In a patient using an assistive device to ascend stairs, which limb should lead?

In a patient using an assistive device to ascend stairs, which limb should lead?

• A. Affected
• B. Unaffected
• C. Both together
• D. None

Answer: (B)

Leading with the unaffected limb provides the strongest, safest route up the stairs when using an assistive device. By letting the good leg bear the initial load and lift you onto the higher step, the body stays balanced and the injured or weaker limb is protected from early weight bearing. The assistive device (cane or crutch) supports you from the opposite side, widening your base of support and helping control the movement as you advance to the next step. After the unaffected leg rises, the device remains stable on the next step and the involved limb follows, completing the ascent safely.

Leading with the unaffected limb provides the strongest, safest route up the stairs when using an assistive device. By letting the good leg bear the initial load and lift you onto the higher step, the body stays balanced and the injured or weaker limb is protected from early weight bearing. The assistive device (cane or crutch) supports you from the opposite side, widening your base of support and helping control the movement as you advance to the next step. After the unaffected leg rises, the device remains stable on the next step and the involved limb follows, completing the ascent safely.