Crutch Walking

Question 1

How to measure a client for crutches

Answer 1

The client lies in a supine position and the nurse measures from the anterior fold of the axilla to the heel of the foot and adds 2.5cm (1 inch)

OR

The client stands erect and positions the crutch. The nurse makes sure that the shoulder rest of the crutch is at least 3 finger widths (2.5-5cm) below the axilla

Question 2

Teaching for crutches

Answer 2

1. Develop a plan of exercises to strengthen the arm muscles
2. Instruct on appropraite crutch gait
3. Getting into/out of chair/bed
4. Getting into/out of car
5. Going up/down stairs
6. Keep crutch tips dry and clean
7. Wear a shoe with low heel that grips the floor

Question 3

Four Point Gait

Answer 3

Each foot and crutch moved separately

R. Crutch

L. Foot

L. Crutch

R. Foot

Question 4

Four Point Gait Uses

Answer 4

Safe, slow. Use when weight-bearing is allowed for both legs

Question 5

Two Point Gait

Answer 5

L. crutch and R. foot move together, then R. crutch and L. foot together

Question 6

Two Point Gait Uses

Answer 6

Faster, safe. Requires at least partial weight bearing on each foot

Question 7

Three point Gait

Answer 7

Weaker leg and both crutches move together, then move stronger leg.

Question 8

Three Point Gait Uses

Answer 8

Faster, safe. Must be able to bear the entire body weight on the unaffected leg

Question 9

Swing-To Swing-Through Gait

Answer 9

Advance crutches together then bring both feet to or through the crutches.

Question 10

Swing-to Swing-Through Gait Uses

Answer 10

Fast gait, balance and stength required. Used by clients with paralysis of legs and hips