Proper Ambulation with a Cane: Difference between revisions

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== Introduction ==
== Introduction. ==
Ambulation is defined as the ability to walk from place to place independently with or without assistive device (Moorhead, S., Johnson, M., & Maas, M. (Eds.) (2004). Nursing Outcomes Classification (NOC) (3rd ed.) St. Louis, MO: Mosby. ).  There are many different cases or instances in which mobility is impaired and ambulation with an assistive device (canes, walkers, crutches, etc.) is needed.


== Sub Heading 2 ==
== Cane.  ==
A cane is an ambulatory assistive device generally prescribed for people with moderate levels of mobility impairment, It is typically used when minimal stability is needed.
 
== Types of Canes and their uses. ==
A detailed understanding of the different types of ambulatory assistive devices and their types, modifications, fitting, stability and indications is essential in prescribing one.
 
There are different types of canes and the type used is dependent on the type of gait disturbance.
 
Gait disturbances can be divided into 3 useful categories:
 
a.      Balance (including sensory and cerebellar systems),
 
b.     Motor (including cerebral initiation of walking and muscular strength), and
 
c.      Joint or skeletal problems.<sup>1</sup>
 
The types of canes include:
 
1        The standard cane (Figure 1): This is generally used for mild sensory or coordination problems found in visual, auditory, vestibular, peripheral proprioceptive, or central cerebellar disease.<sup>2</sup> It can help stabilize a patient’s gait by providing an extra contact point with the ground, therefore, increasing the base of support.
 
2        Offset cane: This is used for patients that cannot bear weight on the affected side or limb and need to transfer weight to the cane, like those with osteoarthritic hip or knee pain. This cane will provide greater stability, as it allows force to be placed directly along the cane’s shaft.
 
3        Offset 4-legged quad cane: This type of cane is prescribed when there is substantial weight bearing required, such as in a hemiplegic patient.


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Revision as of 22:04, 25 June 2018

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Top Contributors - Ginika Jemeni, Kim Jackson, Vidya Acharya, Amrita Patro, Amanda Ager, Lauren Lopez and Lucinda hampton  

Introduction.[edit | edit source]

Ambulation is defined as the ability to walk from place to place independently with or without assistive device (Moorhead, S., Johnson, M., & Maas, M. (Eds.) (2004). Nursing Outcomes Classification (NOC) (3rd ed.) St. Louis, MO: Mosby. ).  There are many different cases or instances in which mobility is impaired and ambulation with an assistive device (canes, walkers, crutches, etc.) is needed.

Cane.[edit | edit source]

A cane is an ambulatory assistive device generally prescribed for people with moderate levels of mobility impairment, It is typically used when minimal stability is needed.

Types of Canes and their uses.[edit | edit source]

A detailed understanding of the different types of ambulatory assistive devices and their types, modifications, fitting, stability and indications is essential in prescribing one.

There are different types of canes and the type used is dependent on the type of gait disturbance.

Gait disturbances can be divided into 3 useful categories:

a.      Balance (including sensory and cerebellar systems),

b.     Motor (including cerebral initiation of walking and muscular strength), and

c.      Joint or skeletal problems.1

The types of canes include:

1        The standard cane (Figure 1): This is generally used for mild sensory or coordination problems found in visual, auditory, vestibular, peripheral proprioceptive, or central cerebellar disease.2 It can help stabilize a patient’s gait by providing an extra contact point with the ground, therefore, increasing the base of support.

2        Offset cane: This is used for patients that cannot bear weight on the affected side or limb and need to transfer weight to the cane, like those with osteoarthritic hip or knee pain. This cane will provide greater stability, as it allows force to be placed directly along the cane’s shaft.

3        Offset 4-legged quad cane: This type of cane is prescribed when there is substantial weight bearing required, such as in a hemiplegic patient.

Sub Heading 3[edit | edit source]

Resources[edit | edit source]

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References[edit | edit source]