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Sizing Ambulation Devices

Walker

  • In standing, adjust the height of the walker so that the top of the walker reaches the level of the greater trochanter or the ulnar styloid process of the wrist

  • If the athlete is unable to stand, this measurement can be taken in supine

Crutches

  • In standing, place the tip of the crutch 4–6" to the front & outside of each foot

  • Adjust the length so that the axillary pad of the crutch is 2–3 finger widths below the axilla

  • If the athlete is unable to stand, this measurement can be taken in supine

  • Adjust the hand grip so that the elbow is flexed 25° to 30°

Canes

  • In standing, place the cane along side of the leg

  • The top of the cane should reach the level of the greater trochanter or the ulnar styloid process of the wrist

  • If the athlete is unable to stand, this measurement can be taken in supine

Gait Patterns

4-Points: 2 Canes or Crutches

Sequence: Image not available. cane/crutch, Ⓛ LE, Ⓛ cane/crutch, Image not available. LE

3-Points: Walker or 1 Cane/Crutch

Sequence: Device, involved LE, uninvolved LE

2-Points: 1 Cane or Crutch

Sequence: Device with involved LE, uninvolved LE

2-Points: 2 Canes or Crutches

Sequence: Image not available. cane/crutch with Ⓛ LE, Ⓛ cane/crutch with Image not available. LE

Ambulatory Strategies

Ascending Stairs or Curbs

  • If a handrail is present; place assistive device(s) on opposite side of handrail

  • Step up with uninvolved LE

  • Step up with involved LE

  • Follow with assistive device

Descending Stairs or Curbs

  • If a handrail is present; place assistive device(s) on opposite side of handrail

  • Place assistive device(s) down on next step

  • Step down with involved LE

  • Step down with uninvolved LE

Mouthguard

Standard Fitting

  • Begin with appropriate size mouthguard, i.e. youth, adult

  • Hold mouthguard by loop & submerge in boiling water for 20–30 seconds

  • Allow excess water to drain off & place mouthguard into the mouth over the upper teeth

  • Do NOT bite down or allow lower teeth to touch mouthguard

  • Place tongue in roof of mouth & suck as hard as possible for 15–20 seconds

  • Rinse mouthguard in cold water

  • Inspect for imperfections; trim as needed but do NOT reheat

 

Source: Anderson MK (2002).

Braces

  • Athletes with braces should be fitted with a mouthguard that covers both the upper & lower teeth

Helmets

Goal: Achieve a snug fit around all parts of the head. There should not be ...

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