gait aid and wheelchair - chiang mai university · •weak hand grip •upper limb cannot bear full...
TRANSCRIPT
GAIT AID AND WHEELCHAIR
SIAM TONGPRASERT, M.D.
GAIT AID: Functions
• Broaden the base of support
• Improve balance and stability
• Reduce load on lower limb
• Assist propulsion
CANES
• Transmit 20-25
% of body
weight from the
lower extremity
• By adding a widened
base of the tip of the
cane, the total base
of support can be
increased, thus
increasing stability
during gait
CRUTCHES
1. Axillary or underarm crutches
2. Forearm or Lofstrand crutches
3. Platform crutches
Axillary crutches
Shoulder
piece
Double
uprights
Hand grip
or bar
• Can transfer 80 % of body
weight • Complication: radial nerve palsy “Crutch palsy”
Forearm crutches
Forearm
cuff
Padded
hand bar
• Can transfer weight 40-50 % of
body weight
• Best suited for patients with
good trunk balance and
confidence in ambulation
Platform crutches
Platform
• It is indicate for patients with
• Flexion contracture of the elbow
• Weak hand grip
• Upper limb cannot bear full force
of weight transmission
WALKER
• Give maximum support during
ambulation
• Suitable for patients who are
confused or have poor balance
• Disadvantage: • Gait is slow and awkward
• Bad posture
• Cannot be used during climbing
stairs
WHEELED WALKER
• Patients with incoordination of
the upper extremity and trunk,
where lifting crutches or walker
and placing them forward may
be difficult
GAIT PATTERNS
1. Alternating (reciprocal) gait
pattern
2. Swinging (simultaneous) gait
pattern
Alternating gait patterns
• Four-point gait
• Two-point gait
• Three-point gait
• Cane gait
• Walker gait
Swinging gait patterns
• Drag-to gait
• Swing-to gait
• Swing-through gait
WEIGHT BEARING
1. Non weight
2. Toe-touch
3. Partial weight bearing
4. Weight bearing as tolerate
5. Full weight bearing
WHEELCHAIR
1. Institute wheelchair (In-door
wheelchair)
2. Out-door wheelchair
Standard wheelchair
Sport wheelchair
Reclining wheelchair
One arm drive wheelchair
Standing wheelchair
Motorized wheelchair
Standard measurement
Cushion
THANK YOU
FOR YOUR ATTENTION