Making Sure the Crutches Fit 1. Remember, it is important to go slowly and use caution when going up and down stairs. Rest one hand on the back of the pelvis for support. 3. Fitting Your Crutches • Adjust your crutches for your height. The crutches are the correct length if there is a 2 to 3 finger space between the top of the crutch pad and your armpit. This gives you better support and helps you walk with more normal movements. Place the crutch under the arm of the affected side. Stairs Remember the saying “good to heaven, bad to hell”. Using two crutches to use stairs, especially when going down is very unsafe. The top of the crutch should be 1 to 2 inches below your armpit. This is a quick NCLEX review over crutches for nursing students! This type of crutch is common in Europe, however in the U.S. generally only people with lifelong disabilities such as polio use this type of crutch. Here are a few tips to help you get safely up and down the stairs with crutches or a cane. The first thing to remember when climbing stairs with crutches is always go up with your good For support, lower the crutch down to the step below and move your injured leg down and then bring your stronger leg down. Remember to take your time and move up slowly one step at a time. Some forearm crutches are ergonomic, designed for more comfort and reduced chance of injury. How To Use Crutches On Stairs - Partial-Weight Bearing Going Up Stairs: 1. Then, step up with your uninvolved leg. Using Crutches On the Stairs – In this vides Cindy, PT with Adaptive Equipment Corner demonstrates how to use crutches up and down stairs when the person is non weight bearing. If possible, have someone help you when using crutches on stairs. Place the top of the crutches under your arms. How to Use Crutches 1/4 . Use the crutch in the hand opposite to the injured leg. The first thing to remember when climbing stairs with crutches or a cane is always go up with your good leg, and down with your bad leg. When coming down the stairs and a railing is available, we recommend you use it. Then, move the uninjured leg down. Stand straight. Remove the crutch nearest to the handrail/banister and place it on the outside in the opposite hand. Here’s how. Stand close to the bottom step. Going down stairs with crutches. Nevertheless, it should be remembered that the use of only one crutch causes some strain on the injured leg and slightly increases the possible risk of falling. If you're going up stairs that have a railing, use the railing to help support and balance your body with one … Going Down Stairs: 1. Using Crutches On the Stairs. Crutches provide temporary support if you're struggling to balance or need to take weight off of one, or both, of your legs. If both crutches can be held in 1 hand safely, you can use both crutches on 1 side and the railing on the other. Using crutches or a cane on stairs or steps can be a very scary concept. You may also put crutches on one side and use the handrail. Place your one crutch onto the lower step, bringing your affected leg forward at the same time. A way to remember is “The good go to heaven, the bad go to hell.” Use 1 crutch and the stair rail if present (only if the railing is stable and there is someone to carry the other crutch). Crutch first, then sore foot, then the good foot. Make sure to put the crutch on the step above the one you are currently standing on as you put your weight on the guide rail. Using crutches on stairs or steps can be very scary. Get close to the step. Your physiotherapist can show you how. Take weight through crutch( es) and handrail, put unaffected leg on first step. Share Tweet Print Source: NHS 24. 6. Step down one step at a time. y On stairs without a railing: follow the instructions for going up and down stairs, except leave one crutch under each arm (as for walking). Repeat the cycle of left crutch, right leg, right crutch, left leg; Going up stairs if you can put weight on your leg. Therefore, try to find someone who will help hold your body and support you to climb up or go down the stairs. This handout gives instructions on how to safely use crutches to help your recovery and healing. Using a 4-point gait-style. Repeat cycle until you are at the top of the stairs. Facing the stairway, hold the handrail with one hand and tuck both crutches under your armpit on the other side. Going Down Stairs . Use a Crutch/Stick If you don’t have any bannisters/hand rails on your stairs or only have one on one side, using crutches or a stick can help. If you're using crutches due to an injury and need to use the stairs, there are a couple ways you can do so without too much difficulty. Put the ends 12 to 20 cm (5 to 8 inches) to the side of your feet. It this way, if they fall backward, you're in … y Hold the railing with your free hand and stand close to the rail. How to Use a Cane On the Stairs – In this video Cindy, PT with Adaptive Equipment Corner demonstrates how to use a cane going up and down the stairs. The different types of gaits used for crutches (two point, three point, four point, swing to gait, swing through gait)? With repetitions all over, the user is likely to keep the injured leg off the ground using the other one all the time. Going up the stairs. Up stairs Bring the crutches up, one in each arm. This crutch is for one hand use. Always make sure the crutch tip is completely on the stair. Shift your weight onto your crutches and your involved leg. When you walk, the pressure should be on your hands, NOT your armpits. Next … railing (or hold as in diagram) and use both crutches as one. Walking up and down stairs is actually much more difficult with two crutches compared to just using one. 3. When you are going up, lead with your good … The cuff on the crutch should sit 2.5 cm-4 cm (1 in-1.5 in) below the back of the elbow. 5. Follow with your involved leg and then your crutches. As the nurse you must know the following material about crutches: How to tell if the crutches properly fit the patient? Use the crutches and your strong or healthy leg to move up or down each step. Then, it goes again like the previous ones; the patient is to put the uninjured leg ahead of the crutch touching the ground for about a step. The Basics . Then start hoping down to the next lower step. To go down stairs with a handrail, place one crutch under one arm and use the handrail with the other arm. Now move the crutch one step down, put your sore foot down, shift your weight forward, and then bring your good foot down. It does not matter which side the stair rail is on. 2. When you go up the stairs, hold onto the rail with one hand and the crutch with the other hand (or both crutches if no rail). 4. Stand on floor facing stairs, hold onto handrail with one arm and crutch( es) in outside arm, close to first step. Hold onto one crutch and the handrail. Climb up to first step straightening good leg. 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. If you have any further questions, please speak to a physiotherapist caring for you. Without the handrail, the movement through the stairs is quite tricky and risky. Going up • Stand close to the handrail and hold on with one hand. How to Use a Cane On the Stairs. Hold on to both of the crutches in your other hand. Help your child to follow these instructions: Stand at the top of the stairs with the toes of your unaffected leg close to the edge of the step. Stairs. 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