The document discusses crutch walking and the proper use of crutches. It defines crutches as assisting patients to walk while providing support. Crutches increase base of support, maintain center of gravity, redistribute weight bearing, compensate for weak muscles, and decrease pain. Proper crutch use requires muscle strength, correct crutch selection, balance, proper gait patterns, and instructions. There are two main types of crutches: standard axillary crutches and forearm crutches. The document outlines correct stance and four different crutch walking gaits.

1. Presentation on Crutch walking
By Dr Pushpendra

2. • Definition-: Assisting patient to walk using
crutches while providing support and as a
convenient method of getting from one place
to another.

3. Purpose of walking aids:-
• Increase area of support or base of support
• Maintain centre of gravity over supported
area
• Redistribute weight bearing area by
decreasing force on injured or inflamed part
or limb.
• Can be compensate for weak muscles
• Decrease pain
• Improve balance

4. Factors for use cructhes efficiently:-
• Muscle strength
• Correct selection of crutches
• Good sense of balance
• The pattern of gait employed
• Proper Instructions

6. Types of crutches

7. 1. Axillary / Regular/Standard crutches
Transfers 80% body weight.
2. Non axillary /forearm cruthes transfers 40-
50% body weight

9. How to stand and balance with
crutches...!
• Achieved by standing the patient against a wall and
placing a crutch under each arm
Correct stance with crutches:-
• Head up back straight with the pelvis over the feet as
much as possible,
• The shoulders depressed not hunched,
• The axillary pads of the crutches gripped between the
upper arm and the side walls of the chest 2 inches below
the anterior axillary fold
• The crutches tips 6 inches forward and 6 inches out from
the tip of the toes, the palm of the hands on top of the
handgrips,
• The body weight taken mainly on the hands and the
elbow in a position of 30 degree flexion.

12. Crutch walking-patterns of gait
• Four different patterns of gait
1. Swinging crutch gait :Pt is in the stable
position
a. Swing to crutch gait- both crutches ; lift and
swing the body to the crutches.
b. Swing through gait- both crutches ; lift and
swing the body beyond the crutches

13. 2. Four-point crutch gait:-
Right crutch; left foot; left crutch; right foot;
The patient is standing on both feet with a
crutch under each arm
3. Two-point crutch gait-:
Right crutch and left foot simultaneously ;
Left crutch and right foot simultaneously
The patient is standing on both feet with a
crutch under each arm

14. 4. Three-point crutch gait-:
both cructhes and the weaker lower limb
together; the stronger lower limb
Walking , non weight bearing-
The pateint is standing on his right foot with a
crutch under each arm ; the left foot is off the
ground

20. • Any mobility is better then immobility....!
• Thank you................