Recording-2025-03-12T18:07:21.755Z

Overview of Crutches

  • Crutches are assistive devices that provide support and stability for individuals with temporary or permanent mobility impairments.

  • They help individuals transfer weight from their legs to their upper body.

  • Commonly used during recovery from injuries, surgeries, or for chronic conditions affecting mobility.

Types of Crutches

  • Axillary Crutches:

    • Also known as underarm crutches.

    • Used primarily for short-term mobility support.

  • Forearm Crutches (Lofstrand Crutches):

    • These have a cuff that supports the forearm and are generally used for longer-term needs.

  • Platform Crutches:

    • Have a platform for the forearm to rest on, often used by individuals with disabilities.

Proper Use of Crutches

  • Fitting:

    • Ensure crutches are the right height: when standing, the handgrips should be at wrist level and the axillary pad should be about two fingers width below the armpit.

  • Technique:

    • When walking, put weight on the hands and not directly onto the armpits to avoid nerve damage.

    • Move the crutches ahead of the weaker leg, then move the stronger leg forward.

Who Should Not Use Crutches

  • Individuals with Non-Weight Bearing Restrictions:

    • If a doctor specifies that no weight should be put on the injured leg, crutches alone may not suffice; a walker or wheelchair may be required.

  • People with Severe Balance Issues:

    • Those unable to maintain balance or coordination should avoid crutches as they may increase the risk of falls.

  • Patients with Severe Upper Body Weakness:

    • Crutches require upper body strength and stamina. Those unable to effectively use their arms may not benefit from them.

Potential Risks of Using Crutches

  • Injury from Improper Use:

    • Poor technique can lead to falls or additional injuries.

  • Nerve Damage:

    • Prolonged pressure on the underarms can lead to nerve damage.

  • Muscle Strain:

    • Incorrect adjustment or technique may cause strain in the shoulders, arms, or back.

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