most suited to the 3-point crutch gait?
Which crutch gait enables the patient to move more quickly, but requires good balance?
Which crutch gait enables the patient to move more quickly, but requires good balance?
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?
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?
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?
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?
Why might a clinician recommend parallel bars for a patient's initial gait training?
Why might a clinician recommend parallel bars for a patient's initial gait training?
Which of the following is a key feature of reciprocal walking frames that distinguishes them from standard frames?
Which of the following is a key feature of reciprocal walking frames that distinguishes them from standard frames?
What is the MOST critical factor to consider when using axillary crutches to prevent potential complications?
What is the MOST critical factor to consider when using axillary crutches to prevent potential complications?
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?
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?
A patient is prescribed a 4-point crutch gait. Which of the following statements BEST describes the sequence of movements in this gait?
A patient is prescribed a 4-point crutch gait. Which of the following statements BEST describes the sequence of movements in this gait?
Walking aids primarily reduce mobility by limiting body-weight transfer.
Walking aids primarily reduce mobility by limiting body-weight transfer.
Patient stability is not a key criterion when selecting appropriate walking aids.
Patient stability is not a key criterion when selecting appropriate walking aids.
Finger flexors are essential for providing a firm handgrip when using walking aids.
Finger flexors are essential for providing a firm handgrip when using walking aids.
Wrist plantarflexors are responsible for stabilizing the wrist during finger flexion when using a walking aid.
Wrist plantarflexors are responsible for stabilizing the wrist during finger flexion when using a walking aid.
Elbow extensors help stabilize the elbow in slight extension when using walking aids.
Elbow extensors help stabilize the elbow in slight extension when using walking aids.
Parallel walk bars enhance stability for patients without lower limb mobility issues.
Parallel walk bars enhance stability for patients without lower limb mobility issues.
The initial use of parallel bars is to develop a specific gait pattern.
The initial use of parallel bars is to develop a specific gait pattern.
Using a full-length mirror during parallel bar exercises helps patients observe their own movements.
Using a full-length mirror during parallel bar exercises helps patients observe their own movements.
The height and distance of parallel bars should be set to allow for 60-degree elbow flexion.
The height and distance of parallel bars should be set to allow for 60-degree elbow flexion.
Walking frames reduce the weight taken through the upper limbs.
Walking frames reduce the weight taken through the upper limbs.
Walking frames are unsuitable for children with musculoskeletal issues.
Walking frames are unsuitable for children with musculoskeletal issues.
When using a walking frame, the frame should be moved forward, then the patient walking towards the frame.
When using a walking frame, the frame should be moved forward, then the patient walking towards the frame.
A walking frame should be used in a clinical setting, not at home.
A walking frame should be used in a clinical setting, not at home.
Rigid walking frames offer less stability than adjustable frames.
Rigid walking frames offer less stability than adjustable frames.
Folding frames, rigid frames and reciprocal frames are all the same thing..
Folding frames, rigid frames and reciprocal frames are all the same thing..
Folding frames are designed for users with large storage spaces.
Folding frames are designed for users with large storage spaces.
Reciprocal frames facilitate movement by allowing each side to advance independently.
Reciprocal frames facilitate movement by allowing each side to advance independently.
Reciprocal frames are particularly unhelpful if the user can't lift a rigid frame.
Reciprocal frames are particularly unhelpful if the user can't lift a rigid frame.
Forearm supporting frames are designed for patients with poor foot function.
Forearm supporting frames are designed for patients with poor foot function.
Wheeled frames are suitable for patients who can confidently lift a walking frame.
Wheeled frames are suitable for patients who can confidently lift a walking frame.
Wheeled frames always have 4 legs, with wheels at the front and ferrules at the back.
Wheeled frames always have 4 legs, with wheels at the front and ferrules at the back.
The use of a wheeled frame encourages a less normal gait pattern.
The use of a wheeled frame encourages a less normal gait pattern.
Rollators offer more maneuverability compared to standard wheeled frames.
Rollators offer more maneuverability compared to standard wheeled frames.
Rollators always have weight-activated brakes, where downward pressure on the handle activates the brake.
Rollators always have weight-activated brakes, where downward pressure on the handle activates the brake.
Walking sticks should be held on the ipsilateral (affected) side to reduce hip and knee ROM.
Walking sticks should be held on the ipsilateral (affected) side to reduce hip and knee ROM.
Anatomically molded cane handles distribute pressure over a small area.
Anatomically molded cane handles distribute pressure over a small area.
Canes fitted with a swan-neck handle bring the center of balance over the longitudinal axis of the stick.
Canes fitted with a swan-neck handle bring the center of balance over the longitudinal axis of the stick.
A walking stick’s length should cause an elbow bend of 45 degrees.
A walking stick’s length should cause an elbow bend of 45 degrees.
Tripod and quadripod walking aids have a limited base for staircases.
Tripod and quadripod walking aids have a limited base for staircases.
Crutch walking gait requires no muscle strength.
Crutch walking gait requires no muscle strength.
The 'swing-to' crutch gait involves swinging the body to the crutches.
The 'swing-to' crutch gait involves swinging the body to the crutches.
During a 'swing-through' crutch gait, the body is lifted and swung beyond the crutches.
During a 'swing-through' crutch gait, the body is lifted and swung beyond the crutches.
4-point crutch gait involves all or part of body-weight being taken on each foot.
4-point crutch gait involves all or part of body-weight being taken on each foot.
The 3-point crutch gait is suitable for patients with good strength in both lower limbs.
The 3-point crutch gait is suitable for patients with good strength in both lower limbs.
In a 2-point crutch gait, the right crutch and left foot move simultaneously.
In a 2-point crutch gait, the right crutch and left foot move simultaneously.
Axillary crutches should press below the axilla.
Axillary crutches should press below the axilla.
With axillary crutches the hands should bare the users body-weight.
With axillary crutches the hands should bare the users body-weight.
Forearm crutches are suitable for patients with a very stiff wrist.
Forearm crutches are suitable for patients with a very stiff wrist.
Knee walkers are an alternative to crutches.
Knee walkers are an alternative to crutches.
Wrist dorsiflexors are essential for stabilizing the wrist during powerful finger extension.
Wrist dorsiflexors are essential for stabilizing the wrist during powerful finger extension.
Parallel bars are mainly utilized to treat stable patients.
Parallel bars are mainly utilized to treat stable patients.
When using a walking frame, the height should be set to allow for upright standing and 30 degrees of elbow flexion without hunched shoulders.
When using a walking frame, the height should be set to allow for upright standing and 30 degrees of elbow flexion without hunched shoulders.
Reciprocal frames require the user to advance one leg and the ipsilateral arm simultaneously.
Reciprocal frames require the user to advance one leg and the ipsilateral arm simultaneously.
When fitting axillary crutches, the length should be precisely at the axillary fold to maximize weight-bearing capacity.
When fitting axillary crutches, the length should be precisely at the axillary fold to maximize weight-bearing capacity.
Flashcards
Function of walking aids
Function of walking aids
Walking aids improve mobility by transferring body-weight to the upper extremities.
Walking aid selection criteria
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 in walking aid use
Finger flexors provide a firm handgrip when using walking aids.
Wrist dorsiflexors function
Wrist dorsiflexors function
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Elbow extensors' role
Elbow extensors' role
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Shoulder flexors' action
Shoulder flexors' action
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Shoulder depressors' function
Shoulder depressors' function
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Parallel bars: purpose
Parallel bars: purpose
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Mirror use with parallel bars
Mirror use with parallel bars
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Parallel bars setup
Parallel bars setup
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Walking frame: main purpose
Walking frame: main purpose
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Walking frame: base design
Walking frame: base design
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Walking frame: target users
Walking frame: target users
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Walking frame: other users
Walking frame: other users
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Walking frame: height setting
Walking frame: height setting
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Walking frame: usage
Walking frame: usage
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Stepping pattern with frame
Stepping pattern with frame
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Rigid Frames Characteristics
Rigid Frames Characteristics
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Rigid Frames Height
Rigid Frames Height
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Folding Frames: Best Use Cases
Folding Frames: Best Use Cases
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Folding Frames: Legs
Folding Frames: Legs
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Reciprocal Frames: Hinged Design
Reciprocal Frames: Hinged Design
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Reciprocal Frames: Best Use Cases
Reciprocal Frames: Best Use Cases
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Reciprocal Frames: Movement
Reciprocal Frames: Movement
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Forearm Frames: Support
Forearm Frames: Support
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Wheeled Frame: Use Cases
Wheeled Frame: Use Cases
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Wheeled Frame: Specs
Wheeled Frame: Specs
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Wheeled Frame : Specifications
Wheeled Frame : Specifications
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Wheeled Frame: Movement
Wheeled Frame: Movement
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Wheeled Frames; Disadvantage
Wheeled Frames; Disadvantage
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Rollators: Composition
Rollators: Composition
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Rollators: wheels composition
Rollators: wheels composition
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Rollators: Stability v Movement
Rollators: Stability v Movement
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Rollators: Brake activation
Rollators: Brake activation
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Walking Sticks: Definition
Walking Sticks: Definition
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Walking sticks/canes: Composition
Walking sticks/canes: Composition
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Stick Location
Stick Location
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Stick Placement Strategy
Stick Placement Strategy
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Cane Handle Design
Cane Handle Design
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Cane Handle Design
Cane Handle Design
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Stick Length & Gait
Stick Length & Gait
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Tripod walking aids Stability
Tripod walking aids Stability
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Tripod walking aids Users
Tripod walking aids Users
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Folding Frames: User scenario
Folding Frames: User scenario
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Reciprocal Frames: Benefit
Reciprocal Frames: Benefit
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Forearm Frames: The goal
Forearm Frames: The goal
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Walking Sticks/Canes: main benefit
Walking Sticks/Canes: main benefit
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Tripod walking aids: Definition
Tripod walking aids: Definition
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Walking Stick: Length Adjustment
Walking Stick: Length Adjustment
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Clinical setting Definition
Clinical setting Definition
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Frame Grip
Frame Grip
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Ferrules addition on stick
Ferrules addition on stick
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Rigid Frames: Benefits
Rigid Frames: Benefits
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Walking Sticks: Primary Usage
Walking Sticks: Primary Usage
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Walking sticks/Placements:
Walking sticks/Placements:
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Walking Frames Usage: Posture
Walking Frames Usage: Posture
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Frames Elbow Flexion
Frames Elbow Flexion
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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
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