Regularly inspect crutches for wear. Check for: • Bent or damaged tubes. • Loose rivets (bolts) on handle and cuff. • Elongated or stressed adjustment holes. • Worn, spilt or loose ferrules (rubber cap at the end of crutches). • Splayed (spread out) or damaged cuffs. • Both spring buttons present. If you have any difficulty with any of the above please contact the Therapy & Dietetic Services on the telephone number on the back of this leaflet. Ferrules easily wear out. Please regularly check for worn, spilt or loose ferrules and contact Therapy & Dietetic Services immediately if they need replacing. • Regular cleaning with mild disinfectant is recommended. • Do not store in sub-zero temperatures. The Physiotherapy Department is open Monday to Friday, from 8.30 am to 4.30 pm. Please return the crutches to the department when these are no longer needed. Please contact the Therapy & Dietetic Services if you are experiencing difficulties using the crutches Tel: 0161 701 2640 5 No Smoking Policy The NHS has a responsibility for the nation’s health. Protect yourself, patients, visitors and staff by adhering to our no smoking policy. Smoking is not permitted within any of our hospital buildings or grounds. Royal Manchester Children’s Hospital The Manchester Stop Smoking Service can be contacted on Tel: (0161) 205 5998 (www.stopsmokingmanchester.co.uk). The Use Of Crutches Translation and Interpretation Service Do you have difficulty speaking or understanding English? % 0161 276 6202/6342 Children’s Physiotherapy Therapy & Dietetic Services Royal Manchester Children’s Hospital Oxford Road, Manchester M13 9WL Tel: 0161 701 2640 Fax: 0161 701 5052 Monday-Friday – 8.30 am-4.30 pm www.cmft.nhs.uk © Copyright to Central Manchester University Hospitals NHS Foundation Trust TIG 10/11 Produced May 2009 Review May 2011 (SF Taylor CM2631) Children’s Physiotherapy – Therapy & Dietetic Services The use of crutches After having your crutches measured and checked by a Physiotherapist or qualified Nurse, please follow these instructions carefully! Sitting to standing • Whilst sitting, hold both crutches by the handles in one hand. • To stand, push up on the crutches whilst pushing down with your other hand on a stable chair. • Once standing, arrange the crutches in your other hand. • To sit down repeat as above but the opposite way round. Walking for non-weight bearing • Stand on your good leg. • Place your crutches a short distance in front of you and a shoulder width apart, push down on your crutches with your hands. (If using underarm crutches squeeze crutches into the side of your chest by using your upper arms). • Take a small hop forwards with your good leg to land either behind or in front of your crutches. Repeat. Walking for partially weight bearing • Simultaneously place your crutches a short distance in front of you at shoulder distance apart and step forward with your bad leg. • Push down on your crutches to support your bad leg and step through with your good one. Repeat. Stairs The safest way to go up and down stairs is on your bottom. Ask somebody to carry your crutches. If you are well practised, have good balance and strong arms you can use your crutches. Going upstairs • Stand at the bottom of the stairs. • Hold onto the bannister if available and support yourself on the other side with one crutch. • Get somebody to bring the other crutch for you if you cannot hold both with one hand. • Keep your crutch with your bad leg at all times. • Hop up onto the first step with your good leg, pushing down onto the bannister and crutch with your hands. Once steady follow with your crutch and bad leg. (Keep your bad leg off the floor if non-weight bearing). Going downstairs • Stand at the top of the staircase holding the bannister and crutch as previously stated. • Place your crutch onto the first step whilst holding onto the bannister. • Step down with your bad leg, pushing down onto the crutch and bannister with your hands. (Do not put any weight onto your bad leg if non-weight bearing). • Step down with your good leg. Repeat. Going upstairs good leg goes first. Going downstairs bad leg and crutch first. If unsure go up and down on your bottom. General safety • Use a chair with high seat arms to help you sit and stand with ease. • Remove obstacles such as loose rugs. • Ensure there is adequate lighting so you can see where you are going. • Wear flat, supportive shoes and tie shoelaces. • Avoid wet floors. • Beware of outdoor hazards including uneven surfaces, wet leaves and ice. Repeat. • Stand on both legs using your crutches for support. 2 3 4
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