Name of the Procedure:

Crutches, forearm (Common names: Forearm crutches, Lofstrand crutches; Medical term: E0110)

Summary

Forearm crutches are mobility aids designed to assist individuals with walking difficulties. They consist of a handgrip and a horizontal forearm cuff and are available in adjustable or fixed heights. These crutches are sold in pairs and include tips and handgrips for stability and comfort.

Purpose

Forearm crutches are used to help individuals who have difficulty walking independently due to various medical conditions. The main goals are to provide support, ensure safety, and improve mobility.

Indications

• Lower limb weakness or paralysis
• Post-surgical rehabilitation
• Injuries such as fractures or sprains
• Chronic conditions like arthritis or cerebral palsy
• Balance disorders

Preparation

No special preparation or fasting is required for using forearm crutches. However, a proper fitting and adjustment session by a healthcare provider ensures comfort and safety.

Procedure Description

1. Fitting: The crutches are adjusted to the appropriate height, ensuring the elbow is slightly bent (about 15-30 degrees) when holding the handgrip.
2. Training: A healthcare provider instructs the patient on correct usage, weight distribution, and safe walking techniques.
3. Usage: The patient is taught to place the crutch tips firmly on the ground for balance and to use their arms to manage the majority of their body weight.

Duration

The fitting and training session typically takes about 30-60 minutes. The duration of use depends on the patient's condition and needs.

Setting

The initial fitting and training are usually conducted in a hospital, outpatient clinic, or physical therapy center.

Personnel

• Physical Therapist
• Orthopedic Specialist
• Trained Nursing Staff

Risks and Complications

• Skin irritation or bruising from the forearm cuff
• Muscle strain or fatigue in arms
• Potential for falls if not used correctly

Benefits

• Enhanced mobility and independence
• Better weight distribution and support compared to underarm crutches
• Reduced risk of nerve damage in the armpits

Recovery

There isn't a recovery period associated with using forearm crutches. Patients should follow the given instructions and attend any scheduled follow-up visits for reassessment.

Alternatives

• Underarm crutches
  • Pros: Easier to use for short-term needs
  • Cons: Can cause discomfort and nerve damage in armpits
• Walkers
  • Pros: More stability for severe balance issues or weaker patients
  • Cons: Less convenient for maneuvering in tight spaces
• Canes
  • Pros: Less cumbersome
  • Cons: Offer less support and are unsuitable for severe conditions

Patient Experience

Patients might experience initial discomfort as they get accustomed to using the crutches. Pain management tips include maintaining proper posture and taking breaks to prevent strain. Comfort measures like padded handgrips and properly adjusted cuffs can alleviate discomfort.