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2008 | 16 | 2 | 19-28

Article title

Climbing stairs with a walking frame - a locomotion proposal for patients unable to master walking on crutches


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It is assumed that walking canes, tripods, quadrupeds and crutches can be helpful in the case of stair climbing. Walking frames and supporters are counted as equipment used only on flat ground. The aim of the research is to prove the possibility for a patient, who cannot walk on crutches, of climbing stairs with a support of a walking frame. Material and methods. In the research group there were 12 patients on post-operational treatment caused by trochanteric fractures. Because of the general state of the research patients' health, they didn't start learning using the crutches. On account of the type of accommodation the patients lived in (two-floor detached houses, terraced houses) they and their families were proposed learning to climb stairs with use of walking frame. Findings: 1) Ascending stairs by a patient who cannot walk on crutches is possible applying the proposed method. Assistance of another person is inevitable in this way of locomotion. 2) Descending stairs by a patient who cannot walk on crutches is possible using the proposed method. Assistance of another person is also inevitable in this way of locomotion.
Przyjmuje się, że w przypadku chodu po schodach pomocne mogą być: laski, trójnogi, czwórnogi oraz kule. Bal-koniki, chodziki i podpórki zalicza się do sprzętu wykorzystywanego tylko w chodzie po plaskim podłożu. Celem pracy jest opisanie sposobu pokonania schodów przez pacjenta, niepotrafiącego poruszać się o kulach, za pomocą balkonika. Materiał i metody. W grupie badanych znalazło się 12 pacjentów po leczeniu operacyjnym z powodu złamania bliższej części kości udowej. Ze względu na ogólny stan zdrowia badanych nie rozpoczęto nauki chodzenia o kulach. W związku z miejscem zamieszania poszczególnych pacjentów (piętrowe domy jednorodzinne, piętrowe domy w zabudowie szeregowej) zaproponowano im i ich rodzinom naukę chodzenia z balkonikiem po schodach. Wnioski: 1) Wejście po schodach pacjenta niemogącego poruszać się o kulach proponowanym spo-sobem jest możliwe. W lokomocji tej niezbędna jest asekuracja drugiej osoby. 2) Zejście po schodach pacjenta niemogącego poruszać się o kulach proponowanym sposobem jest możliwe. W lokomocji tej również niezbędna jest asekuracja drugiej osoby.










Physical description


1 - 4 - 2008
13 - 3 - 2010


  • Chair of Physiotherapy in Dysfunction of Motor Organs, AWF Wroclaw


  • Konieczny G, Wrzosek Z. Effects of the method of treating trochanteric fractures on patients' physical activity, [w:] S. Czyż F. Viviani (red.) New Horizons: 24th International Counsil for Physical Activity and Fitness Research Symposium. Elsevier Urban & Partner; Wroclaw 2006, 103-133.
  • Rowe P. J. i in. Knee joint kinematics in gait and other functional activities measured using flexible electrogoniometry: how much knee motion is sufficient for normal daily life? Gait Posture, 2000, 12, 143-155.
  • Ombregt L. i in. A system of orthopedic medicine. Churchill Livingstone, London 2005.
  • Brotzman S. B., Wilk K. E. Clinical orthopedic rehabilitation. Mosby, Philadelphia 2003.
  • Hamel K. A. i in. Foot clearance during stair descent: effect of age and illumination. Gait Posture, 2005, 21, 135-140.[WoS]
  • Heller M. O. i in. Musculo-skeletal loading conditions at the hip during walking and stair climbing. J. Biomech., 2001, 34, 883-893.
  • Lythgo N. i in. Stepping responses made by elderly and young female adults to approach and accommodate known surface height changes. Gait Posture, 2007, 82-89.[WoS]
  • Lee H. J. i in. Balance control during stair negotiation in older adults. J. Biomech., 2007, 40, 2530-2536.
  • Stacoff A. i in. Ground reaction forces on stairs: effect of stair inclination and age. Gait Posture, 2005, 21, 24-38.
  • Stacoff A. i in. Ground reaction forces on stairs. P. 2. Knee implant patients versus normals. Gait Posture, 2007, 26, 48-58.[WoS]

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