Crutch Gait
A standardised pattern of locomotion using crutches, classified by the sequence in which the crutches and feet are advanced (e.g., swing-through, four-point, two-point).
Full Definition
Crutch gait patterns are defined categories taught by physical therapists and documented in PM&R settings to specify how a patient ambulates with assistive devices. Common named patterns include swing-to, swing-through, four-point, three-point, and two-point gaits, each indicating a different loading and advancement sequence. Documentation should specify the exact pattern (e.g., 'three-point non–weight-bearing crutch gait') rather than the generic phrase 'walking with crutches.' Editors should be alert to inconsistencies between the named gait pattern and the weight-bearing status recorded elsewhere in the same document. The term 'crutch gait' is always lowercase and is typically accompanied by the specific pattern name in clinical records.
Usage
Usage note: Always qualify with the specific pattern (e.g., 'swing-through crutch gait'). The unhyphenated compound 'crutch gait' is the preferred form; avoid 'crutches-gait.'
In Context
- "The patient was discharged with instruction in a three-point crutch gait, consistent with the prescribed non–weight-bearing status." — Discharge instruction document
- "Physical therapy notes documented progression from a two-point crutch gait to independent ambulation without assistive devices." — Outpatient physical therapy progress note