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1. Axillary Crutches

2. 2 fingers under axillary with 20-30 degree elbow bend. Tor touch method. Surgical leg stays forward during sit to stand and push from chair and not crutches.

3. 3 point gait step to

4. posterolateral on involved side with gait belt

5. Age, strength, balance/coordination, pain level, confidence, WB restriction,, and having to go to school with stairs and crowds.

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- I would recommend Bilateral axillary crutches.

-I would tell her to put crutches in right hand both of them. Push up from chair armrest with left hand. Stand up then transfer one crutch to other side.

- 3 point gait pattern step to pattern

- Her age and weight bearing status

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Theo will renovate the pavement to an even surface.

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Theo will renovate the pavement to an even surface.

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1. Rollator

2. When standing - bring both feet under you, place both hands on your chair to stand up, try not to pull rollator when coming to standing, once standing place both hands on rollator. As you you walk, push walker forward and move either your right or left leg.

3. 2 point - step through

4. Posterolateral

5. Factors to consider may be deciding if 2 point pattern is appropriate, ensuring he can appropriately maneuver the rollator (not pushing too far forward), considering if the rollator is ideal or if another device would be preferred, such as a cane

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#Rollator

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bilateral axillary crutches

Educate on maintaining min WB on R leg, to push off on armrests with R leg extended during sit to stand, and gait pattern

Start with 3 point step-to

Posterolateral on R side

She’s young, likely coordinated, but has WB precautions on one leg

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-Axillary Crutches

-Both crutches in right hand so she can weight bare on her stronger side to stand up.

-Start with a step-to pattern maybe with a 3 point gait pattern and progress to a 2 point gait pattern. Use crutch first -> involved leg -> uninvolved leg.

-Guard by standing on the right side and one hand on anterior aspect of shoulder and one hand with a supinated grip on the gait belt.

-Partial WB status, shes young, assuming she has UE strength.

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Single point cane or small quad cane.

Educate him on the direction the cane is positioned and the side to use it on. When using a cane for a sit to stand transfer -> place the cane in one hand while using both hands on the chair to push up. Do not push on the cane to stand up.

3 point step through gait pattern. Cane goes in front then the involved leg steps through followed by the uninvolved leg stepping through.

Stand posterior lateral on the involved side.

Patient only needs a little help and is only feeling a little off balanced on uneven surfaces.

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-Rollator

-Make sure rollator is locked when transferring and ensuring you have energy before starting. Also lock wheels if you need to sit and rest.

-2 point step through

-initially one hand on rollator to maintain control and one by gate belt or shoulder (depending on height of patient), but then move to posterior-lateral guarding

-Fatiguability, surface of parking lot, storage space in vehicle

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Rollator due to endurance restrictions. Instruct Pt to stay close to it and not let it get to far ahead of him. 2 point gait pattern with swing-to if he feels in control, otherwise we'd do step-to with 3 point gait pattern. Guard posterior lateral and not in front to not block him. Factors to consider is the length of time we can have the Pt ambulate before tiring. We'd provide breaks and advance as Pt hopefully increases endurance capabilities.

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Rollator

Making sure he is not putting weight into the rollator when completing sit to stands and demonstrating how to lock the wheels for safety

2 point gait with step through, pushing rollator forward while advancing one leg

He doesn’t experience any balance issues, the device is to make Michael more energy efficient and allow him rest breaks as he needs

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Single point cane

Have handle at wrist crease

If he has involved side place cane on opposite side

Guard on contralateral side of cane

3 point step through pattern

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Rollator, make sure device is locked and that you have enough energy to get up and start walking, 2pt step through, posterolaterally on either side with one hand on the rollator initially, his tendency to fatigue

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Rollator

How to lock, sit to stand and stand to sit into the rollator

2 or 3 point walk, step through

Posterior-Lateral

Energy conservation is patient goal, low endurance