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Ambulation aids and assistive devices
Ravish Yadav
Health accessories
WHEELCHAIR
•PURPOSE
•To promote independent
mobility/functioning
•Prevention of injury /
deformity
WHEELCHAIR
•INDICATIONS FOR USE
•When walking is difficult
or impossible due to
illness, injury or disability
PARTS OF A WHEELCHAIR
Handgrips
/ push
handles
Back
upholstery
Armrest
Seat
upholstery
wheel lock/brake
footrest
Leg rest
Molded
wheel
handrim
Caster
MANUAL
WHEELCHAIR
POWERED/AUTOMATIC
WHEELCHAIR
Semi- Reclining Wheelchair
Full Reclining Wheelchair
One Arm Drive Wheelchair
Pediatric Wheelchair
Wheelchair Folding (With Commode)
RECREATIONAL/
SPORTS WHEELCHAIR
•Used to compensate for
impaired balance or to
improve stability
•Approximately 25% of
BW is transferred
•Advantages:
•More functional on stairs
•Can be used in narrow
and confined places
•Easy storage and
transport
•Disadvantages:
•Limited stability
PARTS
HANDLE (“J”,
DERBY, OFFSET)
Shaft
Tip
Handle
J Cane
Modified J Cane
Derby Cane
OFFSET CANE
Multiple legged or Quad Cane
with Offset Handle
Quad cane with
large inverted
"V" base
FORWARD
HEMI-
WALKER
•Provide support from
axilla to floor
•Better stability than
canes
•Two Basic Types:
•Axillary Crutches
•Forearm Crutches
AXILLARY CRUTCHES
-Transfers 80% of
BW
- Requires better
trunk support
- Allow selection of
gait patterns &
ambulation speed
- Provide good
support and stability
PARTS
• CUSHION
PADS
• DOUBLE UPRIGHT
• HAND GRIP
• RUBBER SUCTION TIP
DISADVANTAGES
1. LESS STABLE THAN WALKER
2. REQUIRE GOOD STANDING BALANCE
3. ELDERLY Pt. MAY FEEL INSECURE
WITH THEM
4. FUNCTIONAL STRENGTH OF THE
TRUNK MUSCLES IS REQUIRED FOR
MOST GAIT PATTERNS
FOREARM CRUTCHES
PARTS OF FOREARM CRUTCH
1. FOREARM CUFF
2. PADDED HANDGRIP
3. SHAFT
FOREARM CRUTCHES
•TRANSFERS 40-50% BW
•HANDS BECOME FREE
•MORE FUNCTIONAL ON STAIRS & IN
NARROW, CONFINES AREAS
•RELATIVELY EASY TO STORE &
TRANSPORT
DISADVANTAGES
1. PROVIDE LESS STABILITY &
SUPPORT THAN AXILLARY
CRUTCHES
2. THEY REQUIRE GOOD STANDING
BALANCE & GOOD STRENGTH FOR
MANY GAIT PATTERNS
3. THE FOREARM CUFF MAKES IT
DIFFICULT TO REMOVE THE CRUTCH
4. ELDERLY Pt. MAY FEEL INSECURE
WITH THEM
Mercury thermometer
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Basal thermometer
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Ambulation aids and assistive devices - health accessories