Product Description

Axillary Crutches also known as underarm crutches is a misnomer because they should not be placed in the axilla at all. They should actually be positioned about 5cm below the axilla with elbow slightly flexed,15° approximately. Thier design includes an axillary bar, a handpiece and double uprights joined distally by a single leg. These are a type of Walking Aids that serve to increase the size of an individuals Base of support.

Indications for Axillary Crutches

The use of crutches may be indicated if a patient:

  • Has lost the use of a limb (it is either injured or amputated).
  • Is having problems with Balance and impaired strength.

Measurement of Axillary Crutches

It is essential that crutches are measured and adjusted to suit every patient they are given to. There are various methods to measure both the canes.

With shoes off measure from the apex of the axilla to the lower margin of the medial malleolus.
With shoes on 5cm below the apex of the axilla to a point 20 cm lateral to the heel of the shoe. This tends to be less accurate than the first method.

The measurement from the axillary pad to the hand grip should be taken with the elbow slightly flexed (approximately 15 degrees) from a point 5 cm below the apex of the axilla to the styloid process.

Walking pattern

There are several different walking patterns that an individual using crutches may use, including:

  • 2 point: this gait pattern is less stable as only two points are in contact with the floor and good balance is needed to walk with 2 points crutch gait.
  • 3 point: this gait pattern is used when one side lower extremity (LE) is unable to bear weight (due to fracture, amputation, joint replacement etc). It involves three points contact with the floor (two crutch point and one unaffected LE).
  • 4 point: this gait pattern is used when there’s a lack of coordination, poor balance and muscle weakness in both LE, as it provides a slow and stable gait pattern with three points support

Stairs:

Do not attempt to climb stairs or curbs until you have complete confidence in using your walking crutches. For safety reasons, you can sit down and scoot up and down the steps on your bottom if needed. If you have a rail, put both walking crutches under one arm and hold onto the rail for safety.

Going upstairs with or without a railing:

  • Keep the walking crutches on the stair you are standing.
  • Support your weight between your walking crutches.
  • Bring your good leg up to the next step. Let the injured leg trail behind.
  • Straighten your good leg and bring the walking crutches and your injured leg up.

Going downstairs:

  • Put the walking crutches on the lower step while putting your injured foot forward.
  • Support your weight between your walking crutches.
  • Move your good foot to the lower step.

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