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• Grip the crutch handles firmly. Place as much weight as you have been instructed on the leg, with the remaining weight shared between the crutches. Remember to keep partial weight bearing on the stairs. However it has been advised you use crutches for a period of time to help support your recovery. Push down equally on the handgrips and step through with your good leg. For those who need one crutch to be longer, it will be easy to extend anyone of them. 7-3501-106 ED C34 CC Rev 01 2012 Review 03 OD Your physician will decide whether you are to be non-weight bearing, toe-touch weight-bearing, partial weight-bearing, or weight-bearing as tolerated on your surgical/injured leg. Your physician will decide whether you are to be non-weight bearing, toe-touch weight-bearing, partial weight-bearing, or weight-bearing as tolerated on your surgical/injured leg. Stand up with weight on both feet but favouring your unaffected side. 7. Most times, injury to any part of the leg can be so severe and hurtful. Place both feet flat on the ground and place your free hand on the armrest (or seat) of the chair. This instructional video shows how to walk with crutches correctly while putting partial weight on the injured leg. 2 Keep the crutches away from the edge of the stairs. To take a step, squeeze the crutches between your upper arms and ribs put the weight through your hands not your armpits. It is important that place as much weight on the surgical/injured leg as tolerable, to prevent muscles in that leg from … Take your weight through your walking aid and/or bannister. This is roughly the width of two fingers. Keep the crutches on the step where you’re standing. Take some of your weight through your walking aid and/or bannister. Adobe Acrobat Pro 11.0.5 Paper Capture Plug-in Hold onto the handrail with one hand. Lean forward at your hips, tighten your core muscles and then push down through both hands and both legs (only place as much weight through the surgical/injured leg as specified by your physician) in order to stand. Hold on to a rail and use elbow crutches as needed. Push down forcefully and equally on the handgrips. Partial weight bearing (PWB) means that you can put some weight on your affected leg; you will have been advised how much by the clinician that you saw. When not in use, it is best to rest your crutches upside down. Using crutches on stairs or steps can be very scary. 2017-11-26T19:34:46-05:00 Step up with your stronger leg (see image at … Repeat. uuid:f5782bd7-d074-402e-a184-1a674955f710 The list of great features Medline MDS805160 provides: Excellent for tall people everywhere. 2. Keeping your weight on the good leg, take the crutches from under your arms. Advice If there is a bannister or rail, please use it. If going up multiple steps, repeat this pattern until you have reached the top. A healthy leg can support your body weight, but when you have an injured leg or foot, you need to keep weight off it. How to use crutches while walking. you can put weight through your leg as normal. 2. In this case, your patient would estimate half of their body weight and put 50% of their weight through their injured leg, and the remaining 50% of their body weight would be supported by their arms through the crutches. Using crutches 4 Partial weight bearing Walking • You can put some weight on your injured leg. >fq�w6A��N&� ��@�۲6�ZӒ���❔ڎfw��#�E��ԩ�ы~����w�ٳы�n6�i��o�i�A�q��u�h���ޡ����f��9����0�Hi�$����~�����ۢ���+�����UTf���jB��_��hr��EW}�^�����w� %PDF-1.3 %���� Step up with your non-affected leg while leaving your crutches on the step below. Bring down your surgical/injured leg first. • Your injured leg can be on the ground. Put the "bad" leg forward, level with the crutch tips. Reach back with your free hand until you feel the armrest (or seat) of the chair. Use your crutch in your other hand. To get a feel for your PWB limit, you may place your surgical/injured leg onto a scale and shift your weight to that side. Swing the unaffected leg forward in front of the crutches. If going down multiple steps, repeat this pattern until you have reached the bottom. Put the crutches forward about 1 step's length. When climbing up and down steps, remember this rule: Up with the good (unaffected leg) and down with the bad (affected leg). Take weight through crutch( es) and handrail, put unaffected leg on first step. Alternate walking method. Your physician will decide whether you are to be non weight bearing, toe-touch weight bearing, partial weight bearing, or weight bearing as tolerated on your surgical/injured leg. Lower both crutches down to the step below. For example, a 200-pound patient that is allowed 50% PWB may place up to 100 pounds of weight through the surgical/injured leg. Tips for Going Up the Stairs on Crutches. Managing Stairs and Steps Non-Weight Bearing (NWB) This leaflet should only be used in conjunction with the advice and demonstration given by your Physiotherapist. You might be using two crutches and non-weight bearing (NWB) on one side, partial weight bearing (PWB) with two crutches, or PWB with one crutch. Take care not to put weight on your bad leg. You will also learn how to safely sit, stand and go up and down stairs. The therapist will instruct you on the appropriate set-up and fitting of your crutches. 20 0 obj <>/Metadata 15 0 R/OutputIntents[16 0 R]/Pages 14 0 R/StructTreeRoot 54 0 R/Type/Catalog/ViewerPreferences<>>> endobj 15 0 obj <>stream Hold both crutches under your opposite arm. If your crutches reach too close to the … How To Use Crutches On Stairs - Partial-Weight Bearing Going Up Stairs: 1. But walking by a crutch bearing body weight is not an easy task. How to use crutches on the stairs. CorelDRAW Version 12.0 Start close to the bottom step. Get someone to carry your other crutch up/down the stairs for you. This time period will be determined by your … Transfer 1 crutch and hold both crutches by the hand grips in 1 hand. Move your injured leg forward and put your foot even with the crutches. Hold both crutches in one hand, on the side of your surgical/injured leg. Step up with your surgical/injured leg and both crutches. Replace worn tips and unsafe parts. Push down through the crutch handles, then step down with your non-surgical/non-injured leg. H��W�n9��� These instructions are specifically for patients that are partial weight bearing (PWB). The first thing to remember when climbing stairs with crutches is always go up with your good • Put your injured leg on the ground, slightly behind the crutches. Push down on the back walker handle and handrail, shift weight onto strong leg and step down with the weak leg (non weight bearing- hold injured leg forward in order to clear the step) Then step down with the strong leg (non weight bearing- hop down with strong leg) Move the walker down to so that the back legs again rest on the step beside you Lean forward and bend your good knee. When going up the stairs, follow this sequence: - place your good leg on the step first - next, bring your other leg to the same step - finally, bring your crutch up to join your feet on the step. Note: If you’re supposed to keep all weight off your leg (non–weight-bearing), ask your healthcare provider for special instructions. 2Hold both crutches in one hand, on the side of your surgical/injured leg. 4. Always slow down the speed when you have to transfer the injured leg by pushing harder on your crutches for a non-weight bearing. Patients in Bethesda, MD, Arlington, VA, and beyond can give us a call at (301) 530-1010. PDF/X-1:2001 Using the stairs with your elbow crutches If you need to use the stairs at home you may be taught how to go up and down the stairs by a physiotherapist before you are discharged from hospital. Use your crutches only as instructed. Remove loose rugs or other small objects from the floor in order to minimize the risk of tripping. Do not wear long, floor-length robes or gowns while using crutches. The rubber tip is well made for keeping the crutch in place. 1���5M��������#5�ҷ�|��+\c�|2b>�D�)���D�k Nj�$�[U-���]�t[�k�`��>�뙑�����ZiŒk�J6`#�|��U3L3�j,d�!5����\�B!�E�ύ �M�1��2��iLܢ��'*.j&��y��T�DXV�& �G��-Xy$���BPHe-�"%��������b߷o�'��, 7-3501-106 ED C34 CC Rev 01 2012 Review 03 OD. It’s simple while walking by a crutch without bearing body weight. But methods using of different crutches is an important context. Scoot forward in the chair to make it easier to stand. Keep in mind any weight-bearing limits. • Weight bearing as tolerated: Allow as much weight as tolerated through the involved leg. You are allowed to put full weight through your affected (operated/injured) leg i.e. The “swing to” method of walking, sometimes called gait, is easy to learn and takes less arm strength and balance. The part that makes them non-weight bearing is the adjustable length. Regain your … Your weight should be placed through your hands by pushing down through the crutch handles. (Push down through the crutch handles with your hands in order to avoid placing too much weight through the surgical/injured leg.). • Place both of your crutches one step in front of you, level with each other. 50%. 2. Famous Physical Therapists Bob Schrupp and Brad Heineck provide instruction on how to go up & down stairs with crutches. 6. When they are fixed in place, they will not move. Establish balance. These instructions are specifically for patients that are partial weight bearing (PWB). Partial Weight Bearing - The surgeon may specify a certain percentage of weight that is safe to put on the injured leg, e.g. Ascending stairs and steps 1. How to Use Crutches – Partial Weight Bearing Patient Information Leaflet If you are unable to attend your appointment please 600818 to cancel your appointment . Standing straight with your arm at your side, the crutch handle should align with the inside of your wrist. application/pdf 4. • Step through with your unaffected leg while taking some of your weight through your hands and some through your injured leg. Use your assistive device to stand with slight pressure on your leg. uuid:ea20b662-adcc-4722-8364-89d44f5b7078 Hop onto the first step with your good (un-operated) leg. Take most of the weight by pushing down on the handgrips, squeezing the top of the crutches between the chest and arm. It is very important that you adhere to your weight-bearing instructions in order to avoid disrupting the healing process. These instructions are specifically for patients that are weight bearing as tolerated (WBAT). Discharge Instructions: Using Crutches (Non–Weight-Bearing) Your healthcare provider has prescribed crutches for you. PDF/X-1a:2001 Once standing and steady, place one crutch under each arm. Lower the crutches down, step down with your surgical/injured leg, then step down with your non-surgical/non-injured leg. Using crutches. Partial weight bearing. Place only the amount of weight through your surgical/injured leg as specified by the physician. Climbing stairs - partial weight bearing. Keep your bad leg out behind you. Start by placing both crutches 1-2 inches to the outside of each foot and 6-12 inches in front of you. Put only as much weight on your injured leg as you have been advised. It's important to remember which leg goes first when walking with crutches weight-bearing. Whether you’ve received a referral from your primary care physician or would like to visit our premier team to discuss any orthopedic issues you may be experiencing, we invite you to contact us today. Walking up stairs: Stand at the bottom of the stairs. They are less likely to fall over this way. (If there’s no handrail, keep one crutch under each arm.) Step up with your non-surgical/non-injured leg. So here are a few tips to help you get safely up and down the stairs with crutches. Position yourself so that the backs of your legs are touching the chair. Take a step with the "good" leg. Stand close to the surface you intend to go up. 2017-11-26T19:34:46-05:00 Maintaining your weight-bearing limitations, step forward with your non-surgical/non-injured leg, just in front of the crutches. For example, if you are 25% PWB, you may place 25% of your bodyweight through this leg. Partial weight-bearing allows you to place half of your weight on the operated extremity. Yet, crutches are in many cases the top ideal decision for non-weight bearing recovery. Sep 25, 2017 - Cindy demonstrates How to Use Crutches up and down Stairs both for non weight bearing and limited weight bearing. Keep in mind any weight-bearing limits. Use your crutches for all walking and standing activities until your physician instructs you otherwise. Have someone walk with you initially until you feel steady on your feet. This designation will be accompanied by a percentage value, which indicates exactly how much weight you are able to support through the leg. This is especially important when walking on unlevel/uneven surfaces or stairs. Stand with feet close to edge of step, hold onto handrail with … Place both crutches and affected leg forward. When using the stairs never forget that you should always start a step or a movement with your healthy leg. Introduction The following information is a guide to show you how to safely walk with your crutches and to go up and down stairs. Hold the armrest of the chair (or chair seat) with the other hand. Check the ground for objects that may cause crutches to slip out from under you. Move the crutches forward. Whenever you go up the stairs with crutches, whether there’s a railing or not, use your strong leg to step onto the stair first before pulling up the injured leg. 3. Regain your balance. Step up with your affected leg and bring the crutches up with you. Aug 8, 2019 - Kaiser Permanente Santa Rosa Physical Therapy: Partial Weight Bearing on Stairs using Crutches Can be used even by shorter … It is very important that you adhere to your weight-bearing instructions in order to avoid disrupting the healing process. Crutches are always being used when there is a need to keep the body weight away from the injured leg making the best crutches for non-weight bearing important for mobility. This is when you are able to take full weight on the unaffected leg, and some weight on the affected leg. False The therapist will … However, with varied mobility of body there are also differences in the use of crutches. endstream endobj 14 0 obj <> endobj 54 0 obj <> endobj 55 0 obj <>/CM10<>/CM11<>/CM12<>/CM2<>/CM3<>/CM4<>/CM5<>/CM6<>/CM7<>/CM8<>/CM9<>>> endobj 89 0 obj <> endobj 90 0 obj <> endobj 91 0 obj [56 0 R 57 0 R 95 0 R 96 0 R 97 0 R 98 0 R 99 0 R 100 0 R 101 0 R 102 0 R 103 0 R 104 0 R 105 0 R 106 0 R 107 0 R 108 0 R 60 0 R 61 0 R 109 0 R 110 0 R 111 0 R 112 0 R 113 0 R 114 0 R 63 0 R 115 0 R 116 0 R 64 0 R 65 0 R 66 0 R 67 0 R 117 0 R 68 0 R 118 0 R 69 0 R 70 0 R 71 0 R 72 0 R 73 0 R 74 0 R 75 0 R 76 0 R 119 0 R 77 0 R 120 0 R 78 0 R 94 0 R] endobj 92 0 obj <>46]/P 121 0 R/Pg 21 0 R/S/Link>> endobj 93 0 obj [80 0 R 81 0 R 122 0 R 123 0 R 124 0 R 125 0 R 126 0 R 127 0 R 128 0 R 129 0 R 83 0 R 84 0 R 85 0 R 130 0 R 131 0 R 132 0 R 133 0 R 134 0 R 135 0 R 87 0 R 136 0 R 137 0 R 138 0 R 139 0 R 140 0 R 141 0 R 142 0 R 143 0 R 144 0 R 145 0 R 146 0 R 147 0 R 148 0 R 149 0 R 150 0 R 151 0 R 152 0 R 153 0 R 154 0 R 155 0 R] endobj 94 0 obj <>46]/P 79 0 R/Pg 21 0 R/S/Link>> endobj 79 0 obj <> endobj 21 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/TrimBox[0.0 0.0 792.0 612.0]/Type/Page>> endobj 156 0 obj [47 0 R] endobj 157 0 obj <>stream • Take your weight through your hands by squeezing the • Put one crutch under each arm. Check the crutches daily for cracks and/or loose screws. Using Crutches: Up and Down Steps. If appropriate you will be given metal elbow crutches. Climb up to first step straightening good leg. Non-weight bearing means that you’re unable to put weight on the injured leg. Wear appropriately-fitted, low-heeled shoes. *If there is a railing available to use, hold both crutches on the side of your body opposite the handrail and grab the handrail with your free hand. Begin by using a scale to see how much pressure is on your affected leg when half of your weight is placed on it. Crutches provide temporary support if you're struggling to balance or need to take weight off of one, or both, of your legs. partial weight bearing. Full and partial weight bearing style of walking Going up stairs 1. Weight-bearing as tolerated (WBAT) or Full weight-bearing (FWB) Going Down Stairs: 1. Slowly lower yourself into the chair, making sure to only place as much weight through the surgical/injured leg as specified by your physician. The height of the crutch should be adjusted so that there are 1-2 inches of space between the top of the crutch and your armpit. Repeat the procedure. You may combine the first two steps if you feel comfortable; advance your non-surgical/non-injured leg and both crutches forward at the same time. • Partial weight bearing: Allow a maximum of 50% body weight to be applied to the involved leg. Once standing, place both crutches one step in front of you, level with each other. Move both crutches and your injured leg forward at the same time. USE OF CRUTCHES : ON LEVEL SURFACES: • Crutch tips should be approximately 6" in front and 6" to the side of both legs. Stand on floor facing stairs, hold onto handrail with one arm and crutch( es) in outside arm, close to first step. They can feel more stable and secure than a walking stick, but less than a walking frame. Put as much weight as you are allowed on the injured leg, taking the rest of the weight through your arms and hands. Step through the crutches with your good leg. Push down through the crutch handles in order to avoid placing too much weight through your surgical/injured leg, as you begin to swing your non-surgical/non-injured leg forward. Tip: Ask a friend to carry one of your crutches while you climb or descend stairs. Stand close to the edge of the surface you intend to go down. Step your surgical/injured leg forward to meet the crutches. Crutches should be in the middle of the step, away from the edge. *If there is a railing available to use, hold both crutches on the side of your body opposite the handrail and grab the handrail with your free hand. Do not wear slippers or high heels. 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