Assistive Devices Flashcards
Cane
-least stable (some more than others depending on contact points)
-off loads 10-30% of BW
-Types: Standard, Tripod, Quad
-used for BALANCE, minor WB off loading d/t PAIN (**not for WB precautions)
-cane should be in hand of STRONG side
Crutches
-more stable than cane
-can offload degrees of BW
-can be used for PWB/NWB
-different types require different upper limb strength and balance requirements
-Types: Standard (axillary) or Forearm (Lofstrand)
Cane Measurement
-ensure pt in safe position b4 adjusting
-pt in relaxed posture
-handle of cane should line up w/ wrist crease
Axillary Crutches Measurement
-pt standing in most erect position possible
-armpit pad of crutch should be 3 fingers below axillary fold
Forearm Crutches Measurement
-pt in most erect posture, arms extended
-handgrip level with wrist crease
-forearm cuff 3 fingers below olecrannon process when hand is in handgrip (elbows at 20-30deg)
Walker
-most stable, can offload the most weight from affected limb
-cumbersome and makes pt feel “old”
-Types: Standard, 2WW/FWW, or 4WW
Standard Walker Pros and Cons
PROS:
1. v stable
2. can slow impulsive pt down
3. can be used with WB restrictions, pain, or weakness
CONS:
1. bulky, heavy
2. inhibits normal gait pattern
3. can get in way for impulsive pt
4. demands more energy than 2WW/FWW
FWW/2WW Pros and Cons
PROS:
1. smooth
2. allows for more normal gait pattern
3. more energy efficient
4. can be used for WB restrictions, pain, or weakness
CONS:
1. slightly less stable than standard
2. can “get away” from pt
Walker Measurement
pt stands inside walker and wrist crease should be in line with handles of walker
4WW or Rollator
-not a stable AD
-good for pt w/ POOR ENDURANCE d/t fold down seat
-easy to maneuver & use outdoors
**NOT for pt with PWB/NWB
Hemi Walker
-pt with stoke, FX ARM in sling BUT require assistance from walker
Hemiwalker Measurement
-pt standing tall
-handle should meet crease of wrist
