Clinical application of walking aid

- Feb 07, 2018-

In general, canes for patients with hemiplegia or unilateral lower limb paralysis, forearm crutches and armpit for paraplegic patients. Walker support area, stable than the armpit, and more indoors.

(1) Cane

Normal upper limb and shoulder muscles to use canes, such as hemiplegic patients with contralateral, lower limb muscle strength less complete incomplete paraplegia. Good grip, upper limb supportive patients can choose single foot cane, such as balance and coordination is poor, should use three or four-foot cane.

(2) Forearm crutches and axillary crutches

① complete paralysis of both lower extremities (paraplegia under T10, you must use the thigh orthosis, or complete paraplegia below T4, paraplegia orthosis with upper limb muscle strength up to five patients), can use the double forearm or armpit walk; unilateral lower limbs Completely paralyzed, walking with crutches on one side. ② incomplete paralysis of both lower extremities, according to remnants of lower extremity muscle strength, use axillary or forearm. ③ generally select the standard forearm for training, such as patients will stand up axillary rod, hand-held handle can walk, you can use the forearm. ④ arm muscle weakness: triceps weakening, lower elbow support capacity, the choice of trochal support sheet type axillary; elbow stability is poor, the choice of a wrist band with a forearm or axillary rod. ⑤ elbow flexion contracture, can not be straight, you can use the platform staff.

(3) Walker

Two upper limb muscle strength is poor, can not fully support weight, should use armpit support walker. Normal upper limb muscle strength, poor balance of paraplegia patients can choose to use interactive walker.

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