Crutch walking.pptx

crutch walking

1. Presentation on Crutch walking By Dr P ushpendra

2. Definition -: Assisting patient to walk using crutches while providing support and as a convenient method of getting from one place to another.

3. Purpose of walking aids :- Increase area of support or base of support Maintain centre of gravity over supported area Redistribute weight bearing area by decreasing force on injured or inflamed part or limb. Can be compensate for weak muscles Decrease pain Improve balance

4. Factors for use cructhes efficiently :- Muscle strength Correct selection of crutches Good sense of balance The pattern of gait employed Proper Instructions

5. Types of crutches

6. 1. Axillary / Regular/Standard crutches Transfers 80% body weight. 2. Non axillary /forearm cruthes transfers 40-50% body weight

7. How to stand and balance with crutches...! Achieved by standing the patient against a wall and placing a crutch under each arm Correct stance with crutches:- H ead up back straight with the pelvis over the feet as much as possible, The shoulders depressed not hunched, The axillary pads of the crutches gripped between the upper arm and the side walls of the chest 2 inches below the anterior axillary fold The crutches tips 6 inches forward and 6 inches out from the tip of the toes, the palm of the hands on top of the handgrips, The body weight taken mainly on the hands and the elbow in a position of 30 degree flexion.

8. Crutch walking-patterns of gait Four different patterns of gait 1. Swinging crutch gait : Pt is in the stable position Swing to crutch gait- both crutches ; lift and swing the body to the crutches. Swing through gait- both crutches ; lift and swing the body beyond the crutches

9. 2. Four-point crutch gait:- Right crutch; left foot; left crutch; right foot; The patient is standing on both feet with a crutch under each arm 3. Two-point crutch gait -: Right crutch and left foot simultaneously ; Left crutch and right foot simultaneously The patient is standing on both feet with a crutch under each arm

10. 4. Three-point crutch gait- : both cructhes and the weaker lower limb together; the stronger lower limb Walking , non weight bearing- The pateint is standing on his right foot with a crutch under each arm ; the left foot is off the ground

11. Any mobility is better then immobility....! Thank you................