Selecting the right walking aid
After the assessment, use the information gathered to help choose the walking aid that is most likely to meet the person’s needs. This should be a discussion with the person, to make sure you have understood their needs correctly and that their preferences are heard.
At this stage you also need to consider what size of walking aid will be needed. There is more information about this in step two (fitting).
In this topic you will have a chance to practise using assessment information to choose the most appropriate walking aid.
Практическое задание
Help Adira choose a walking aid
Adira is a young-middle age woman who has had a broken leg (fracture). She is wearing a cast and cannot put weight on her leg until the bone heals. She has good upper body strength and balance.
Как вы думаете, какое вспомогательное средство для ходьбы подойдёт Адире?
Tip – click on the walking aid your think would best suit Adira to view feedback
Верно
Подлокотные костыли - хороший выбор для Адиры, потому что:
- Адира обладает хорошей силой тела и равновесием
- Подлокотные костыли можно безопасно использовать при нагрузке на одну ногу
- Crutches are good for short term use as they are less costly than walking frames and rollators
Возможно
Подмышечные костыли подойдут для Адиры, так как их можно использовать при нагрузке на одну ногу.
Однако, поскольку Адира обладает хорошей силой и равновесием, она сможет пользоваться подлокотными костылями.
Подлокотные костыли легче и более удобны.
Костыли хороши для использования на короткое время, поскольку они дешевле, чем ходунки и колёсные ходунки.
Неверно
Адире не требуется дополнительная поддержка ходунков.
Подлокотные костыли - лучший выбор для Адиры. Нажмите на додлокотные костыли, чтобы узнать почему.
Неверно
Колёсные ходунки нельзя использовать для нагрузки веса только на одну ногу.
Подлокотные костыли - лучший выбор для Адиры. Нажмите на додлокотные костыли, чтобы узнать почему.
Неверно
Posterior walkers are more appropriate for children.
Подлокотные костыли - лучший выбор для Адиры. Нажмите на додлокотные костыли, чтобы узнать почему.
Неверно
Трость нельзя использовать для нагрузки веса только на одну ногу.
Подлокотные костыли - лучший выбор для Адиры. Нажмите на додлокотные костыли, чтобы узнать почему.
Практическое задание
Help Hugo choose a walking aid
Hugo is a middle age man who has had knee surgery. He cannot put all of the weight through this leg until his knee heals. This is likely to be 6-8 weeks. Hugo was not very active before surgery and does not have a lot of upper body strength. Hugo needs to be able to move around outdoors where the ground is uneven.
Tip – click on the walking aid your think would best suit Hugo to view feedback
Неверно
Elbow crutches will not provide the support and stability that Hugo needs. They will also need more upper body strength to use.
Axilla crutches would be a better option for Hugo. Click on axilla crutches to see why.
Верно
If Hugo can safely use axilla crutches these are likely to be a good choice because:
- Axilla crutches are easier to use on uneven ground
- Axilla crutches will offer Hugo more support and stability than elbow crutches
- Crutches are also good for short term use as they are less costly than walking frames and rollators
Возможно
A walking frame is a possibility for Hugo but is not be the best option as it would be more difficult to use over uneven ground.
Axilla crutches would be a better option for Hugo. Click on axilla crutches to see why.
Неверно
Hugo is unlikely to need the extra support from a rollator, and this would be difficult to use over uneven ground.
Axilla crutches would be a better option for Hugo. Click on axilla crutches to see why
Неверно
Posterior walkers are more appropriate for children.
Axilla crutches would be a better option for Hugo. Click on axilla crutches to see why.
Неверно
A walking stick would not provide enough support for Hugo.
Axilla crutches would be a better option for Hugo. Click on axilla crutches to see why.
Практическое задание
Help Ravi choose a walking aid
Ravi is an elderly man who has diabetes. He has had an above knee amputation caused by an infected foot ulcer. His trunk is weak and his balance is poor. Ravi does not have a prosthetic leg, and has used a wheelchair since his amputation. He wants to be able to move around inside his house with a walking aid.
Tip – click on the walking aid your think would best suit Ravi to view feedback
Неверно
Forearm crutches will not provide enough balance support for Ravi.
Он не обладает достаточной силой туловища, чтобы использовать подлокотные костыли.
A walking frame would be a better option for Ravi. Click on walking frame to see why.
Неверно
Axilla crutches will not provide enough balance support for Ravi.
A walking frame would be a better option for Ravi. Click on walking frame to see why.
Верно
A walking frame is a good choice for Ravi because:
- It is the most supportive walking aid. It will provide Ravi with support to walk short distances in his home
- A walking frame can be used for weight bearing on one leg only
Неверно
A rollator cannot be used for weight bearing on one leg.
A walking frame would be a better option for Ravi. Click on walking frame to see why.
Неверно
Posterior walkers are more appropriate for children.
A walking frame would be a better option for Ravi. Click on walking frame to see why.
Неверно
A walking stick cannot be used for weight bearing on one leg.
A walking frame would be a better option for Ravi. Click on walking frame to see why.
Практическое задание
Help Sofia choose a walking aid
Sofia is 68 years old, and recently has had a few falls in her home. She has poor balance, and can only walk short distances without assistance. She wants to be able to continue moving around her home and local community. However, she and her family are worried that she may fall again. Sofia lives in an area where there are good footpaths.
Tip – click on the walking aid your think would best suit Sofia to view feedback
Неверно
Подлокотные костыли не обеспечат Софии необходимую поддержку равновесия.
Колёсные ходунки будет лучшим вариантом для Софии. Нажмите на колёсные ходунки, чтобы узнать почему.
Неверно
Подмышечные костыли не обеспечат Софии необходимую поддержку равновесия. Кроме того, подмышечные костыли обычно используются на короткое время. Для Софии необходимо вспомогательное средство для ходьбы для более длительного использования.
Колёсные ходунки будет лучшим вариантом для Софии. Нажмите на колёсные ходунки, чтобы узнать почему.
Возможно
Ходунки - это вариант для Софии, потому что они обеспечат ей поддержку и снизят риск падения.
However, a rollator should also be considered. Click on rollator to see why.
Верно
Колёсные ходунки могут быть хорошим вариантом для Софии, потому что:
- Они обеспечат ей хорошую поддержку и позволят ходить более естественно, чем ходунки.
- Они додходят для использования на пешеходных дорожках в ее районе.
- Колёсные ходунки с сиденьем также подойдут, если ей нужно отдохнуть.
Before providing a rollator, check that Sofia can easily manage the brakes and maintain control and that it is suitable for her home.
Неверно
Posterior walkers are more appropriate for children.
Колёсные ходунки будет лучшим вариантом для Софии. Нажмите на колёсные ходунки, чтобы узнать почему.
Неверно
Софии, скорее всего, потребуется большая поддержка, чем та, которую может обеспечить трость, поскольку у неё плохое равновесие.
Колёсные ходунки будет лучшим вариантом для Софии. Нажмите на колёсные ходунки, чтобы узнать почему.
Практическое задание
Help Abe and his family select a walking aid
Abe is six years old and has cerebral palsy. He wants a walking aid to use at school, so that he can go outside and play with his friends. He has weak legs and needs help with his balance and to stand upright. He is able to learn new things quickly, and there is an assistant at the school that could help Abe practise using a new walking aid.
Tip – click on the walking aid your think would best suit Abe to view feedback
Неверно
Forearm crutches would not help Abe to stand upright as much as a posterior walker would and Abe currently needs more support and stability from a walking aid.
Forearm crutches might be a good future option for Abe if he develops more balance, strength and coordination.
A posterior walker is a better option for Abe. Click on posterior walker to see why.
Неверно
Axilla crutches are better for short term use and Abe needs something for longer term use.
Abe is also likely to find it difficult to stand upright enough to use axilla crutches safely.
A posterior walker is a better option for Abe. Click on posterior walker to see why.
Неверно
A standard walking frame would be difficult for Abe to manage as he would need to lift it and move it forwards to take each step.
A posterior walker is a better option for Abe. Click on posterior walker to see why.
Возможно
A posterior walker would be a better option for Abe, however, if there is no posterior walker available, a child size rollator may be suitable.
Abe would need training and practise to learn how to use a walker properly.
Click on posterior walker to see why (if available) a posterior walker is the better option.
Верно
Posterior walkers are appropriate for children if they are able to walk using two legs and are able to hold onto the walker.
A posterior walker is a good option for Abe because:
- It will help him to maintain his posture
- It will assist him to learn a good walking pattern
Abe will need training and practise to learn how to use it properly.
Неверно
A walking stick would not provide enough support for Abe.
A posterior walker is a better option for Abe. Click on posterior walker to see why.
Практическое задание
Help Nguyen select a walking aid
Nguyen is an elderly woman who is very active in her community. She has recently tripped a few times when walking over uneven ground, and is worried she may fall. She is wondering if a walking aid may help her feel safer. She has good upper body strength and can walk without assistance.
Tip – click on the walking aid your think would best suit Nguyen to view feedback
Неверно
Nguyen does not need elbow crutches to move around.
A walking stick is a better option for Nguyen. Click on walking stick to see why.
Неверно
Nguyen does not need crutches to move around.
Axilla crutches are also better for short term use and Nguyen needs a walking aid for longer term use.
A walking stick is a better option for Nguyen. Click on walking stick to see why.
Неверно
Нгуен не нуждается в дополнительной опоре в виде ходунков.
A walking stick is a better option for Nguyen. Click on walking stick to see why.
Неверно
Nguyen does need the extra support of a rollator, and it is not suitable for all environments.
A walking stick is a better option for Nguyen. Click on walking stick to see why.
Неверно
Posterior walkers are more appropriate for children.
A walking stick is a better option for Nguyen. Click on walking stick to see why.
Верно
This is the best option to try for Nguyen because:
- У неё хорошая сила верхней части тела
- She only needs a small amount of support
- Трость позволит ей ходить в многих местах её района.
- A walking stick allows her to have a free hand