Patients with spinal cord injury commonly have B/L Colles’ fracture wrist that delays the weight bearing through upper limb. This limits the ambulation training with walker or crutches, push ups, transfers from bed to chair.
Early ambulation plays a important role in restoration ambulation in incomplete cord injury with Type B,C,D.
So how to make them walk with walker, without weight bearing on wrist?
There is simple solution for this we can’t weight bearing on wrist but we can weight bear through forearm…!
Colles’ fracture will partially heal in two – three weeks, but will not be ready to weight bear. after removal of plaster/ B/E cast or sometime with permission of orthopedics with cast, we can make them weight bear through forearm.
when we can’t use normal walker, we modify this to forearm support walker or gutter walker.