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Author Question: You instruct D.M. on using the three-point gait with the crutches. Which would be the correct first ... (Read 49 times)

jeatrice

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on: Jun 25, 2018
You instruct D.M. on using the three-point gait with the crutches. Which would be the
  correct first step for the three-point gait?
 
  a. Step first with the affected leg.
  b. Step first with the unaffected leg.
  c. Step first with both crutches and the affected leg.
  d. Step first with the affected leg and the crutch opposite of the affected leg.

Question 2

When instructing D.M. to use crutches, D.M. states that he likes it better when the crutches
  rest under his arms while he walks with the crutches. Is this correct? Explain.
 
  What will be an ideal response?


Briannahope

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Reply #1 on: Jun 25, 2018
Answer to Question 1

b
Three-point gait requires the patient to bear all weight on one foot and is useful for patients with
a broken leg or sprained ankle. The weight is born on the unaffected leg and then on both crutches.
No weight is placed on the affected leg.

Answer to Question 2

He needs to bear his weight on his hands, wrists, and arms. The axillary area should never be used
to support the weight; this can result in nerve damage. The top of the crutches should be two finger
widths below the axilla. Arms should be kept straight with hands on the grips. Place crutches far
enough apart to allow the body to swing through unimpeded.


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