In a crutch-assisted descent, which step directly follows transferring weight to the unaffected leg?

• A. Place the crutches on the stairs.
• B. Move the affected leg forward.
• C. Sit down.
• D. Lean backward.

Answer: (A)

The ability to descend safely with crutches hinges on maintaining a stable base of support as you move from step to step. After you transfer weight to the healthy leg, the next move is to bring the crutches down onto the lower step. This keeps both hands and arms actively supporting you and gives you a secure surface to lean on as you lower the injured leg and step to the next rung. If you tried to move the injured leg forward first, you wouldn’t have the crutch support in place to keep balance. Sitting down or leaning back would interrupt or destabilize the descent. Therefore, placing the crutches on the stairs is the appropriate next step.