Assistive
Devices
                                            • Assistive devices are
                                              basically helpful
                                              products that improve
                                              a person’s ability to
           Assistive                          function
                                              independently.
           Device                           • They are used by
                                              people with disabilities
                                              and older adults who
                                              want to remain
                                              independent as long
                                              as possible.
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                               • Structural deformity,
                                 amputation, injury or
                                 disease resulting in
 Indications for                 decreased ability of lower
                                 extremities.
   ambulatory
assistive Devices              • Muscle weakness or
                                 paralysis of the trunk or
                                 lower extremities
                               • Inadequate balance
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                                    Commonly used Assistive
                                    devices for mobility
                                    includes:
           Assistive
            device
                                            • Canes
                                            • Walkers
                                            • Crutches
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           CANE
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                                       Cane is a handheld
                                       ambulation device made of
                                       wood or aluminum
                                       Three types of canes are
                                       commonly used:
           Cane                        1. The standard straight-
                                          legged cane
                                       2. The tripod or crab cane.
                                          Which has three feet
                                       3. The quad cane, which has
                                          four feet and provides the
                                          most support.
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                                       Cane is a hand held
                                       ambulation device made of
                                       wood or aluminum
                                       Three types of canes are
                                       commonly used:
           Cane                        1. The standard straight-
                                          legged cane
                                       2. The tripod or crab cane.
                                          Which has three feet
                                       3. The quad cane, which has
                                          four feet und provides the
                                          most support.
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                                       • Cane tips should
                                         have rubber caps
                                         to prevent slipping.
           Cane                        • The standard cane
                                         is 91cm long; some
                                         aluminum canes
                                         can be adjusted
                                         from 56 to 97 cm.
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                                          • Hold the cane with the
                                            hand on the stronger
                                            side of the body to
                                            provide maximum
                                            support and when
           Walking                          walking.
            with a                        • Position the tip of a
            Cane                            standard cane about 15
                                            cm (6 inches) to the side
                                            and 15 cm (6 inches) in
                                            front of the near foot, so
                                            that the elbow is slightly
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                                     • Move the cane and
                                       weak leg forward at
                                       the same time, while
      Walking                          the weight is borne by
                                       the stronger leg.
       with a
       Cane                          • Move the stronger leg
                                       forward, while the
                                       weight is borne by the
                                       cane and the weak
                                       leg.
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                   • Crutches may be a temporary
                     need for some clients and a
                     permanent one for others.
                   • The most frequently used kinds of
                     crutches are the Underarm
                     crutch, or Axillary crutch with
       Crutches      hand bars and the Lofstrand
                     Crutch, which extends only to the
                     forearm.
                   • In crutch walking, the client's
                     weight is borne by the muscles of
                     the shoulder gridle and the upper
                     extremities
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                       Crutches may be a temporary need
                       for some clients and a permanent
                       one for others.
                       The most frequently used kinds of
                       crutches are the Underarm crutch,
                       or Axillary crutch with hand bars
           Crutches    and the Lofstrand Crutch, which
                       extends only to the forearm.
                       In crutch walking, the clients weight
                       is borne by the muscles of the
                       shoulder gridle and the upper
                       extremities
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                    • The nurse makes sure the
                      shoulder rest of the crutch is at
                      least three finger widths, that is,
                      2.5 to 5 cm (1 to 2 inches), below
                      the axilla.
     Measuring      • To determine the correct
                      placement of the hand bar:
     Clients for    a. The client stands upright and
      Crutches         supports the body weight by the
                       hand grips of the crutches.
                    b. The nurse measures the angle of
                       elbow flexion. It should be about
                       30 degrees.
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                     • The crutch gait is the gait a
                       person assumes on crutches by
                       alternating body weight on one
                       or both legs and the crutches.
                     • Five standard crutch gaits are
           Crutch      the:
                               1.        Four-point Gait
           Gaits               2.        Three-point Gait
                               3.        Two-point Gait
                               4.        Swing-to-Gait
                               5.        Swing-through Gait
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                         •      This is the most elementary and
                                safest gait, always providing at
                                least three points of support, but
           Four-point           it requires coordination.
             Gait        •      Clients can use it when walking in
                                crowds because it does not
                                require much space.
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                        • To use this gait, the client must
                          be able to bear the entire
                          body weight on the
                          unaffected leg.
                        • The two crutches and the
                          unaffected leg bear weight
Three-point               alternately.
   Gait                 The nurse asks client to:
                        1. Move both crutches and the
                           weaker leg forward.
                        2. Move the stronger leg
                           forward.
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                           The nurse asks the client to:
                           1. Move the left crutch
                              and the right foot
Two-point                     forward together.
  Gait                     2. Move the right crutch
                              and the left foot ahead
                              together
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                          The swing gaits are used by
                          clients with paralysis of the legs
                          and hips.
                          1. Move both crutches ahead
Swing Gait                   together.
                          2. Lift body weight by the arms
                             and swing to the crutches.
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                               The nurse asks the client to:
                               1. Move both crutches
                                  forward together
Swing-through                  2. Lift body weight by the
                                  arms and swing through
    Gait                          and beyond the crutch.
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           Thank you
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