Gait Training, Equipment

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Category: Education
     
 

Presentation Description

Description of advantages and disadvantages of various assistive devices as well as proper fit.

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Presentation Transcript

Equipment : 

Equipment

Equipment : 

Equipment Purpose Increases stability by increasing BOS Decreases weight-bearing Permits mobility Decreases pain

Categories of Equipment : 

Categories of Equipment Greatest to Least Support Parallel Bars Walkers Crutches Cane

Parallel Bars : 

Parallel Bars Maximum stability No mobility Adjustable Proper Fit 20-250 elbow flexion greater trochanter Bars 2” wider than trochanters Grasp bars 6” anterior to hips

Parallel Bars : 

Parallel Bars Disadvantages Difficult to store, transport Difficult to use on stairs. Decreases speed of Ambulation Difficult for normal gait pattern Difficult in narrow or crowded areas.

Walker : 

Walker Types Standard Adjustable, Non-adjustable Reciprocal Stair-climbing Wheeled Folding One-Handed (Hemi-Walker)

Walker : 

Walker Proper Fit Grip at level of trochanter, wrist crease, or styloid process Feet of walker flat, even with heels Hips/knees straight, shoes on

Axillary Crutches : 

Axillary Crutches Advantages Increased selection of gait patterns, speed Easily adjusted (wood or aluminum) Easily stored, transported Can use on stairs, crowded/narrow areas

Axillary Crutches : 

Axillary Crutches Disadvantages Less stable than walker Can cause injury to axillary nerve, vessels Requires good standing balance Elderly insecure Functional strength of UE, trunk required

Axillary Crutches : 

Axillary Crutches Types Standard adjustable and nonadjustable Offset Triceps

Axillary Crutches : 

Axillary Crutches Proper Fit (several methods) Height x 77% Height - 16” Supine axillary fold to 6-8” lateral to heel Sitting both shoulders abducted to 90 degrees 1 elbow fully extended; flex opposite elbow to at least 900 (Standing behind patient) Measure from olecranon process of flexed elbow to tip of middle finger of extended, opposite arm. Measure

Axillary Crutches : 

Axillary Crutches Proper Fit, most common 3 fingerbreadths from axilla Handpiece at level of greater trochanter, ulnar styloid process, wrist crease 20-250 elbow flexion

Forearm Crutches : 

Forearm Crutches Loftstrand Used when stability, support of axillary crutches not required, Requires more stability or support than cane. Eliminates danger of injury to axillary nerves and vessels More functional on stairs Easy to store and transport Convenient

Forearm Crutches : 

Forearm Crutches Disadvantages Decreased stability Requires good standing balance and good UE, trunk strength Difficult to remove Elderly insecure Proper Fit Cuff 1-1½ inches distal to olecranon

Platform Attachment : 

Platform Attachment Individuals unable to bear weight through wrist/hands Deformity B/E Amputation Decreased ability to extend elbow

Platform Attachment : 

Platform Attachment Disadvantages Loss of use of triceps Another person may be needed to apply Less effective on stairs Proper Fit Elbow at 900 flexion

Cane : 

Cane Uses Compensate for impaired balance Increased stability Advantages More functional on stairs, confined areas. Easy storage, transport. Disadvantages Provides limited stability decreased BOS

Cane : 

Cane Types J T Pistol Grip Offset Shaft Quad cane, “Hemi” cane Walk cane

Cane : 

Cane Proper Fit Handgrip at level of greater trochanter, ulnar styloid, wrist crease

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