3a

• Your patient is PWB on their right leg following hip surgery, they have problems with both wrist so are unable to weight bear through them. They are mobile with a gutter frame but now need to be taught to use gutter crutches - GUTTER CRUTCHES

  • SAFETY CHECK
  • shouldn't be able to move the bottom rubber at all
  • need to make sure theres no wear in the holes
  • the poppers should be able to come out
  • the handle shouldnt be able to move around
  • the handle pivot and forearm restpad should be firm
• PWB on their right leg following hip surgery, they have problems with both wrist so are unable to weight bear through them. are mobile with a gutter frame, need to be taught to use gutter crutches - GUTTER CRUTCHES

  • to measure gutter crutches you need to measure the gutter frames first
  • there should be around 90 degrees of elbow flexion, without there being too much lumbar flexion on the gutter frame
  • for the gutter crutches get the pts to stand up right, holding onto gutter frame, with weight forward and with the elbow flexed to measure the height
• PWB on their right leg following hip surgery, they have problems with both wrist so are unable to weight bear through them. are mobile with a gutter frame, need to be taught to use gutter crutches - GUTTER CRUTCHES

  • this is for crutches, might be same for gutter crutches??? :
  • to sit down, step back with good leg until you feel the edge of the chair
  • then make the H shape with crutches
  • then reach down with the good side
• PWB on their right leg following hip surgery, they have problems with both wrist so are unable to weight bear through them. are mobile with a gutter frame, need to be taught to use gutter crutches - GUTTER CRUTCHES

  • 3 point gait is better than 2 point gait during early stage
  • 3 point gait = crutches forward first, then injured leg, then good leg
  • when walking backwards pts should walk in 2 point gait
  • 2 point gait = good leg back first, then injured leg along with crutches
• PWB on their right leg following hip surgery, they have problems with both wrist so are unable to weight bear through them. are mobile with a gutter frame, need to be taught to use gutter crutches - GUTTER CRUTCHES

  • TELL AND EXPLAIN TO PATIENT THAT THEYRE PARTIAL WEIGHTBEARING!!!!