Assistive Devices

The correct fitting of an assistive device is crucial when working with clients. There are many reasons why a client would need an assistive device but the 2 main reasons are decreased balance, strength, and ability and to increase safety and security. For a client with decreased strength, a correct fitting assistive device would be crucial in helping them gain their independence back. Instead of using a wheelchair, the client could use a walker, crutches, or even a cane. All of these options are easier and less bulky than a wheelchair. If the devices are not fitted to your client properly, this could cause them danger, and even result in an injury. Also, if you do not properly fit the devices to your client, they will be difficult and awkward to use. If a walker or a cane is not fitted directly to a client, they will not get the full benefit from them, and in return, decrease mobility and confidence with the devices.
To fit your client for a cane or a walker, the hand grips should be at the level of the ulnar styloid, wrist crease, or the greater trochanter, The elbows should be relaxed and flexed 20-30 degrees to get the right measurements. A platform walker would be used for a client who has a fracture or something wrong with their arm but also need support while walking. A rolling walker would be used for clients who fatigue easily, but have good balance. To fit your client for crutches, the hand grips should be at the level of the ulnar styloid, wrist crease, or greater trochanter, and the axillary rest should be approximately 5 cm below the floor of the axilla to prevent putting pressure on the brachial plexus. When your client is using Lofstrand crutches. you fit them the same way, but make sure the hand rests are facing forward when the client is moving to prevent an awkward angle of their arms.