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Patient Education on Assistive Device Use

Patient education is a critical component of orthopaedic care, ensuring that individuals
understand the proper techniques for using assistive devices to enhance mobility, prevent
injuries, and optimize recovery outcomes. Orthopaedic technologists play a pivotal role in
instructing patients (based on physician guidance) on correct usage, identifying common
challenges, and implementing fall prevention strategies to maximize safety and confidence in
mobility.

1. Safe Use Techniques

Proper usage of assistive devices is essential for preventing secondary injuries and improving
mobility. Patients should be thoroughly instructed on how to correctly utilize crutches, walkers,
and canes to minimize strain and avoid instability.

General Safe Use Principles:

• Maintain proper posture by keeping the back straight and shoulders relaxed while using
assistive devices.
• Ensure even weight distribution to prevent joint overuse injuries.
• Always check the rubber tips and grips on assistive devices for wear and tear to prevent
slipping.
• When adjusting any device, ensure it is custom-fitted for the patient’s height and strength
capacity.

Specific Techniques for Different Devices:

• Crutches:
o Ensure the crutch tips are placed 6 inches in front and 2 inches to the side of each foot
when standing.
o Patients should never rest their weight on the axillary pads to prevent brachial plexus
compression (nerve damage in the armpit area).
o When moving, use a tripod stance for stability before initiating a step.
• Walkers:
o Move the walker first, then step forward with the weaker leg, followed by the stronger
leg.
o Avoid pushing the walker too far ahead, which can cause balance loss.
o Instruct patients on safe navigation over uneven surfaces and curbs.
• Canes:
o The cane should be held on the opposite side of the affected limb to provide better
support.
o Encourage patients to advance the cane first, followed by the injured leg, then the
stronger leg.
o Quad canes offer greater stability and should be used with all four feet making contact
with the ground simultaneously.
• Instruct patients on proper posture and weight distribution to prevent secondary injuries.
• Emphasize slow, controlled movements when using crutches, walkers, or canes.
• Demonstrate stair navigation techniques using assistive devices: