Academic literature on the topic 'Standard axillary crutches'

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Journal articles on the topic "Standard axillary crutches"

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Unangst, Alicia, Kevin Martin, Anthony Mustovich, and Jaime Chisholm. "Foot and Ankle Patients Prefer a Hands-Free Single Crutch Compared to Standard Axillary Crutches." Foot & Ankle Orthopaedics 3, no. 3 (2018): 2473011418S0049. http://dx.doi.org/10.1177/2473011418s00498.

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Category: Ankle Introduction/Purpose: Following lower extremity surgery patients are often required to utilize assistive devices in order to perform activities of daily living. As technology and assistive devices continue to improve, providers are faced with selecting a device that is safe while providing high patient satisfaction and a quick return to actives. The purpose of the current study was to compare physical exertion and subject preference between a hands-free single crutch and standard axillary crutches in foot and ankle patients. Methods: A prospective, randomized crossover study was performed using 35 orthopedic foot and ankle patients from within one treatment facility. Each participant had demographic data and heart rate recorded. The patients were then randomized to an assistive device. All participants completed a 6-minute walk test (6MWT); immediately following each 6MWT heart rate, self-selected walking velocity (SSWV), perceived exertion using OMNI Rating of Perceived Exertion (OMNI-RPE) and perceived dyspnea using Modified Borg Dyspnea Scale was obtained. The patients then completed another 6MWT using the other assistive device and was asked the same questions. After completing both 6MWTs participants were asked which assistive device they would prefer to use. Results: A total of 35 patients were included with a median age of 32-year-old. The hands-free crutch was preferred by 86% of participants. Regression analysis was used to test if factors such as gender, height, weight, BMI predicted patient preference of iWalk vs. Crutch. None of these factors were found to be significant. Student t-tests and ANOVAs were performed separately for dyspnea, fatigue ratings, distance (meters) and heart rate between iWalk and crutch all were found to be significant (p<0.05, p=1.13e-11, p=2.29e-13, p=5.21e-05, respectively). The axillary crutch group had higher SSWV (0.8 vs 0.77m/s) but was not found to be significant. Neither group had any falls, however, 58% of axillary participants complained of axillary/hand pain while the hands-free group had 14% complain of proximal strap discomfort. Conclusion: Patients preferred the hands-free crutch while reporting lower perceived dyspnea and fatigue. The hands-free group demonstrated lower physiologic demand, which correlated with patient perception.
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Dewar, Cuyler, and Kevin D. Martin. "Comparison of Lower Extremity EMG Muscle Testing With Hands-Free Single Crutch vs Standard Axillary Crutches." Foot & Ankle Orthopaedics 5, no. 3 (2020): 247301142093987. http://dx.doi.org/10.1177/2473011420939875.

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Background: In order to maintain nonweightbearing restrictions of the lower extremity, an assistive device must be utilized. Currently most devices require the restricted limb to be held in a static position while the contralateral extremity provides forward propulsion. Atrophy and disuse conditions ensue rapidly, slowing healing and prolonging recovery. A hands-free single crutch (HFSC) utilizes both lower extremities, potentially reducing atrophy. The purpose of this study was to examine the electromyographic (EMG) differences between an HFSC and standard axillary crutches (SAC). Methods: A prospective, crossover study was performed using 21 healthy volunteers from an active duty foot and ankle clinic. Demographic data were obtained and then subjects were fitted with an HFSC and SAC. Wireless surface EMG sensors were applied to the belly of the rectus femoris (RF), vastus lateralis (VL), lateral gastrocnemius (LG), and the gluteus maximus (GM) by a board-certified orthopedic surgeon. Subjects then ambulated at a self-selected velocity for 30 m while 15 seconds of the gait cycle were recorded for each device. Mean muscle activity and the maximum voluntary isometric contraction (MVIC) were recorded. Results: The RF, GM, and LG showed significantly increased levels of muscle activity while using the HFSC compared to SAC (respectively P = .05, P = .03, P = .03). The VL did not show significantly higher muscle activity while using the HFSC ( P = .051). The RF, GM, and VL showed statistically significant higher MVIC percentages while using the HFSC compared with SAC (respectively P = .005, P = .005, P = .013). The LG did not show significantly higher MVIC percentage while using the HFSC ( P = .076). Conclusion: The HFSC subjects demonstrated increased muscle recruitment and intensity while maintaining cyclic contractions consistent with bipedal gait pattern. SAC demonstrated less recruitment and intensity with an isometric pattern regardless of the phase of gait. Clinical Relevance: Muscle atrophy following lower extremity immobilization.
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Martin, Kevin D., Alicia M. Unangst, Jeannie Huh, and Jamie Chisholm. "Patient Preference and Physical Demand for Hands-Free Single Crutch vs Standard Axillary Crutches in Foot and Ankle Patients." Foot & Ankle International 40, no. 10 (2019): 1203–8. http://dx.doi.org/10.1177/1071100719862743.

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Background: Weightbearing restrictions following foot and ankle surgery require the use of appropriate assistive devices for nonweightbearing ambulation during the recovery period. Selecting an appropriate assistive device that safely optimizes mobility and participation in daily activities is important to patient compliance and satisfaction. The purpose of this study was to compare physiologic demand, perceived exertion, and patient preference between a hands-free single crutch (HFSC) and standard axillary crutches (SACs) in foot and ankle patients. Methods: Using 44 preoperative orthopedic foot and ankle patients who had a mean age of 32 (19-51) years, a prospective, randomized, crossover study was performed. The sample consisted of 35 males and 9 females. The mean body mass index (BMI) was 26 (19-36), the mean height was 1.7 m, and the mean weight was 82 kg. Patient data and preactivity heart rate were recorded for all patients, who were then randomized to either an HFSC or SACs. Each patient was randomly assigned to the device they would utilize first using a random number generator. They then crossed over to the other device after vitals returned to within 10% of their baseline heart rate. Every subject completed a 6-minute walk test (6MWT) using both assistive devices in a crossover manner. Immediately following each 6MWT, postactivity heart rate, self-selected walking velocity (SSWV), perceived exertion using the OMNI Rating of Perceived Exertion (OMNI-RPE), and perceived dyspnea using the Modified Borg Dyspnea Scale were obtained. After completing both 6MWTs, patients were asked which assistive device they preferred the most. Results: The HFSC was preferred by 86% of patients. Significantly lower dyspnea scores (2.8 vs 5.3; P < .001), fatigue scores (2.4 vs 5.5; P < .001), preactivity and postactivity change in heart rate (28 vs 46 bpm; P < .001), and mean postactivity heart rate (107 vs 122 bpm; P < .001) were found using the HFSC compared with the SACs. The SAC group trended toward a higher SSWV (0.8 vs 0.77 m/s; P = .08). Those with a BMI greater than 25 also preferred iWALK over SACs ( P < .05). Neither group had any falls. Sixty-eight percent of patients complained of axillary/hand pain with the SACs, while 7% complained of proximal leg strap discomfort with the HFSC. Conclusion: The results of the current study in our relatively healthy cohort found that foot and ankle patients who were nonweightbearing preferred the HFSC over SACs. They experienced less physiologic demand as well as discomfort and perceived less exertion when using the HFSC compared with SACs. Level of Evidence: Level II, prospective comparative study.
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Bemis, Susan A., Link Joshua, Ann G. Russell, Michelle Wilson, and Kristen Wolf. "ENERGY EXPENDITURE WHILE ASCENDING STAIRS USING STANDARD AXILLARY CRUTCHES AND THE STABILIZING CRUTCH BEHIND THE USER IN COLLEGE STUDENTS." Cardiopulmonary Physical Therapy Journal 18, no. 4 (2004): 32. http://dx.doi.org/10.1097/01823246-200418040-00029.

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Bemis, Susan A., Link Joshua, Ann G. Russell, Michelle Wilson, and Kristen Wolf. "ENERGY EXPENDITURE WHILE ASCENDING STAIRS USING STANDARD AXILLARY CRUTCHES AND THE STABILIZING CRUTCH BEHIND THE USER IN COLLEGE STUDENTS." Cardiopulmonary Physical Therapy Journal 18, no. 4 (2007): 32. http://dx.doi.org/10.1097/01823246-200718040-00029.

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PT, Siddharth S. Mishra. "Energy Expenditure Index (EEI) for Single Limb Stand Non Weight Bearing Stair case Climbing Using Axillary Crutches and Standard Walker in Healthy Individuals." Asian Pacific Journal of Health Sciences 5, no. 4 (2018): 108–12. http://dx.doi.org/10.21276/apjhs.2018.5.4.16.

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Vassileva, D., I. Nedelcheva, S. Mindova, and I. Karaganova. "The Influence of Gait Pattern with Aids on the Patient’s Recovery in an Early Period of Total Knee Replacement." Acta Medica Bulgarica 46, no. 2 (2019): 36–40. http://dx.doi.org/10.2478/amb-2019-0016.

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Abstract Introduction: The total knee replacement is the definitive treatment for knee osteoarthritis (OA). It is an effective intervention to correct OA-related functional limitation. In such patients postoperatively are observed significant differences in the biomechanics of the two knee joints. While bearing the body weight the unoperated knee joint becomes very painful, stiff and incapable of neutral positioning. These factors significantly hamper the initial training in gait with aids in the standard locomotive stereotype immediately after surgery for knee joint replacement, where walking plays an essential role in daily activities and has varied health benefits. Aim: The aim of the study was to check whether different types of gait with aids in the early postoperative period after total knee replacement have a different influence on the recovery process. Material and methods: This study was conducted between January 2017 and July 2018 in the Department of Orthopedics and Traumatology of the University Hospital “Kanev” – Rousse. It included 56 patients with unilateral total knee replacement after gonarthrosis, divided into a control and experimental group, each of 28 patients. All patients in both groups had knee extension deficit of the untreated knee joint. The patients in both groups followed the same physiotherapy programs, performed from about the 2nd postoperative day to the 21st day when they were discharged from the department. The difference between the patients in both subgroups was their gait pattern with two axillary crutches. Results and Discussion: There were statistically significant differences between both groups. One of the most significant differences was in ROM. In the experimental group patients, flexion was improved with an average of 20° more than in the control group patients. Also, in the operated joint, the patients in the experimental group had no contracture, whereas those in the control group showed 15° at the end of the follow-up period. Conclusion: The results of the study show that the choice of gait training in the following order “crutches, operated leg, crutches, untreated leg” in patients with extensor deficiency and contracture in the untreated knee is more appropriate than the standard type of training in walking with aids.
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Song, Jae Hwang, Chan Kang, Gi Soo Lee, You Gun Won, and Tae Gyun Kim. "Efficacy of a Knee Walker for Foot and Ankle Patients: Comparative Study with an Axillary Crutch." Foot & Ankle Orthopaedics 4, no. 4 (2019): 2473011419S0040. http://dx.doi.org/10.1177/2473011419s00404.

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Category: Ankle, Orthosis, rehabilitation Introduction/Purpose: An axillary crutch is the most commonly used assistive device in foot and ankle patients who require nonweightbearing. On the other hand, its use frequently induces axillary or wrist pain and critical neurovascular injuries have been reported in several studies. Recently, knee walker was introduced, which minimized these weaknesses and yielded favorable results in some clinics. To the best of our knowledge, there have been no previous original article comparing the clinical results of the knee walker and axillary crutch in foot and ankle patients who require nonweightbearing. This study compared the clinical outcomes of patients using the knee walker and axillary crutch. Methods: A retrospective analysis was performed comparing the utility of a knee walker and axillary crutch as a nonweightbearing ambulatory aid for 62 foot and ankle patients treated between November 2016 and March 2018. A comparative study of the two orthosis could be performed because all the patients temporarily used an axillary crutch before or after the use of a knee walker. Jin Bae He Wheel Chair X 01 (JBH Medical Apparatus, Nanjing, China) was used for the knee walker and standard axillary crutch was used. A demographic study and comparative analysis based on the visual analogue scale (VAS) satisfaction score (0˜100), complications, and fall down history were evaluated. Furthermore, under the assumption of having retreatment, their preference of orthosis between the knee walker and axillary crutch was investigated. Results: The mean age of the patients was 36.5 and the mean duration of ambulation with a knee walker and axillary crutch were 5.2 and 2.4 weeks. The VAS satisfaction score of the knee walker and crutch was 88.8 and 27.5, respectively (p<0.05). The most frequent complications of the knee walker and crutch were ipsilateral knee pain (6 cases) and axillary or wrist pain (56 cases), respectively. No case of falling down occurred during knee walker ambulation, but there were two cases of crutch ambulation. Fifty-eight patients (93.5%) preferred the knee walker and four patients (6.5%) preferred a crutch. Conclusion: Compared to the axillary crutch, the knee walker afforded lower complication and higher satisfaction. Most patients preferred the knee walker to a crutch. Therefore, the knee walker is an efficient and safe orthosis for foot and ankle patients who require nonweightbearing.
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Annesley, Annette L., Monica Almada-Norfleet, David A. Arnall, and Mark W. Cornwall. "Energy Expenditure of Ambulation Using the Sure-Gait® Crutch and the Standard Axillary Crutch." Physical Therapy 70, no. 1 (1990): 18–23. http://dx.doi.org/10.1093/ptj/70.1.18.

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10

Nielsen, David H., Joan M. Harris, Yvonne M. Minton, Nancy S. Motley, Jeri L. Rowley, and Carolyn T. Wadsworth. "Energy Cost, Exercise Intensity, and Gait Efficiency of Standard Versus Rocker-Bottom Axillary Crutch Walking." Physical Therapy 70, no. 8 (1990): 487–93. http://dx.doi.org/10.1093/ptj/70.8.487.

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Dissertations / Theses on the topic "Standard axillary crutches"

1

Dewar, Cuyler. "Electromyography muscle testing demonstrates a hands-free single crutch maintains superior in-phase muscular contractions than standard axillary crutches." Thesis, 2020. https://hdl.handle.net/2144/41128.

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BACKGROUND: In order to maintain non-weight bearing restrictions of the lower extremity, an assistive device must be utilized. Currently most devices require the restricted limb to be held in a static position while the contralateral extremity provides forward propulsion. Atrophy and disuse conditions ensue rapidly, slowing healing and prolonging recovery. A hands-free single crutch (HFSC) utilizes both lower extremities, potentially reducing atrophy. The purpose of this study was to examine the Electromyography (EMG) differences between a HFSC and standard axillary crutches (SAC). METHODS: A prospective, crossover study was performed using 21 healthy volunteers from an active duty foot and ankle clinic. Demographic data was obtained and then subjects were fitted with a HFSC and SAC. Wireless surface EMG sensors were applied to the belly of the rectus femoris (RF), vastus lateralis (VL), lateral gastrocnemius (LG), and the gluteus maximus (GM) by a board-certified orthopedic surgeon. Subjects then ambulated at a self-selected velocity for 30 meters, while 15 seconds of the gait cycle was recorded for each device. Mean muscle activity and the maximum voluntary isometric contraction (MVIC) were recorded. RESULTS: The RF, GM, and LG showed statistically significant increased levels of muscle activity while using the HFSC compared to SAC (respectively P = 0.05, P = 0.03, P = 0.03). The VL did not show statistically higher muscle activity while using the HFSC (P = 0.051). The RF, GM, and VL showed statistically significant higher MVIC percentages while using the HFSC compared to using SAC (respectively P = 0.005, P = 0.005, P = 0.013). The LG did not show statistically higher MVIC percentage while using the HFSC (P = 0.076). CONCLUSION: The HFSC subjects demonstrated increased muscle recruitment and intensity while maintaining cyclic contractions consistent with bipedal gait pattern. SAC demonstrated less recruitment and intensity with an isometric pattern regardless of the phase of gait.<br>2022-06-04T00:00:00Z
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