Assistive Technology Essentials - Part two

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Mobility Products Walking aids The first time a walking aid is issued, a physiotherapy assessment and prescription request should occur. Other allied health professionals can generally request a like for like replacement if no functional changes have occurred since original prescription. A physiotherapy referral is advised if uncertain.

Forearm / elbow crutches (Red – prescribed) Physiotherapy prescription is indicated for first issue or change in functional abilities.

Description Lightweight forearm crutches that are height adjustable at both the cuff and handgrip. Features a moulded semi-circle cuff and ergonomically shaped, moulded handgrips.Available in three sizes: small, medium, large.

When to use

Short term application during post-surgery recovery to reduce weight bearing on an affected leg. Mobility rehabilitation progression. Long-term users where the person does not need the full support of a frame, but still requires bilateral / unilateral support for safe mobility. To allow access to smaller environments or steps and stairs where a frame could not fit. If considerations are met.

Instructions for person Physiotherapist to indicate method of use as per injury precautions or functional need. Adjust the handgrip of each forearm crutch to the height of the wrist crease by using the spring buttons at the bottom end of the crutches. Adjust the placement of the cuff on the forearm crutches before you begin to walk with them. Use the spring buttons on the upper half of each crutch to adjust the cuffs to approximately 10cm below the elbow bend. Turn the collar to secure the cuffs so that they will not move around as you walk. Grab the handgrip of the crutches, one in each hand, while placing the cuffs on each forearm. The cuff is shaped like a u; the open end of the u should face outward.

Considerations

Safe load capacity, weight and size/dimensions of user, correct length of crutch. Person’s ability to learn and coordinate method of use safely. Terrain – person needs to be taught and practice using crutches outdoors, indoors, steps, stairs if appropriate. Be aware of hazards including wet floors, uneven surfaces, wet leaves, and ice and carrying too many bags. Remove any loose mats and rugs to prevent tripping. 49


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