Assistive Devices

My friend Virginia & I making silly faces. Virginia is a platform walker user.

In order to sure a client's safety, assistive devices must be uniquely fitted to the individual. The therapist also educates the client about proper use and technique of devices to ensure appropriate body mechanics and security. An additional reason for therapists to "fit" a client for assistive devices is to appropriately designated the device needed to met the individual's needs. The client's motor skills, cognition, and endurance levels must all be considered when determining the appropriate equipment. Occupational therapists and other health professionals have distinct value in experiences and education to aid in the assignment of assistive devices. Also, the misuse or inappropriate fitting of assistive devices could lead to additional injuries or accidents. 

In fitting a client for a cane or walker, the hand grip would be at the level of the wrist crease or ulnar styloid. The elbow is relaxed with slight flexion of 20 to 30 degrees and the shoulder should be relaxed. A standard walker provides the most stability and a rolling walker allows more mobility due to the two front wheels. A platform walker would be used for a client that is unable to bear weight through the wrist or hand or to provide additional support. The platform allows support at the forearm and permits the client to be mobile. 

There are two main types of crutches: axillary and Loftstrand. Axillary crutches are fitted at the hand just like a cane and about five centimeters below the armpit when the shoulders are relaxed. Loftstrand crutches use an arm cuff that goes around the proximal forearm which is placed about three fingers width away from the elbow. The shaft of the crutches must be adjusted to the appropriate height resulting with the hand grip at the wrist crease.