Crutch walking

[angel76]

Hi Physios,
what will be the appropriate gait pattern to teach non weight bearing using elbow crutches( 3 point or 2 point ) for a lower limb fracture patient on POPcast ?i mean which gait is more stable- 3 point or 2 point?
has anyone heard about progression of gait ,example from 4point to 3point etc?
i would like to know if we progress from 3point to 2point or from 2point to 3 point?
thanks.

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[venkat]

hi,

First of all, for nonweightbearing usually axillary crutches are preffered. Generally, elbow crutches are used to provide lateral stability eg: Paraplegics. The usual pattern of progression is as follows.

a) First, 3-point nonweight bearing followed by

b) toe touch walking, then 3-point partial weightbearing, the amount of weight borne on affected limb varies.

c)4-point crutch walking

d) 2-point crutch walking

With regards,
Venkat