Influence of Design on the Performance and Perception of Inexperienced Users
A Comparison Between Forearm and Axillary Crutches
DOI:
https://doi.org/10.29147/datjournal.v11i1.1006Keywords:
Crutches, Assistive Technology, Comparative Study, Gait, User ExperienceAbstract
Assistive walking devices (AWDs), such as axillary and forearm crutches, are essential for the mobility of individuals with motor impairments, and factors related to the user-device interaction influence the initial use experience. This study compared the functional performance and subjective perception of 20 healthy adults during their first use of axillary and forearm crutches. The Timed Up and Go (TUG) test and questionnaires addressing difficulty, discomfort, insecurity, and physical effort were administered. Both types of crutches increased completion time compared to independent walking, with forearm crutches showing greater variability in times and being rated as more difficult, less secure, and more physically demanding, while discomfort levels were similar to axillary crutches. The results underscore the importance of subjective perception and highlight design aspects of crutches that influence performance and perception during initial use.
Downloads
References
BATENI, Hanid; MAKI, Brian E. Assistive devices for balance and mobility: benefits, demands, and adverse consequences. Archives of Physical Medicine and Rehabilitation. v. 86, n. 1, p. 134–145, 2005. DOI: 10.1016/j.apmr.2004.04.023.
BORG, Gunnar Areschoug V. Borg’s perceived exertion and pain scales. Champaign: Human Kinetics, 1998.
BRASIL. Resolução nº 510/2016, de 24 de maio de 2016. Ministério da Saúde. Conselho Nacional de Saúde. Comissão Nacional de Ética em Pesquisa, 2016. Disponível em: http://conselho.saude.gov.br/resolucoes/2016/Reso510.pdf. Acesso em 09 de maio de 2025.
COSTA, Celso Rodrigues da; FERREIRA, Fernanda Márcia Rodrigues Martins; BORTOLUS, Marcos Vinícius; CARVALHO, Maria Gabriela Reis. Dispositivos de tecnologia assistiva: fatores relacionados ao abandono. Cadernos Brasileiros De Terapia Ocupacional, v. 23, n. 3, p. 611–624, 2015. DOI: 10.4322/0104-4931.ctoAR0544.
COSTA, Débora Louise Lopes da; JUNIOR, Geraldo Felipe; BORGES, Marcos Aurélio Perciano. Aneurismas da artéria e da veia braquial induzidos por uso contínuo de muleta: relato de caso. Jornal Vascular Brasileiro. v. 16, n. 4, p. 325-328, 2017. DOI: 10.1590/1677-5449.005317.
OUNIS, E.; ROSE, G. K.; WILSON, R. S.; STEVENTON, R. D. A comparison of efficiency of three types of crutches using oxygen consumption. Rheumatology, v. 19, n. 4, p. 252-255, 1980. DOI: 10.1093/rheumatology/19.4.252.
FISCHER, Jonas; NÜESCH, Corina; GÖPFERT, Bata; MÜNDERMANN, Annegret; VALDERRABANO, Victor; HÜGLE, Thomas. Distribuição da pressão no antebraço durante a deambulação com muletas de cotovelo: um estudo transversal. JNeuro Engineering Rehabilitation, v. 11, n. 61, 2014. DOI: 10.1186/1743-0003-11-61.
GLISOI, Soraia; ANSAI, Juliana Hotta; SILVA, Tamara Oliveira da; FERREIRA, Fernanda Pretti Chalé. Auxiliary devices for walking: guidance, demands and falls prevention in elderly. Geriatrics, Gerontology and Aging, v. 6, p. 261-272, 2012.
GRILLO, Anna Thereza Prates; TEN CATEN, Carla Schwengber; CALLEGARO, Aline Marian; SANTOS, Geana. Muleta modular: da identificação das oportunidades ao protótipo. Brazilian Applied Science Review, v. 2, n. 6, p. 1885–1900, 2018. DOI: 10.34115/basr.v2i6.584.
HARRINGTON, Christina; JOINES, Sharon. Avaliando a experiência do usuário com o uso de muletas: uma revisão da literatura. Anais da Reunião Anual da Sociedade de Fatores Humanos e Ergonomia, v. 55, v. 1, p. 1658-1662, 2011. DOI: 10.1177/1071181311551345.
HUSSEIN, Soraya Mohamad; MONTEIRO, Reverson Tadeu; MEDOLA, Fausto Orsi; FERRARI, Ana Lya Moya. Avaliação de Desconforto no uso de Dispositivos Assistivos de Mobilidade. III Jornada de Pesquisa do Programa de Pós-Graduação em Design - UFMA, v. 10, n. 3, 2022. DOI: 10.5151/jopdesign2022-22.
IBGE. Pessoas com deficiência 2022. Pesquisa Nacional por Amostra de Domicílios Contínua, PNAD Contínua, 2023. Disponível em: https://agenciadenoticias.ibge.gov.br/media/com_mediaibge/arquivos/0a9afaed04d79830f73a16136dba23b9.pdf. Acesso em 02 de março de 2025.
KONISHI, Takanori; OHKI, Shin-ichi; SAITO, Tsutomu; MISAWA, Yoshio. Aneurismas bilaterais da artéria braquial induzidos por muletas. Interactive CardioVascular and Thoracic Surgery, v. 9, n. 6, p. 1038–1039, 2009. DOI: https://doi-org.ez87.periodicos.capes.gov.br/10.1510/icvts.2009.219832.
LIKERT, Rensis. A technique for the measurement of attitudes. Archives of Psychology, v. 22, n. 140, p. 1–55, 1932.
PODSIADLO, D.; RICHARDSON, S. The timed “Up & Go”: A test of basic functional mobility for frail elderly persons. Journal of the American Geriatrics Society, v. 39, n. 2, p. 142–148, 1991. DOI: 10.1111/j.1532-5415.1991.tb01616.x.
SANDERS, Mark S.; McCORMICK, Ernest J. Human factors in engineering and design. 7. ed. New York: McGraw-Hill, 1993.
SANKARANKUTTY, M.; STALLARD, J.; ROSE, G. K. The relative efficiency of ‘swing through’ gait on axillary, elbow and Canadian crutches compared to normal walking. Journal of Biomedical Engineering, v. 1, n. 1, p. 55-57, 1979. DOI: 10.1016/0141-5425(79)90011-6.
YAP, Wayne Ming Quan; HAIRODIN, Zaki; KWEK, Ernest Beng Kee. Axillary versus Forearm Crutches: A Prospective Cohort Comparing which is Superior for 3-Point Crutch Gait. Malaysian Orthopaedic Journal, v. 15, n. 2, p. 36–42. DOI: 10.5704/MOJ.2107.006.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 DAT Journal

This work is licensed under a Creative Commons Attribution 4.0 International License.






















