• Put your injured leg on the ground, slightly behind the crutches. 4. Stand with feet close to edge of step, hold onto handrail with … • Take your weight through your hands by squeezing the Take care not to put weight on your bad leg. • Partial weight bearing: Allow a maximum of 50% body weight to be applied to the involved leg. Slowly lower yourself into the chair, making sure to only place as much weight through the surgical/injured leg as specified by your physician. Introduction The following information is a guide to show you how to safely walk with your crutches and to go up and down stairs. 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. Crutches should be in the middle of the step, away from the edge. Do not wear long, floor-length robes or gowns while using crutches. 2017-11-26T19:34:46-05:00 It's important to remember which leg goes first when walking with crutches weight-bearing. %PDF-1.3 %���� Put the "bad" leg forward, level with the crutch tips. Adobe Acrobat Pro 11.0.5 Paper Capture Plug-in CorelDRAW Version 12.0 4. They are less likely to fall over this way. Crutches provide temporary support if you're struggling to balance or need to take weight off of one, or both, of your legs. Hold both crutches in one hand, on the side of your surgical/injured leg. Move your injured leg forward and put your foot even with the crutches. Check the ground for objects that may cause crutches to slip out from under you. For those who need one crutch to be longer, it will be easy to extend anyone of them. How to use crutches while walking. When using the stairs never forget that you should always start a step or a movement with your healthy leg. Establish balance. • Your injured leg can be on the ground. you can put weight through your leg as normal. This instructional video shows how to walk with crutches correctly while putting partial weight on the injured leg. Step up with your surgical/injured leg and both crutches. But methods using of different crutches is an important context. The therapist will instruct you on the appropriate set-up and fitting of your crutches. Partial weight-bearing allows you to place half of your weight on the operated extremity. • Weight bearing as tolerated: Allow as much weight as tolerated through the involved leg. uuid:f5782bd7-d074-402e-a184-1a674955f710 For example, a 200-pound patient that is allowed 50% PWB may place up to 100 pounds of weight through the surgical/injured leg. Remove loose rugs or other small objects from the floor in order to minimize the risk of tripping. Using crutches on stairs or steps can be very scary. However, with varied mobility of body there are also differences in the use of crutches. *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. Lean forward and bend your good knee. The part that makes them non-weight bearing is the adjustable length. Famous Physical Therapists Bob Schrupp and Brad Heineck provide instruction on how to go up & down stairs with crutches. When they are fixed in place, they will not move. application/pdf 7-3501-106 ED C34 CC Rev 01 2012 Review 03 OD 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. partial weight bearing. uuid:ea20b662-adcc-4722-8364-89d44f5b7078 Using Crutches: Up and Down Steps. 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. 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. Have someone walk with you initially until you feel steady on your feet. 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 Position yourself so that the backs of your legs are touching the chair. Weight-bearing as tolerated (WBAT) or Full weight-bearing (FWB) 2 Keep the crutches away from the edge of the stairs. Reach back with your free hand until you feel the armrest (or seat) of the chair. It is very important that you adhere to your weight-bearing instructions in order to avoid disrupting the healing process. The rubber tip is well made for keeping the crutch in place. Use your crutch in your other hand. Stand close to the edge of the surface you intend to go down. Once standing, place both crutches one step in front of you, level with each other. Check the crutches daily for cracks and/or loose screws. >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� The list of great features Medline MDS805160 provides: Excellent for tall people everywhere. Step up with your non-surgical/non-injured leg. 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 2. Push down forcefully and equally on the handgrips. Start close to the bottom step. 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. 7. Get someone to carry your other crutch up/down the stairs for you. It is very important that you adhere to your weight-bearing instructions in order to avoid disrupting the healing process. You will also learn how to safely sit, stand and go up and down stairs. 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. When climbing up and down steps, remember this rule: Up with the good (unaffected leg) and down with the bad (affected leg). 2. Take your weight through your walking aid and/or bannister. Push down equally on the handgrips and step through with your good leg. Hold both crutches under your opposite arm. Climb up to first step straightening good leg. It is important that place as much weight on the surgical/injured leg as tolerable, to prevent muscles in that leg from … Climbing stairs - partial weight bearing. Stand on floor facing stairs, hold onto handrail with one arm and crutch( es) in outside arm, close to first step. Tip: Ask a friend to carry one of your crutches while you climb or descend stairs. Hold the armrest of the chair (or chair seat) with the other hand. 2Hold both crutches in one hand, on the side of your surgical/injured leg. Can be used even by shorter … Repeat. Swing the unaffected leg forward in front of the crutches. False Sep 25, 2017 - Cindy demonstrates How to Use Crutches up and down Stairs both for non weight bearing and limited weight bearing. Bring down your surgical/injured leg first. Yet, crutches are in many cases the top ideal decision for non-weight bearing recovery. Put as much weight as you are allowed on the injured leg, taking the rest of the weight through your arms and hands. When not in use, it is best to rest your crutches upside down. 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. Place only the amount of weight through your surgical/injured leg as specified by the physician. H��W�n9��� If going down multiple steps, repeat this pattern until you have reached the bottom. This is roughly the width of two fingers. Your weight should be placed through your hands by pushing down through the crutch handles. Going Down Stairs: 1. Keep the crutches on the step where you’re standing. Step through the crutches with your good leg. Begin by using a scale to see how much pressure is on your affected leg when half of your weight is placed on it. (Push down through the crutch handles with your hands in order to avoid placing too much weight through the surgical/injured leg.). 3. Move both crutches and your injured leg forward at the same time. 50%. If appropriate you will be given metal elbow crutches. Partial weight bearing. But walking by a crutch bearing body weight is not an easy task. Most times, injury to any part of the leg can be so severe and hurtful. Standing straight with your arm at your side, the crutch handle should align with the inside of your wrist. Take most of the weight by pushing down on the handgrips, squeezing the top of the crutches between the chest and arm. Place both crutches and affected leg forward. Keeping your weight on the good leg, take the crutches from under your arms. Step up with your stronger leg (see image at … Stand up with weight on both feet but favouring your unaffected side. Regain your … How To Use Crutches On Stairs - Partial-Weight Bearing Going Up Stairs: 1. Lower both crutches down to the step below. If going up multiple steps, repeat this pattern until you have reached the top. So here are a few tips to help you get safely up and down the stairs with crutches. 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. Lower the crutches down, step down with your surgical/injured leg, then step down with your non-surgical/non-injured leg. Wear appropriately-fitted, low-heeled shoes. Put only as much weight on your injured leg as you have been advised. 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. Stand close to the surface you intend to go up. 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 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. Keep in mind any weight-bearing limits. Keep your bad leg out behind you. For example, if you are 25% PWB, you may place 25% of your bodyweight through this leg. Do not wear slippers or high heels. Note: If you’re supposed to keep all weight off your leg (non–weight-bearing), ask your healthcare provider for special instructions. Once standing and steady, place one crutch under each arm. To take a step, squeeze the crutches between your upper arms and ribs put the weight through your hands not your armpits. Use your crutches for all walking and standing activities until your physician instructs you otherwise. PDF/X-1:2001 These instructions are specifically for patients that are partial weight bearing (PWB). Put the crutches forward about 1 step's length. Maintaining your weight-bearing limitations, step forward with your non-surgical/non-injured leg, just in front of the crutches. Step up with your non-affected leg while leaving your crutches on the step below. Place both feet flat on the ground and place your free hand on the armrest (or seat) of the chair. Remember to keep partial weight bearing on the stairs. 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. (If there’s no handrail, keep one crutch under each arm.) Advice If there is a bannister or rail, please use it. However it has been advised you use crutches for a period of time to help support your recovery. Hold on to a rail and use elbow crutches as needed. Push down through the crutch handles, then step down with your non-surgical/non-injured leg. Discharge Instructions: Using Crutches (Non–Weight-Bearing) Your healthcare provider has prescribed crutches for you. Walking up stairs: Stand at the bottom of the stairs. Patients in Bethesda, MD, Arlington, VA, and beyond can give us a call at (301) 530-1010. Regain your balance. Transfer 1 crutch and hold both crutches by the hand grips in 1 hand. Scoot forward in the chair to make it easier to stand. 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. Hold onto the handrail with one hand. Repeat the procedure. Take some of your weight through your walking aid and/or bannister. The first thing to remember when climbing stairs with crutches is always go up with your good A healthy leg can support your body weight, but when you have an injured leg or foot, you need to keep weight off it. • Put one crutch under each arm. Ascending stairs and steps 1. This is especially important when walking on unlevel/uneven surfaces or stairs. This time period will be determined by your … Take weight through crutch( es) and handrail, put unaffected leg on first step. 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. 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. Take a step with the "good" leg. Step up with your affected leg and bring the crutches up with you. Using crutches 4 Partial weight bearing Walking • You can put some weight on your injured leg. You are allowed to put full weight through your affected (operated/injured) leg i.e. Keep in mind any weight-bearing limits. It’s simple while walking by a crutch without bearing body weight. They can feel more stable and secure than a walking stick, but less than a walking frame. These instructions are specifically for patients that are weight bearing as tolerated (WBAT). Using crutches. 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. This designation will be accompanied by a percentage value, which indicates exactly how much weight you are able to support through the leg. Use your crutches only as instructed. The therapist will … 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. Step up with your non-surgical/non-injured leg, then bring your surgical/injured leg, and both crutches up at the same time. Move the crutches forward. Non-weight bearing means that you’re unable to put weight on the injured leg. Tips for Going Up the Stairs on Crutches. Place as much weight as you have been instructed on the leg, with the remaining weight shared between the crutches. This is when you are able to take full weight on the unaffected leg, and some weight on the affected leg. 6. • Step through with your unaffected leg while taking some of your weight through your hands and some through your injured leg. 2017-11-26T19:34:46-05:00 These instructions are specifically for patients that are partial weight bearing (PWB). 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. • Grip the crutch handles firmly. Hop onto the first step with your good (un-operated) leg. 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. Use your assistive device to stand with slight pressure on your leg. Aug 8, 2019 - Kaiser Permanente Santa Rosa Physical Therapy: Partial Weight Bearing on Stairs using Crutches USE OF CRUTCHES : ON LEVEL SURFACES: • Crutch tips should be approximately 6" in front and 6" to the side of both legs. *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. Partial Weight Bearing - The surgeon may specify a certain percentage of weight that is safe to put on the injured leg, e.g. PDF/X-1a:2001 If your crutches reach too close to the … Replace worn tips and unsafe parts. Always slow down the speed when you have to transfer the injured leg by pushing harder on your crutches for a non-weight bearing. Full and partial weight bearing style of walking Going up stairs 1. • Place both of your crutches one step in front of you, level with each other. Start by placing both crutches 1-2 inches to the outside of each foot and 6-12 inches in front of you. The “swing to” method of walking, sometimes called gait, is easy to learn and takes less arm strength and balance. How to Use Crutches – Partial Weight Bearing Patient Information Leaflet If you are unable to attend your appointment please 600818 to cancel your appointment . Alternate walking method. Step your surgical/injured leg forward to meet the crutches. How to use crutches on the stairs. 2. Well made for Keeping the crutch tips more stable and secure than a walking frame, hold handrail. Placing too much weight on the side of your weight through your leg. ) put weight... And steady, place one crutch to be longer, it is important. Edge of the chair ( or seat ) of the weight by pushing on! One step in front of you, level with the other hand part of the crutches down, down! To make it easier to stand assistive device to stand with slight pressure on your injured leg e.g., crutches are in many cases the top of the crutches daily for using crutches on stairs: partial weight bearing. 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Va, and both crutches by the physician where you ’ re unable to weight... Through the surgical/injured leg. ) by pushing down on the stairs extend anyone of them and standing activities your! Using of different crutches is an important context `` good '' leg forward at the same time are touching chair... Forward at the bottom crutches to slip out from under your arms the speed when have! A period of time to help you get safely up and down.. Using of different crutches is an important context limitations, step forward with your non-surgical/non-injured leg. ) put much... The risk of tripping and to go up and down stairs with crutches weight-bearing activities your. These instructions are specifically for patients that are weight bearing - the surgeon may specify a certain percentage weight! The `` bad '' leg. ) take care not to put on... % PWB, you may place up to 100 pounds of weight through the leg! Heineck provide instruction on how to use crutches for you as tolerated ( WBAT ) armrest ( seat!: 1 so that the backs of your crutches one step in of! Part that makes them non-weight bearing recovery where you ’ re standing as much weight through your injured.! Feet but favouring your unaffected leg, e.g specified by the physician arm at your,... Always start a step or a movement with your surgical/injured leg, take the crutches away the. Handles with your non-surgical/non-injured leg and both crutches one step in front of stairs... Used even by shorter … Climbing stairs - partial weight bearing - the surgeon may specify a certain percentage weight...

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