Walking on crutches in different periods of rehabilitation. Features of the use of crutches

Movement on staircases is not always safe for people. The same, who experiences some health problems, have to be more difficult.

The problem, as the stairs to go on crutches, it is very acute. It is necessary to master some techniques that allow the descent or lift without unwanted consequences.

Crutches, intended for the movement of small citizens, can be two species.

Currently, traditional, axillary models and feeding devices called "Canadians" are currently being produced. Usually the first types are used during the early rehabilitation period. If recovery requires a lot of time, as a rule, go to elbow structures.

Elbow (Canada). Movement on such supports does not differ from the use of familiar, axillary. However, a certain skill is needed for walking on them, because the main burden falls on hand brushes. Do not choose such models if the hands do not differ by force. Plus canadas is a small weight of the products. Yes, and places for storage required less.

Important! Support cuff should not be fixed too tight or too freely.

Migratic. Move on such crutches is easier. They are higher and more stable. When walking, most of the weight is transferred to the upper body, which helps in moving.

Important! Do not try to try on the armpits when walking. Even if at first it may seem that it is more convenient to go. After a while there may be unpleasant feelings from friction.

When choosing any model, of course, the price of the product is also evaluated. But it is extremely important to trace that the crutches were adjustable. As a material of devices, wood and aluminum alloys are preferable.

For more detailed study, you can watch the video in this article.

How to choose the crutch

Choosing a model of crutches, you should pay attention to their dimensions. The basic rule when purchasing devices: the height of the supports (axillary) should be equal to growth, minus 40 centimeters.

The supporting part with the roller, which is located under the arm must be approximately 3-5 cm below its level. The elbows when capturing the lower support handle should be bend by 30 degrees.

Important! When using crutches, it is necessary to evaluate its state. In the event of painful sensations in the body, it is necessary to revise the Mother of Movement or re-adjust the height of the tools.

Moving on crutches may be accompanied by the following symptoms that sign about the violation of the walking technology:

rubbing skin (especially in the area of \u200b\u200bthe armpits);
the emergence of swelling after movement;
muscle pain and legs;
the appearance of numbness;
poles in the injured area.

How to rely on Canadian, shown in the photo:

Best of all, before purchasing crutches, consult with doctors to make a right decision.

When moving, caution should be taken, so as not to lose the equilibrium. It is important to evaluate the flatness of the surface on which it is to be moved.

It is necessary to take into account the climatic conditions in which you have to move. Water, snow, dirt or ice on the surface signals the need to reduce steps.
When moving, it is recommended to arrange small breaks, allowing to relax the muscles. Also illustrated massage, relaxing fabric after long-term loads.
If there is a need for transferring it with your own hands, it is best to make it best with a backpack hanging out for two straps on your back.

While movement on smooth surfaces, which include floors and stairs in the premises, outlets or medical institutions, it is recommended to wear rubber plugs on the ends of the crutches. They will prevent slipping. These caps can be easily changed as wear.

If there is no walking experience on crutches, it is very welcome, so that at first and the next time it was accompanying to support in the event of a fall.
A large imaginary for moving on crutches will be installed along the railway stairs.
Special attention should be paid to the choice of shoes for walking. Absolutely unacceptably carrying shoes on a heel. The sole must be flat, have a homogeneous surface. The best models with a ribbed base that provides additional clutch is suitable.

After the crutches were chosen, it is important to study the technique of movement, especially in difficult areas to which staircases include staircases.

Walking on a flat surface

Move using one crutch

This option refers to the most simple. The main nuance, which should be remembered: Support must be installed on the side where a healthy foot is located.

How is movement:

The crutch is installed ahead, at a distance of about 0.5 m.
First, when supported on the crutch and healthy legThe patient limb is translated forward.
Only now crosses a healthy leg.

Walking on two crutches

The support is installed in 10 centimeters away from the limb and ahead of it at a distance of 20 cm.
It is a step forward a healthy foot.
The damaged limb moves next.
In the same sequence further movement is carried out.

Movement on elbow devices

Safe movement on airborne supports is as follows:

Installation by half the meter for both supporting structures.
Moving a healthy limb so that she is a little fastened crutches.
Transfer damaged legs.

If you need to turn a turn, it should be done with a support for a healthy leg.

How to move on the crutches on flight marchs

It is possible to decide how to walk on crutches on the steps, it is possible in different ways. Methods of lifting and descent on stairs differ from the state of the person, the model of crutches and their quantity.

Each decides how to go on the stairs on the crutches, depending on its capabilities. We offer some options.

Descent on steps

In order to safely descend, it should be done in this way:

Standing on the top sticking, you need to install both crutches on the step below. It is important to ensure their stability. When moving the body, they should not shift to the sides.

After the supports need to move a healthy leg.
After that, you can attach a damaged limb.
Continue to perform a sequence before the end of the march.

When walking it is impossible to do sharp jerks or mahs by foot. Also should not set the leg lower than the arranged crutches.

In this case, it will be difficult to keep equilibrium. The most important thing is before descending the stairs on the crutches, it is necessary to make sure the sustainable position of the healthy leg.

Lifting on the stairs

You can use one crutch or both at once for the march lift. In the first case, assist the patient will come handrails placed along the span. If possible, one support can be transferred to the accompanying one. Otherwise you have to rely on both, folded together.

What should be done to solve the problem, like on crutches to climb the stairs with installed handrails:

Leave one hand on the railing.
From the side where there is no railing, set the crutch under the arm.
The first thing on the upper step is to transfer a healthy limb. At the same time, the body relies on it and the support next to the damaged leg.
The crutch moves after the foot.
The final step step is the transfer of a sore feet.

As alternative optionHow to walk on the crutches on the stairs to those who find it difficult to move on these supports along the steps, you can offer the following method. Crutches will have to postpone. They can then apply accompanying.

It is necessary to fall on the first step, the healthy limb at the same time opens to the lower disposal. With the help of supports in the form of hands and work legs, gradually carry the body along the steps.

None of us is insured against damage or injuries. Situations when you have to use when walking additional supports, not rare at all. Move on the crutches on the stairs is quite difficult. The most important thing is to be attentive and act with caution.

These crutches are emphasis on the forearm serve as a support when walking a person with injured or sick legs. The crutch is similar to a high cane, reaching the elbow joint and topped with a special flexible cuff. They are made of aluminum and have a rack, focusing and handle. The height of the crutches of the conflict "Canadian" is obliged to correspond to the growth of man. The height of all the impline "Canadian" crutches can be adjusted. Although crutches of this type provide an insufficient side support, however, they are smaller in size, more functional when lifting the stairs. They can be used simultaneously with orthopedic devices.

Memo for training walking on the front (Canadian) crutches

The use of crutches requires a sufficiently good balance and coordination of movements, as well as muscle forces. Therefore, it is preferable to use crutches for "young" patients for a short period of time.

A. To learning, you can proceed only when the patient or after the injury has already been sitting, knocking his legs, and gets up with bed on a healthy leg with the help of support (backrest, table, etc.)

B. Before standing on the crutch, their fit is necessary (the construction of the crutch allows you to set the desired length). You need to know how to keep the crutch:

crouplock's girlfriend (i.e., the support for the hand of hand) should be sent a free end of ahead;
crutch cuff should cover the forearm behind, slightly below the elbow joint, respectively, bent hands;
the back of the crutch should be directly.

Q. How to go to crutches.

At all stages of learning, a substrate is necessary.

Then:

2 . Bolna stands on a healthy leg, in both hands - crutches.

Then he:

Made from light wood or aluminum. Their design usually provides for a platform for the support of the armpit, a handle, a double bar, moving from below to one rack with a rubber tip with a diameter of 3-8 cm. The crutches may have clamps, screws or other devices with which they regulate their height.

Mortar crutches

Serve support when walking a person with injured or sick legs.

The height of the axillary crutches is obliged to correspond to the growth of man. The height of all the crutches of the axillary can be adjusted.

To determine the correct height, there are two reference points: the axillary crossbar must be 4-5 cm below the axillary depression

forearm presses the crutch to the body
the crossbar for supporting brushes is at the wrist level

Method of determination proper selection The height of the crossbar for the support of the brush is as follows: in the standing position, with the hands of elongated along the body, the crutch handle must reach the clock level. Note: The use of crutches requires a sufficiently good balance and coordination of movements, as well as muscle forces. Therefore, it is preferable to use crutches for "young" patients for a short period of time.

BUT . You can proceed to learning only when the patient or the suffering injury can already sit, knocking his feet, and get out of bed on a healthy leg using support (bed backs, tables, etc.)

B. Before rising on the crutch, their fit is necessary (the design of the crutch allows you to set the desired length). You need to know how to keep the crutch: the upper part of the crutch should not rest in the armpit. The clearance should be in two fingers. The back of the crutch should be directly. The girlfriend of the crutch should be located so that locks Susta There was an angle about ten degrees.

IN. How to go on crutches:

1. At all stages of training requires a safety net;

2. The patient stands on a healthy leg, holding one hand for the support, for example, a rectangular table, the other for the crutch.

Then:

puts the crutch forward for the length of the step;
transfers the severity of his body to the crutch;
tolerates a healthy foot on the length of the step;
repeating all this again and again, moves along the table;
it comes to the end of the table, turns, changes the crutch and support in some places and the same way moves back.

3. The patient stands on a healthy leg, in both hands - crutches.

Then he:

puts one crutch forward to the length of the step;
takes forward on the length of the step another crutch;
transfers to crutches their weight;
tolerates a healthy foot for the length;
repeats all this again and again.

4. In the future, you can go to walk when both crutches are taken forward at the same time.

When a person stands with two crutches, they must be divorced a little to the side - it gives a person great stability.

When using crutches different species It should be remembered that:

body weight should be transferred to hands, and not on armpits to avoid damage to the axillary region;
maintain a wide base for support even during rest;
keep the crutches about 10 cm from the edge and ahead of the foot;
when using crutches, the support racks should be close to the chest to ensure better equilibrium;
hold your head straight and save a smooth body position while walking.

The best position of the patient: the head is highly raised, the back straight, healthy knee is slightly bent. To support, you can lean back on the wall. Crutches are placed at a distance of approximately 15 cm from the socks and slightly kaperi. If the patient has wide hips - tips better to take to the side for more distance. Distance between the armpit and top Crutches should be about 2-3 fingers. Elbows bent at an angle of 25-30 .. You can check whether the body can easily break off from the floor. Hands should be almost straight. The fitness to crutches is checked while walking.

In order to sit down, they repeat the same movements, starting with the placement of two crutches on the damaged side. Then the patient straightens his back and sits down. At the same time, he must be sure that the chair or chair is not swing.

When walking with crutches, both crutches are placed simultaneously by 30 cm ahead and 15-20 cm aside to the toes. Put, leaning on the handles, the severity of the body forward. You can run on crutches. Lands on the heel so that the crutches were behind the patient.

A shuttle type is most simple and safe for those who begin to use crutches. It is necessary to start in order to bring crutches ahead, move the weight of the body forward, leaning on the hands, and slide in the same direction to a healthy foot.

When climbing or descent from the stairs, you can use the following method. The patient takes both crutches under one hand, holds them from the inside with a thumb. The other hand is seized by the railing (the hand is a bit in front of the body).

When climbing, the crutches are left at the level where they are. Then evenly distribute the body weight on the hand holding the crutch, and on the railing. Raise a healthy leg on the step, leaving behind the sore leg behind, straighten a healthy leg and promote crutches ahead.

On the descent from the steps, the crutches are placed on the lower stage and pull the sore feet. Then evenly rest on the hand holding crutches, and on the railing. Promote ahead healthy leg on the lower step. It is recommended to use this method when descending or lifting on narrow staircases.

Serious leg injuries during recovery assumes movement on crutches, so as not to overload the feet, leg and knees. Before learning how to walk on crutches, you need to know the rules for choosing and configuring under a certain person.

How to walk on crutches and is it difficult to go?

Choice rules

The main rule: the length of the crutch should be equal to the growth of the patient minus 40 cm. Depending on the length and purpose of the crutch are divided into three types:

Children's (90-116 cm);

Teenage (116-127 cm);

Adults (120-150 cm).

There are other rules for setting up crutches so that it is convenient to move.

First, the armpit roller should be 5 cm below the armpit.

Secondly, the height of the details for the support of the hands should be slightly above the wrist. At the same time, the elbow must be a shaded approximately at an angle of 30 degrees. These rules concern the axillary crutches.

There are also crutches under the elbow. When they choose their attention to the location of the cuff. It should be at a distance of 6-7 cm from the sharp point of the elbow (with average height). Elbow bend at an angle of 15-20 degrees.

Rules of movement: how to go on crutches

So, the vehicle is chosen, now another question arises: how to go to crutches. Tactics Promotion forward depends on the direction of walking. If you need to go straight, operate by such an algorithm:

1. They put the crutches forward, rearly relying on a healthy lower limb.

2. The damaged leg is neatly rearranged forward and, if possible, rest on it.

3. After making sure that the auxiliary means of movement cost securely and firmly, the body weight will be transferred.

4. Put a healthy lower limb ahead damaged to a couple of centimeters.

These rules are easy to observe if the road is smooth and straight. If you need to climb up or go down, you need to carefully ensure that the body weight is in the middle between the means of movement and healthy lower limb. Otherwise, you can easily fall.

Stairs

Many are interested in how to walk on the crutches on the stairs. Yes, it requires special skill. On the descent there are so.

How to walk on the crutches on the stairs?

armpit crutch holding a second
other hand rest on the handrail
crutch put on the step below
transfer a healthy leg - and everything ...
do not work - everything is received!. .
but the baton is at least half an hour better if a strong guy will force
if you fall - he will catch
and then and not let go
for the rest of my life...
Cute girl! The weight is small, which means this is not a problem at all! Very comfortable-crutch forward, if you go down the foot healthy leg and so on and up, you will have a little more difficult - I went thus-crutch one in the hand, you can and rearrange the steps upwards to the pipes are leaving, but you can lean and go ahead Put higher! We wash down then at home! Well-if lucky will be lucky someone will be asked to be up to the top! For the handling of the hand of one, we rest over-tolerate above yourself and cross the foot healthy-permeate the crutch! Etc! Just get used to you! Now practice and see it's not everything is so scary! And very good - if someone helps you! Sweep easy-to learn how to climb-and no problem! I wish a speedy recovery!
Barrel and slowly. The person adapts to everything.
People somehow move, with the beginning crutches later legs and so until the end of the steps
well, yes or parents
ask a friend to help.
Sideways.
Holding a handrail ..
Anfisa. Practice at home. 1 crutch put on the step below.
Body weight on not.2-th crutches here. Support on both. Etc.
Study first on the smooth floor. Do not panic.
After the operation, I moved more than a month with the help of crutches.
Then he moved to a cane. It was in 2006. Now I am 70 years old.
Movement up stairs
Let someone stand behind you to help you if necessary.
Crutches should be on the same step where you are standing.
Weight should be located between crutches.
Put your healthy leg to the next step. Then pull the injured foot.
Pull the healthy leg and lift the crutches and the injured leg.
Movement down the stairs

1. At the time of the injured foot movement, put the crutches on the step down.

2. The weight should be located between the crutches.

3. Move your healthy leg on the step down.

Sitting into the car and out of the car

Let someone open the door and flow back the seat as far as possible back.

Still back until you reach the seats edge. Grasp the seat with one hand and behind the arms of crutches with a different hand.

Tilt your head so as not to hit. Stand or sit down

weight body weight on a healthy leg.

In order to sit down, put the heel of a healthy leg on the car's frame and lean back. Move on the seat until you can pull the injured foot into the car.
Stove crutch, step by foot, etc.
Akurate move, lay on crutches. You can quickly get used to it. My wife broke my wife a month before the birth. So, when I called her, jumping on the stairs. In the gypsum gave birth. And she gave birth to Horsha Girl Natasha.
Poor. I can not even advise anything ...
Then it is better for you to rest at home and let relatives and relatives calm you and bring products from the store and things buy and pray to God about recovery.
very careful. No help of strangers can not do
Friends will help. Must help. Holy matter.

Before rising on the crutch, their fit is necessary (the design of the crutch allows you to set the desired length). You need to know how to keep the crutch: top part The crutch should not rest in the armpit. The back of the crutch should be directly. How to choose the crutch, see.

How to go on crutches:

At all stages of training requires a safety net;
The patient stands on a healthy leg, holding one hand for the support, for example, a rectangular table, the other for the crutch.
Then:
puts the crutch forward for the length of the step;
transfers the severity of his body to the crutch;
tolerates a healthy foot on the length of the step;
repeating all this again and again, moves along the table;
it comes to the end of the table, turns, changes the crutch and support in some places and the same way moves back.
The patient stands on a healthy leg, in both hands - crutches.
Then he:
puts one crutch forward to the length of the step;
takes forward on the length of the step another crutch;
transfers to crutches their weight;
tolerates a healthy foot for the length;
repeats all this again and again.
In the future, you can go to walk when both crutches are taken forward at the same time.

When a person stands with two crutches, they must be divorced a little to the side - it gives a person great stability.

When using crutches of various species, it should be remembered that:

body weight should be transferred to hands, and not on armpits to avoid damage to the axillary region;
maintain a wide base for support even during rest;
keep the crutches about 10 cm from the edge and ahead of the foot;
when using crutches, the support racks should be close to the chest to ensure better equilibrium;
hold your head straight and save a smooth body position while walking.

The best position of the patient: the head is highly raised, the back straight, healthy knee is slightly bent. To support, you can lean back on the wall. Crutches are placed at a distance of approximately 15 cm from the socks and slightly kaperi. If the patient has wide hips - tips better to take to the side for more distance. The distance between the armpit and the top of the crutch should be about 2-3 fingers. Elbows bent at an angle of 25-30 .. You can check whether the body can easily break off from the floor. Hands should be almost straight. The fitness to crutches is checked while walking.

In order to get out of the chair, folded together crutches are placed from a damaged side and seize them from the inside. Then they throw them with a different hand through the chair, straighten up a healthy leg.
In order to sit down, they repeat the same movements, starting with the placement of two crutches on the damaged side. Then the patient straightens his back and sits down. At the same time, he must be sure that the chair or chair is not swing.
When walking with crutches, both crutches are placed simultaneously by 30 cm ahead and 15-20 cm aside to the toes. Put, leaning on the handles, the severity of the body forward. You can run on crutches. Lands on the heel so that the crutches were behind the patient.
A shuttle type is most simple and safe for those who begin to use crutches. It is necessary to start in order to bring crutches ahead, move the weight of the body forward, leaning on the hands, and slide in the same direction to a healthy foot.
When climbing or descent from the stairs, you can use the following method. The patient takes both crutches under one hand, holds them from the inside with a thumb. The other hand is seized by the railing (the hand is a bit in front of the body).
When climbing, the crutches are left at the level where they are. Then evenly distribute the body weight on the hand holding the crutch, and on the railing. Raise a healthy leg on the step, leaving behind the sore leg behind, straighten a healthy leg and promote crutches ahead.
On the descent from the steps, the crutches are placed on the lower stage and pull the sore feet. Then evenly rest on the hand holding crutches, and on the railing. Promote ahead healthy leg on the lower step. It is recommended to use this method when descending or lifting on narrow staircases.