National Physical Therapy Examination (NPTE) Practice Exam

In ascending stairs with crutches while on partial weight-bearing, what is the correct sequence?

1. Uninvolved leg first, then involved leg, then crutches

2. Crutches up first, then the involved leg, then the uninvolved leg

3. Crutches up first, then the uninvolved leg, then the involved leg

4. Involved leg first, then the uninvolved leg, then the crutches

The correct answer is: Uninvolved leg first, then involved leg, then crutches

The correct sequence for ascending stairs while using crutches on partial weight-bearing involves placing the uninvolved leg first, followed by the involved leg, and then bringing the crutches up to the same step. This method allows the patient to maintain stability and balance while minimizing stress on the injured or involved leg. When ascending stairs, the uninvolved leg, which is stronger and capable of bearing more weight, is positioned on the step first. This provides a solid base of support as the individual prepares to move the other leg. After the uninvolved leg is on the step, the involved leg, which is limited to partial weight-bearing, is brought up next. Finally, the crutches are moved up to the same step, allowing the individual to have continuous stability and support as they progress to the next step. This sequence not only enhances safety but also helps maintain weight distribution properly, ensuring that the injured leg is not placed under undue stress. Understanding this sequence is crucial for proper gait mechanics and reinforces confidence in patients who may be hesitant or fearful of using crutches.