The adaption of the walker
The walking aid is suitable for patients with paralysis, lower limb muscle damage and weak muscle strength.
Classification of walking AIDS
1. Unpowered walking AIDS include various walking sticks, arm sticks, axillary sticks, multi-legged rods and walking AIDS, etc., which can be used as auxiliary standing and walking tools for patients with weak lower limb muscle strength, residual partial muscle strength and walking ability.
2. As a walking aid for patients with complete paraplegia with high paraplegia who have no response to electrical stimulation from the muscle of the affected limb.
3. Functional electrical stimulation walking AIDS are used as walking AIDS for patients with hemiplegia and paraplegia.
1. The patient is examined pathologically and physiologically by a rehabilitation physician or rehabilitation engineer.
2. Determine the type of travel AIDS to be selected under the guidance of a rehabilitation physician or rehabilitation engineer, and prescribe travel AIDS and training programmes.
3. With the help of a therapist, conduct pre-use training for some walking AIDS.
4. Regular follow-up.
Matters needing attention
1. When choosing a stick with fixed length, attention should be paid to the length suitable for patients. The upper arms natural prolapse, elbow flexion 45 °, palm as the vertical distance from the ground by the length of the rod. Also note that the strength of the wrist and hand grip must be sufficient to support the patient's weight. It is not advisable to use a cane when the support of the affected side lower limb is less than 90%.
2. When using the four-point stick, the handle of the walking stick should be opened backward, and the flat side should be close to the patient. When walking, the walking stick should not be too close or too far to the patient. When the supporting force of the lower limb is less than 55%, it is not advisable to use single turning or four-point stick.
3. When using the elbow rod, the patient needs to carry out the practice of wearing, removing and walking. At the same time, the patient's entire upper limb on the side of the elbow rod should have good strength to support more weight.
4. When using the forearm staff, the staff should not be too far from the front of the body. Before attempting to walk unsupervised, make sure the patient has adequate balance and coordination.
5. When using the axillary staff, the patient should be aware that the load is carried by the hand rather than by the axillary pad, otherwise there is a risk of injury to the brachial plexus. The axillary pad should be placed against the lateral chest wall. It is not advisable to use a single axillary staff when the supporting force of the affected side lower limb is less than 50%.
6. When using the walking frame, make sure that the patient is not too close to the walking frame when stepping on the leg, or there is a danger of falling backwards. You can't put the walker too far in front of the patient, or it will disturb the balance. When the total support force of both lower limbs is less than 100%, it is not suitable to use a walking frame.
7. Patients wearing dynamic walking AIDS need to walk with the assistance of mobile walking AIDS or multi-legged staff.
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