Through daily work observation, a considerable number of patients with lower limb dysfunction have failed to grasp the correct turning method for various reasons.Cane as strong support of the lower extremities, and to play a full role in this way, the patients are not reliable to caress, can't master correct gait as soon as possible, at the same time also is not professional rehabilitation work.
The significance of the correct turning method is as follows: 1.2. Promote early restoration of normal gait;3. Ensure that the upper limbs are not damaged in operation;4. Standardize the rehabilitation process.
When you use crutches, you often use the word "crutch". In fact, this statement is wrong.Using crutches, should first adjust will stick to the right height, the specific method is: will stick in your side, the top of the stick from axillary 3-5 cm (to avoid injury of the weight on the top of the stick when turn and axillary within the blood vessels, nerve), arms natural prolapse, armrest height in wrist horizontal stripes (i.e., at the junction of the palm of your hand and forearm).At this point, the forearm flexor, stretch wrist muscle and keep the wrist neutral position (avoid wrist joints in the back with a cartilage injuries and triangle plate), together again by the various parts of the upper limb muscle group will hold up the body in order to realize the support role
According to patients' damage forms, different levels, the use of crutches method mainly divided into the following kinds: if the patient side lower limb injury, part of the limit load, using single-throw, together with the health of both limbs, a total of "three" to support the weight, limb impending, completing the process of walking.If the patient has bilateral lower limb injury, all of them are partially restricted in weight bearing. Double turning, together with bilateral affected limb, is adopted to support the weight at four points in total to complete the walking process.If both sides of the affected limb are completely limited to load, there is no way, only a wheelchair.
During normal walking, the upper limbs should swing alternately with the steps of the lower limbs. The specific order is' upper left lower right 'and' upper right lower right '.So, when using single-throw walk, turn the direction of the correct application in the side, the contralateral crutch and limb, synchronous movement, to rhythm, stride length is close to the contralateral level, center of gravity is always follow toward the front of body, so is the right of the gait.Under the correct turning mode, the walking stick can always follow the motion of the affected limb, and the affected limb and the crutch are separated from both sides of the body, which can have the maximum stable surface and achieve the optimal protective effect.Instead if you hold on one side, to realize the limb and crutches synchronization, gait must turn "cis", very awkward posture, is not conducive to the establishment of a normal attitude, and, more importantly, as limb with his cane in the same side, very close, as stable surface only less than half of the right way, natural protection effect.Of course, the patient unfortunately happens to have both the upper limbs of the healthy side damaged at the same time, so it is ok to protect them in an acceptable way.
When one side of the lower limb of the patient is injured and the load is completely restricted, the patient adopts double crutches to support the weight, and the affected limb is suspended to complete the walking process.At this time, double crutches should move with the affected limb in equal amplitude and synchronously. Although the affected limb is suspended, it can simulate the flexion and extension in normal gait, and maintain the normal gait habit while supporting the weight.