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February 8, 2012
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Crutches

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History

Since antiquity humans have fashioned support devices to hold themselves up when they became sick or injured. Evidence of such devices dates to 2830 B.C. A carving on the entrance of an Egyptian tomb depicts a figure leaning on a crutchlike staff.

Crutch design has evolved from the basic "T" used by Tiny Tim in A Christmas Carol, to aluminum braces with ice-gripping tips or energy-storing tips that function as shock absorbers—kind of like Air Jordans for the injured.

For lower-limb injuries, crutches remain useful today to decrease discomfort, reduce recovery time, and assist walking.

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Crutches

Sprains and Strains Overview

The body is meant to move. Muscles allow that movement to happen by contracting and making joints flex, extend and rotate. Muscles attach on each side of the joint to bone by thick bands of fibrous tissue called tendons. When a muscle contracts, it shortens and pulls on the tendon, which allows the joint to go through a range of motion.

A strain occurs when the muscle tendon unit is stretched or torn. The most common reason is the overuse and stretching of the muscle. The damage may occur in three areas:

  • The muscle itself may tear.

  • The area where the muscle and tendon blend can tear.

  • The tendon may tear partially or completely (rupture).

Joints are stabilized by thick bands of tissue called ligaments which surround them. These ligaments allow the joint to move only in specific directions. Some joints move in multiple planes; therefore, they need mor...



Read the Sprains and Strains article »


Read What Your Physician is Reading on Medscape

Assistive Devices to Improve Independence »

Assistive devices to improve independence can be classified as follows:

Read More on Medscape Reference »

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