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How accurate is partial weightbearing?

H V Dabke¹, S K Gupta, C A Holt

¹Department of Orthopaedics, University Hospital of Wales, Cardiff, UK. harshaddabke@hotmail.com

Clinical Orthopaedics and Related Research

|May 5, 2004

Summary

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The conventional bathroom scale method is an inaccurate way to teach partial weightbearing. Patients and volunteers could not accurately replicate prescribed weight levels during crutch walking.

Area of Science:

Orthopedics
Biomechanics
Rehabilitation Medicine

Background:

Partial weightbearing is crucial for lower limb fracture and post-surgery recovery.
Accurate weight distribution is essential to prevent complications and promote healing.

Purpose of the Study:

To assess the accuracy of the conventional bathroom scale method for instructing partial weightbearing.
To quantify the discrepancy between prescribed and actual weightbearing in healthy volunteers and patients.

Main Methods:

Six healthy volunteers and 23 patients with lower limb injuries were trained using the bathroom scale method.
Weightbearing during three-point crutch walking was measured using force platforms in a gait laboratory.

Main Results:

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Both volunteers and patients were unable to accurately reproduce the prescribed partial weightbearing levels.
Significant deviations were observed, with individuals exceeding or falling short of the target weight by substantial margins.

Conclusions:

The bathroom scale method is an unreliable technique for teaching partial weightbearing.
Alternative methods are needed to ensure accurate weight distribution in patients recovering from lower limb injuries.