The 411 - Crutches

Crutches are medical devices that provide support and assist individuals with mobility challenges to walk when they have difficulty using one or both legs. They are often prescribed to people who have suffered injuries or undergone lower limb surgeries. Crutches come in various designs, but the most common type is the underarm crutch, which consists of a padded underarm support and a handgrip.

Here's how crutches work:

1. Types of Crutches:

   • Underarm Crutches: These crutches have a padded underarm support that rests against the ribcage, and a handgrip allows the user to hold onto the crutch.
   • Forearm Crutches (Lofstrand or Canadian Crutches): These crutches have a cuff that fits around the forearm, allowing the user to grasp the handgrip while providing more mobility and freedom for their hands.
   • Platform Crutches: These are used by individuals with weaker upper body strength. They have a larger platform on which the forearm rests.

2. Proper Fit:

   • It's essential that crutches are properly sized and adjusted to the individual's height and arm length. The top of the crutch (underarm or cuff) should be about 1-2 inches below the armpit, and the handgrip should be at wrist level when the user stands upright.
   • Incorrectly sized or adjusted crutches can lead to discomfort, pain, and potential injury.

3. Weight Distribution and Movement:

   • When using crutches, the individual bears weight on their hands and upper body, taking pressure off the injured or non-functional leg.
   • To walk with crutches, the user typically follows a sequence of movements:
     • The crutches are placed slightly ahead and to the side of the person.
     • The individual leans forward and puts weight on the hands while simultaneously moving the injured leg forward.
     • The non-injured leg is then moved forward, ahead of the crutches.
     • The process is repeated in a coordinated motion, allowing the person to move forward.

4. Stairs and Obstacles:

   • Going up and down stairs with crutches requires specific techniques. For ascending, the non-injured foot goes first, followed by both crutches, and then the injured foot. The process is reversed for descending.
   • When navigating obstacles, the individual may need to use ramps or choose alternative paths, depending on the height of the obstacle.

5. Safety Tips:

   • Users of crutches should wear supportive, comfortable footwear with non-slip soles.
   • It's essential to maintain good posture and avoid putting excessive pressure on the underarm or cuff to prevent nerve and muscle damage.
   • Users should avoid overreaching with the crutches, as this can lead to instability and falls.

Crutches can be an essential tool in aiding mobility and independence during the healing process. Proper instruction on how to use crutches, along with physical therapy if necessary, can help individuals move safely and efficiently until they regain full use of their legs.

Source: Some or all of the content was generated using an AI language model