DME Flashcards
Canes
These aids provide balance and allow for the transfer of weight off a weakened leg. The height of the cane must be adjusted to the individual patient. Wood canes must be cut. Metal canes are adjustable.
Correct Height Measurement for Canes
The elbow should be at a 25 degree angle or when standing with arm down the top of the cane should come to the crease in the wrists.
Folding Cane
fold to allow for easy transport or storage when not in use.
Quad Cane
a metal cane that has a quadrangular base with four legs. This allows for greater weight transfer. The base of the quad cane comes in two sizes. The larger base provides greater stability but is more difficult to manipulate because of the size and weight.
Hurrycane promoted features
Stabilizes like a foot
Pivots like an ankle
Bends like a knee
Changes height
Seat Canes
Contain an area that can be folded down and used to sit on. They are useful for individuals who cannot walk long distances without resting.
Crutches
may be used by patients with temporary disabilities (e.g., sprains, fractures) or by those with chronic conditions. They are used to take all the weight off an injured or weakened leg. The crutches are used in place of the leg.
Axillary Crutch
is typically used for temporary disabilities. The top of the crutch should be 2 inches below the axilla to prevent “crutch paralysis” (i.e., injury to the axillary nerves, blood vessels, and lymph nodes). The height of the handgrip should be set so that the elbow forms a 25 degree angle.
Parts of an axillary crutch
Crutch body
Hand grips
Rubber bottom
Rubber arm rest
Forearm crutch
(also called a Canadian or Lofstrand crutch) - remains in position by attaching to the forearm by a collar or cuff. It is commonly used by patients who need crutches on a long-term basis.
Quad crutch
is a forearm crutch with a quadrangular base that has four legs. The base is attached to the crutch with a flexible rubber mount. This allows for more stability and constant contact with the ground.
Platform crutch
contains a rectangular area in which to place the forearm. The crutch may be held by a handgrip or secured by a belt that wraps around the forearm. It is commonly used by patients who do not have enough hand strength and control for a forearm crutch.
Walker
lightweight rectangular-shaped devices that are made of metal tubing and have four widely placed legs. Walkers are used by patients who need more support than a cane or crutch or who have trouble with balance during ambulation. The use requires reasonably good arm, hand, and wrist function. The patient holds onto the walker and takes a step, then moves the walker and takes another step.
Hemi or Side walker
placed to the side of the patient instead of in front of the patient.
Reciprocal walker
contains two hinges, one on each side of the walker. This allows the user to swing each side alternately during ambulation.