If The Assistive Device Fits...
Assistive devices are carefully fit to each individual client to ensure as much efficiency and safety as possible as the client uses it. For instance, if their device is not adjusted to the right height for them, it could effect a client's gait pattern and lead to an increased risk of falling.
To properly size a cane to a client, the handle should be about level with their greater trochanter. The client's elbow should be slightly flexed when holding the cane. If using a quadcane, it is important to ensure the wider legs are turned to face the outside so they are clear from the client's path when walking.
For axillary crutches, the arm pad should be about 5 cm below the axilla so as not to impinge on the nerves and vessels of that region. The handgrips should be about level with their greater trochanter. For Lofstrand (forearm) crutches, the arm cuff should be about 2/3 up the forearm, proximal to the elbow. The handgrips for forearm crutches should always be faced forward when in use for optimal body positioning.
For a rolling walker, as with the previous assistive devices, the handgrips should be in line with the greater trochanter so that the client's elbows are slightly flexed when hands are in place. It is important to make sure all legs are adjusted so that the handgrips are parallel to the floor so not to create awkward angles at the wrists. For a platform walker, the platform should be placed so that the elbow is bent to 90° to allow for weightbearing, with the handgrip turned medially slightly for a more comfortable grip. It is also important to make sure the elbow is 1 or 2 inches back off the platform to prevent nerve impingement.
To properly size a cane to a client, the handle should be about level with their greater trochanter. The client's elbow should be slightly flexed when holding the cane. If using a quadcane, it is important to ensure the wider legs are turned to face the outside so they are clear from the client's path when walking.
For axillary crutches, the arm pad should be about 5 cm below the axilla so as not to impinge on the nerves and vessels of that region. The handgrips should be about level with their greater trochanter. For Lofstrand (forearm) crutches, the arm cuff should be about 2/3 up the forearm, proximal to the elbow. The handgrips for forearm crutches should always be faced forward when in use for optimal body positioning.
For a rolling walker, as with the previous assistive devices, the handgrips should be in line with the greater trochanter so that the client's elbows are slightly flexed when hands are in place. It is important to make sure all legs are adjusted so that the handgrips are parallel to the floor so not to create awkward angles at the wrists. For a platform walker, the platform should be placed so that the elbow is bent to 90° to allow for weightbearing, with the handgrip turned medially slightly for a more comfortable grip. It is also important to make sure the elbow is 1 or 2 inches back off the platform to prevent nerve impingement.
Good job!
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