Canes and forearm crutches are assistive devices that support balance when used correctly. By reducing the load on the side of the body that needs support, these devices can increase the feeling of confidence during movement, and they are often used in the early stages of gait training after an amputation. As with other walking aids such as walkers, choosing and using the device is safer when done in line with the physician's assessment and a specialist's recommendation.
Correct grip and walking
A cane or forearm crutch is usually held in the hand opposite the affected side. For example, if the right leg is weak or painful, the device may be held in the left hand. The following steps help when walking:
- Hold the device firmly in the hand opposite the affected side.
- Move the device forward as you step with the weaker leg.
- Make sure the device is planted firmly on the ground, then step forward with the stronger leg.
Going up and down stairs
If possible, hold on to a sturdy handrail and use the device in the other hand; a similar approach is followed in the techniques for going up and down stairs with a prosthesis.
- Going up: First step up with the stronger leg, then bring the affected leg and the device up to the same level.
- Going down: Place the device on the step below, step down with the affected leg and bring the stronger leg down beside it.
Choosing the right height
The correct height is important for safe use. A device that is too long can raise the shoulder and disrupt posture; one that is too short can cause leaning forward and loss of balance. A general approach to measurement is as follows:
- Stand in a neutral position with your arms hanging freely at your sides.
- In this position, the handle of the device should be at approximately the level of the wrist crease.
- When gripping, the elbow should be slightly bent (about 20–30 degrees).
Determining the appropriate device and learning how to use it gives the most accurate result when demonstrated by the relevant healthcare professional.
This content is for informational purposes only; you should consult your physician for diagnosis and treatment.
