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CRUTCHES
Verify correct fit of crutches: approximately 3 finger widths between the axilla and top of the crutch |
Position crutches on the unaffected side when sitting or rising from a chair |
Position hands on hand grips w/ elbows flexed at 30 degrees |
Do NOT bear weight on axilla
CRUTCHES: NON-WEIGHT-BEARING
Beginning in the tripod position, maintain weight on the "unaffected" (weight-bearing) extremity |
Advance both crutches and the affected extremity |
Move the unaffected weight bearing foot/leg forward (beyond the crutches) |
Advance both crutches, and then the affected extremity |
CRUTCHES: WEIGHT-BEARING
Move crutches forward about one step's length |
Move affected leg forward, level w/ the crutch tips |
Move the unaffected leg forward |
CRUTCHES: WALKING UP STAIRS
Hold onto rail w/ one hand, and crutches w/ the other hand |
Push down on the stair rail and the crutches, and step up w/ the unaffected leg |
If not allowed to place weight on the affected leg, hop up w/ the unaffected leg |
Bring the affected leg and the crutches up beside the unaffected leg |
Remember that the unaffected leg goes up first and the crutches move with the affected leg
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CRUTCHES: WALKING DOWN STAIRS
Place the affected leg and the crutches down on the step below |
Support weight by leaning on the crutches and the stair rail |
Bring the unaffected leg down |
Remember that the affected leg goes down first and the crutches move with the affected leg
CANE
Cane is used on the unaffected side |
Move the cane forward 6 to 10 inches |
Then, move the weaker leg forward |
Finally, advance the stronger leg past the cane |
For correct size, have pt wear shoes.
The length is measured from the greater trochanter to the floor.
Another method of cane walking includes having the pt move the affected extremity and cane at the same time.
WALKER
For correct size, have the pt wear shoes |
The pt's wrists are even w/ the hand flips on the walker when arms are dangling downward |
Advance the walker approximately 12 inches |
Advance w/ the affected lower limb |
Move unaffected limb forward |
Identify appropriateness of a rolling walker if a walker is being used for support due to overall weakness.
A rolling walker isn't appropriate for a pt who has Parkinson's disease due to shuffling gait.
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