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23 Jan 2021

Weight-bearing as tolerated (WBAT) or Full weight-bearing (FWB) Do not wear slippers or high heels. Keep in mind any weight-bearing limits. Move the crutches forward. When they are fixed in place, they will not move. Get someone to carry your other crutch up/down the stairs for you. They are less likely to fall over this way. Use your crutches for all walking and standing activities until your physician instructs you otherwise. Lower the crutches down, step down with your surgical/injured leg, then step down with your non-surgical/non-injured leg. 2. Climbing stairs - partial weight bearing. Begin by using a scale to see how much pressure is on your affected leg when half of your weight is placed on it. When using the stairs never forget that you should always start a step or a movement with your healthy leg. 50%. You will also learn how to safely sit, stand and go up and down stairs. 3. These instructions are specifically for patients that are partial weight bearing (PWB). False Once standing, place both crutches one step in front of you, level with each other. For example, a 200-pound patient that is allowed 50% PWB may place up to 100 pounds of weight through the surgical/injured leg. Non-weight bearing means that you’re unable to put weight on the injured leg. *If there is a railing available to use, hold both crutches on the side of your body opposite the handrail and grab the handrail with your free hand. Keep your bad leg out behind you. 2017-11-26T19:34:46-05:00 This is especially important when walking on unlevel/uneven surfaces or stairs. Your physician will decide whether you are to be non weight bearing, toe-touch weight bearing, partial weight bearing, or weight bearing as tolerated on your surgical/injured leg. Place both feet flat on the ground and place your free hand on the armrest (or seat) of the chair. >fq�w6A��N&� ��@�۲6�ZӒ���❔ڎfw��#�E��ԩ�ы~����w�ٳы�n6�i��o�i�A�q��u�h���ޡ����f��9����0�Hi�$����~�����ۢ���+�����UTf���jB��_��hr��EW}�^�����w� Alternate walking method. Start close to the bottom step. Take weight through crutch( es) and handrail, put unaffected leg on first step. The part that makes them non-weight bearing is the adjustable length. Step your surgical/injured leg forward to meet the crutches. When not in use, it is best to rest your crutches upside down. Crutches provide temporary support if you're struggling to balance or need to take weight off of one, or both, of your legs. Check the ground for objects that may cause crutches to slip out from under you. 7. Reach back with your free hand until you feel the armrest (or seat) of the chair. Remember to keep partial weight bearing on the stairs. Stand close to the surface you intend to go up. But methods using of different crutches is an important context. Lean forward at your hips, tighten your core muscles and then push down through both hands and both legs (only place as much weight through the surgical/injured leg as specified by your physician) in order to stand. The rubber tip is well made for keeping the crutch in place. These instructions are specifically for patients that are weight bearing as tolerated (WBAT). • Put your injured leg on the ground, slightly behind the crutches. Whenever you go up the stairs with crutches, whether there’s a railing or not, use your strong leg to step onto the stair first before pulling up the injured leg. Tip: Ask a friend to carry one of your crutches while you climb or descend stairs. Hold onto the handrail with one hand. Hold both crutches in one hand, on the side of your surgical/injured leg. Stand on floor facing stairs, hold onto handrail with one arm and crutch( es) in outside arm, close to first step. (Push down through the crutch handles with your hands in order to avoid placing too much weight through the surgical/injured leg.). Regain your balance. Step up with your non-surgical/non-injured leg, then bring your surgical/injured leg, and both crutches up at the same time. • Weight bearing as tolerated: Allow as much weight as tolerated through the involved leg. Place as much weight as you have been instructed on the leg, with the remaining weight shared between the crutches. Slowly lower yourself into the chair, making sure to only place as much weight through the surgical/injured leg as specified by your physician. Once standing and steady, place one crutch under each arm. (If there’s no handrail, keep one crutch under each arm.) Stand close to the edge of the surface you intend to go down. • Your injured leg can be on the ground. Keep the crutches on the step where you’re standing. Step through the crutches with your good leg. Whether you’ve received a referral from your primary care physician or would like to visit our premier team to discuss any orthopedic issues you may be experiencing, we invite you to contact us today. Swing the unaffected leg forward in front of the crutches. 4. This instructional video shows how to walk with crutches correctly while putting partial weight on the injured leg. The therapist will instruct you on the appropriate set-up and fitting of your crutches. Do not wear long, floor-length robes or gowns while using crutches. Scoot forward in the chair to make it easier to stand. Walking up stairs: Stand at the bottom of the stairs. If appropriate you will be given metal elbow crutches. Position yourself so that the backs of your legs are touching the chair. They can feel more stable and secure than a walking stick, but less than a walking frame. It's important to remember which leg goes first when walking with crutches weight-bearing. Going Down Stairs: 1. uuid:ea20b662-adcc-4722-8364-89d44f5b7078 7-3501-106 ED C34 CC Rev 01 2012 Review 03 OD How to use crutches on the stairs. You are allowed to put full weight through your affected (operated/injured) leg i.e. 20 0 obj <>/Metadata 15 0 R/OutputIntents[16 0 R]/Pages 14 0 R/StructTreeRoot 54 0 R/Type/Catalog/ViewerPreferences<>>> endobj 15 0 obj <>stream Hold the armrest of the chair (or chair seat) with the other hand. The “swing to” method of walking, sometimes called gait, is easy to learn and takes less arm strength and balance. Take most of the weight by pushing down on the handgrips, squeezing the top of the crutches between the chest and arm. Move both crutches and your injured leg forward at the same time. 2Hold both crutches in one hand, on the side of your surgical/injured leg. So here are a few tips to help you get safely up and down the stairs with crutches. However it has been advised you use crutches for a period of time to help support your recovery. Using crutches 4 Partial weight bearing Walking • You can put some weight on your injured leg. endstream endobj 14 0 obj <> endobj 54 0 obj <> endobj 55 0 obj <>/CM10<>/CM11<>/CM12<>/CM2<>/CM3<>/CM4<>/CM5<>/CM6<>/CM7<>/CM8<>/CM9<>>> endobj 89 0 obj <> endobj 90 0 obj <> endobj 91 0 obj [56 0 R 57 0 R 95 0 R 96 0 R 97 0 R 98 0 R 99 0 R 100 0 R 101 0 R 102 0 R 103 0 R 104 0 R 105 0 R 106 0 R 107 0 R 108 0 R 60 0 R 61 0 R 109 0 R 110 0 R 111 0 R 112 0 R 113 0 R 114 0 R 63 0 R 115 0 R 116 0 R 64 0 R 65 0 R 66 0 R 67 0 R 117 0 R 68 0 R 118 0 R 69 0 R 70 0 R 71 0 R 72 0 R 73 0 R 74 0 R 75 0 R 76 0 R 119 0 R 77 0 R 120 0 R 78 0 R 94 0 R] endobj 92 0 obj <>46]/P 121 0 R/Pg 21 0 R/S/Link>> endobj 93 0 obj [80 0 R 81 0 R 122 0 R 123 0 R 124 0 R 125 0 R 126 0 R 127 0 R 128 0 R 129 0 R 83 0 R 84 0 R 85 0 R 130 0 R 131 0 R 132 0 R 133 0 R 134 0 R 135 0 R 87 0 R 136 0 R 137 0 R 138 0 R 139 0 R 140 0 R 141 0 R 142 0 R 143 0 R 144 0 R 145 0 R 146 0 R 147 0 R 148 0 R 149 0 R 150 0 R 151 0 R 152 0 R 153 0 R 154 0 R 155 0 R] endobj 94 0 obj <>46]/P 79 0 R/Pg 21 0 R/S/Link>> endobj 79 0 obj <> endobj 21 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/TrimBox[0.0 0.0 792.0 612.0]/Type/Page>> endobj 156 0 obj [47 0 R] endobj 157 0 obj <>stream Using Crutches: Up and Down Steps. Your physician will decide whether you are to be non-weight bearing, toe-touch weight-bearing, partial weight-bearing, or weight-bearing as tolerated on your surgical/injured leg. Establish balance. A healthy leg can support your body weight, but when you have an injured leg or foot, you need to keep weight off it. Crutches should be in the middle of the step, away from the edge. Take a step with the "good" leg. Standing straight with your arm at your side, the crutch handle should align with the inside of your wrist. These instructions are specifically for patients that are partial weight bearing (PWB). PDF/X-1a:2001 Your physician will decide whether you are to be non-weight bearing, toe-touch weight-bearing, partial weight-bearing, or weight-bearing as tolerated on your surgical/injured leg. To get a feel for your PWB limit, you may place your surgical/injured leg onto a scale and shift your weight to that side. It is very important that you adhere to your weight-bearing instructions in order to avoid disrupting the healing process. In this case, your patient would estimate half of their body weight and put 50% of their weight through their injured leg, and the remaining 50% of their body weight would be supported by their arms through the crutches.

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