Crutching
Crutching[edit | edit source]
Crutching is a mobility aid technique that involves the use of crutches to assist individuals with walking or maintaining balance. Crutches are typically used by people who have temporary injuries, such as a broken leg, or those with long-term disabilities that affect their ability to walk independently.
History[edit | edit source]
The use of crutches dates back to ancient times, with evidence of their existence found in Egyptian tombs dating back to 2830 BC. However, it wasn't until the 19th century that crutches as we know them today were developed. In 1817, a Frenchman named Nicolas Andry invented the axillary crutch, which is still widely used today. Over the years, various improvements have been made to crutches, including the introduction of forearm crutches and the development of adjustable and lightweight materials.
Types of Crutches[edit | edit source]
There are several types of crutches available, each designed to meet the specific needs of individuals with different mobility limitations:
1. Axillary Crutches: These are the most common type of crutches and are designed to be placed under the armpits. They have a padded top that rests against the ribcage, providing support and stability.
2. Forearm Crutches: Also known as Lofstrand crutches or Canadian crutches, these crutches have a cuff that wraps around the forearm, allowing for greater mobility and control.
3. Platform Crutches: These crutches have a platform instead of a handgrip, providing additional support for individuals with weak or limited hand strength.
4. Leg Support Crutches: These crutches are designed to support the leg while walking, allowing individuals with leg injuries to maintain mobility without putting weight on the affected limb.
Proper Technique[edit | edit source]
Using crutches requires proper technique to ensure safety and maximize mobility. Here are some key points to keep in mind:
1. Adjustment: Crutches should be adjusted to the correct height, with the handgrips at the level of the hip bone and the top of the crutches about 1-2 inches below the armpits.
2. Weight Distribution: When using crutches, the weight should be distributed evenly between the crutches and the unaffected leg. Avoid putting weight on the injured or weak leg.
3. Gait Pattern: The most common gait pattern used with crutches is the three-point gait, where both crutches and the affected leg move together, followed by the unaffected leg.
4. Stairs and Curbs: When navigating stairs or curbs, it is important to use proper technique, such as leading with the unaffected leg and using the handrail for support.
Benefits and Limitations[edit | edit source]
Crutches provide numerous benefits to individuals with mobility limitations. They allow for increased independence and mobility, enabling individuals to perform daily activities and maintain an active lifestyle. Crutches also help to reduce the risk of further injury by providing support and stability.
However, crutches also have some limitations. They require upper body strength and coordination to use effectively, which can be challenging for some individuals. Crutches can also cause discomfort and fatigue with prolonged use, and they may not be suitable for individuals with certain medical conditions or injuries.
Conclusion[edit | edit source]
Crutching is a valuable mobility aid technique that allows individuals with temporary or long-term mobility limitations to maintain their independence and mobility. By using crutches correctly and following proper technique, individuals can navigate their surroundings safely and comfortably. It is important to consult with a healthcare professional to determine the most appropriate type of crutches and technique for each individual's specific needs.
See Also[edit | edit source]
References[edit | edit source]
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Contributors: Prab R. Tumpati, MD