엔���렉스 NCLEX 기본간호(Fundamentals) 전범위 정리본

Crutch paralysis, or palsy ;목발 마비
: a reversible condition caused by excessive and prolonged pressure on the radial nerve at the axilla, often due to crutches that are too long or leaning on top of the crutches when ambulating. 

*교육
-support body weight on the hands and arms, not the axillae, when ambulating to ensure that there is a 1- to 2-inch (2.5- to 5-cm) space between the axilla and the axilla crutch pad.  -The crutches should also be checked for proper length.
-Handgrip location should allow 20-30 degrees of flexion at the elbow
#Wear(마모) and tear(찢어짐) of the axillary pads raises concern for the incorrect use or fit of crutches.  Excessive and prolonged pressure on the axillae can cause localized damage to the radial nerve at the axillae.  This leads to a reversible condition known as crutch paralysis, or palsy, and is caused by crutches that are too long or by leaning on the top of the crutches when ambulating.
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보행법
Proper gait - The 3-point gait is used for restrictions of partial or no weight-bearing on the affected extremity.  The injured extremity and crutches are moved simultaneously(동시에). 

The client who is rehabilitating from an injury of the lower extremity usually progresses from non-weight-bearing status (3-point gait) -> to partial weight-bearing status (2-point gait) -> to full weight-bearing status (4-point gait).