3 point gait pattern
both crutches (or walker) + AFFECTED leg at the same time ->
UNAFFECTED leg
3 point gait indications
-unilateral weakness
-pain
-injury
-non-weight bearing
3 point gait equipment
2 crutches or walker
-NOT 2 canes
3 point gait advantages
-must use with non-weight bearing LE
-more stable + safe
-crutches “step to” or “step thru”
3 point gait disadvantages
-moderately complex
-high energy expense
-walker “step to” gait
-roller walker “step thru” possible
modified 3 point gait pattern
walker/crutches + AFFECTED leg TOUCH DOWN ->
UNAFFECTED leg
modified 3 point gait indications
progression of patient
-converts unilateral non-weight bearing status to some level of weight bearing (touch-down WB, partial WB)
-“modified” because of TDWB
modified 3 point gait equipment
2 crutches or walker
-NOT 2 canes
4 point gait pattern
(alternating)
R crutch ->
L leg ->
L crutch ->
R leg
4 point gait indications
-bilateral LE wakness
-pain
-problems with balance
4 point gait equipment
-2 crutches
-2 sticks
-2 canes
-reciprocal walker
4 point gait advantages
-stability
-safety
-low energy expense
-somewhat similar to normal gait pattern
4 point gait disadvantages
-complex task, requires mulit-limb coordination
-slow
2 point gait is a progression from
4 point gait
2 point gait pattern
R crutch with L leg ->
L crutch with R leg
2 point gait indications
-bilateral weakness
-pain
-problems with balance
2 point gait equipment
-2 crutches
-2 canes
-reciprocal walker
2 point gait advantages
-stability
-safety
-low energy expense
-more similar to normal gait pattern
-faster than 4 point
modified 4 + 2 point gait patterns
crutch/cane moves with AFFECTED leg ->
UNAFFECTED leg
2 point gait disadvantages
-less stability than 4 point
-may move too fast
-complex task, requires multi-limb coordination
modified 4 + 2 point gaits equipment
ONLY 1 AID rather than 2
-ex: only 1 crutch
*the cane/crutch is placed on the OPPOSITE side of the body of weaker leg
modified 4 + 2 point gait indications
-progression of patient (faster)
-patient has only 1 functional UE (stroke)