definition of PWB and FWB

Can anyone tell me for the progress tracker if PWB and FWB means with or without a boot? Big difference so matters for the averages

3 Responses to “definition of PWB and FWB”

  1. It goes like this:

    Treatment decision (op or non-op)
    PWB in Boot/Walking Cast
    FWB in Boot/Walking Cast
    Move from boot to 2 shoes regardless of WB

  2. You will be in a boot for both PWB and FWB. PWB is basically walking in either a walking cast or some sort of walking boot with the aid of crutches, but actually putting your bad foot down and bearing tolerated weight on it. FWB means you have ditched the crutches or walker whatever you are using and walking on your own. You will still be in some sort of boot or cast though.

  3. What nickokie said. In the UWO protocol I followed, PWB began at 2 weeks post-whatever (op or non-op), and began with close to ZERO weight on the injured (and booted) foot. For the NWB period it was held up in the air, then when PWB started, it began to “shadow walk” — doing the motions of walking, while the crutches still bore all the weight. Gradually (in my case over the next 2 weeks), it began carrying more weight.

    At 4 weeks post-__, the UWO protocol says “WBAT” = [Full] Weight Bearing As Tolerated, i.e., a relatively quick transition from PartialWB with crutches to FWB without. Some people use a single crutch or a cane for the transition, some not. Some use a boot that can be set to hinge in the plantarflex direction, while coming to a firm stop in the dorsiflex direction, usually at “neutral” = 90 degrees ankle position.

    In almost all protocols, the transition is done in a walking cast or (better) in a boot. Both those appliances provide protection to the healing AT by transferring the walking force that’s normally borne by the AT and calf, to the cast/boot and the front of the shin.

    Some docs/protocols specify fractional or % portions of full weight for PWB. Those are often so confusing (for patients AND docs) that they’re more trouble than they’re worth — especially because it’s a moving target.

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