Ortho

Question 1

Crutches

Answer 1

• Length
  
  • 2-3 fingerwidths below anterior anxillary fold to a lateral and slightly in front of foot
  • not measured from any point on the foot
• Handgrips
  
  • Elbow flexion will be 30 degrees
• Gaits
  
  • 2 Point
    
    • move one crutch and opposite foot together
    • two affected legs; mild problems
  • 3 point
    
    • move two crutches and bad leg together
    • when one leg is affected
  • 4 point
    
    • everything moved independently
    • two affected legs; severe problems
  • Swing through
    
    • non-weight bearing
    • for two braced extremities
    • for amputees
• Stairs
  
  • Up with the good, down with the bad
    
    • → crutch moves with the bad leg

Question 2

Cane

Answer 2

• Hold cane on the unaffected side
• Advance cane with the opposite side for a wide base of support

Question 3

Walker

Answer 3

• Use
  
  • pick up → set it down → walk to it
• do not tie belongings to front of the walker
  
  • sides ok
• Chair to walker
  
  • hold on to chair → stand up → grab walker