Walker, is can make through the equipment support, and let the legs and feet don't convenient old patients and not flexible legs or even the loss of ability to walk is able to provide for oneself, can be like normal person go out for a walk. The most common walking AIDS include two wheels and four wheels. If you have difficulty maintaining balance or are prone to falls, both types of walking AIDS can provide enough stability.
Into the old society in recent years, domestic, and hemiplegia, paraplegia, amputees or other lower limb muscle strength weakened after can't support the weight of more and more patients, walker is indispensable in the rehabilitation auxiliary products. At present, there are many kinds of walking AIDS on the market. Only selecting the right one can bring the greatest convenience to the user's life. Medical AIDS to support weight, balance and walking are called walking AIDS.
(1) balance, such as the elderly, the central disorders of the lower limb weakness, poor lower limb spasm forward and center of gravity move not obstacles such as the balance, but on balance, multiple cerebral infarction, cerebral apoplexy in aged patients obstacles.
(2) supporting weight: after hemiplegia and paraplegia, when the patient's muscle strength is weakened or both lower limbs are unable to support weight or cannot bear weight due to joint pain, the walking aid can play a substitution role.
(3) strengthen muscle strength: often use cane and axillary rod, because want to support the body, therefore, have the effect of strengthening muscle strength to the extensor muscle of upper limbs.
Generally speaking, the cane is suitable for patients with hemiplegia or unilateral paraplegia, and the forearm rod and axillary rod are suitable for paraplegia patients. The support area of the walker is large, more stable than the axillary rod, and it is often used indoors.
(1) the walking stick can only be used with normal muscle strength of the upper limbs and shoulders of the walking stick, such as incomplete paraplegia patients with hemiplegia whose healthy side and lower limbs have poor muscle strength. Patients with good grip strength and strong support of upper limbs can choose a single-legged cane, such as poor balance and coordination ability, should choose a three-legged or four-legged cane.
(2) the forearm and crutch rod (1) double lower limbs completely paralyzed (paraplegia below T10, must use a leg brace, or T4 incomplete paraplegia below, use of paraplegia orthopaedic foot patients with upper limb muscle strength reached 5), can use double turn forearm or axillary on foot; One side of the lower limb is completely paralyzed and walks with a walking stick. In case of incomplete paralysis of both lower limbs, armpit turning or forearm rod are chosen according to the residual muscle strength of lower limbs. In general, standard forearm rod is adopted for training. For example, if the patient raises the axillary rod and can walk with the hand supporting the handle, the forearm rod can be selected. When upper arm muscle strength is weak: when triceps of humerus are weakened, the supporting ability of elbow is decreased. When elbow joint stability is poor, choose the forearm rod or axillary rod with wrist joint fixation band. If the elbow joint is flexed and contracture is not straightened, a flat pole may be adopted
(3) when the muscle strength of two upper limbs is poor and the body weight cannot be fully supported, armpit support walking device should be adopted. Patients with paraplegia with normal upper limb muscle strength and poor balance ability can choose interactive walking device.
The following is an example of paraplegia and hemiplegia. Paraplegia patients often need to use two axillary crutches to walk, hemiplegia patients generally only use the delayed cane, the two use methods are different.
(1) axillary crutch walking of paraplegia patients: according to the order of axillary rod and foot movement, it can be divided into the following forms:
Alternate drag walking: extend left axillary curve, then right axillary curve, then both feet drag forward at the same time to reach axillary pole.
Peaceful walking: also known as swing to step, in which two torches are held out at the same time, and then both feet are towed forward at the same time to reach the axillary staff.
Press four o 'clock: first extend left axillary curve, then step right foot, then extend right axillary curve, finally step right foot.
The method is to extend the weak one foot and two axillary rods simultaneously, and then to the side foot (the side with better muscle strength).
Double-crossing walking: the method is to extend one side of axilla twist and opposite side foot at the same time, and then extend the remaining axilla twist and foot again.
6 set on foot: step method and the pendulum to similar, but the feet don't sweep the floor, but put forward in the air, so the stride length is bigger, faster, the patient's torso and arms control must be good, otherwise easy to fall.
(2) walking method of cane for hemiplegic patients:
Walk: (1) three of the vast majority of patients with hemiplegia walking in order to extend the rod, and then a foot, a foot-massage again, a few patients to extend cane, a healthy enough, then a sufficient way of walking.
Pressing two points of walking: stick out and sick feet at the same time, then step out of healthy feet. This method is fast walking speed, suitable for patients with less hemiplegia and good balance function.
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