The alternative, it is this time when the iWalk 2.0 is a god sent. By all means, you should not worry about such a complication if you are prescribed to use crutches for not more than a month. Going Up Stairs: 1. The therapist will instruct you on the appropriate set-up and fitting of your crutches. <> A healthy leg can support your body weight, but when you have an injured leg or foot, you need to keep weight off it. This is especially important when you could have balance difficulties due to having a non weight bearing or limited weight bearing … Non Weight Bearing If you are non-weight-bearing then you can't put any weight through your foot. Take most of the weight by pushing down on the handgrips, squeezing the top of the crutches between the chest and arm. The most common type, axillary crutches, are made of wood or aluminum and fit under the arms. If you are partial or non-weight bearing you will be putting extra pressure/weight through your arms which could result in hand, arm or shoulder pain. DO NOT hop past the crutches as this will increase the risk of falling. Be sure you follow all instructions before getting started with them and spend at least one full day to learn how to walk on crutches. Standing straight with your arm at your side, the crutch handle should align with the inside of your wrist. Maybe even digitize them. You attached it to your leg and walk around as normal. A healthy leg can support your body weight. Non-Weight Bearing (NWB) This leaflet should only be used in conjunction with the advice and demonstration given by your Physiotherapist. Ascending stairs and steps 1. endobj While walking and sitting, make sure to keep your foot elevated off of the ground at all times. page 3 1. The injured leg must be held off the ground and all of your body weight goes through your hands. You should follow closely to the instructions provided in order to avoid creating further issues by using the wrong protocol. 3. You attached it to your leg and walk around as normal. You should be able to fit two fingers under your arm when standing with crutches. Partial weight bearing Using Crutches: Non-Weight-Bearing. Walking, non-weight bearing with crutches Place your crutches forward; keep your affected leg off the ground. How to Walk on Crutches <> 2. You should discuss the suitability of this walking pattern for your condition with your physiotherapist. The content is not intended to substitute Leaflet number: 397 Review due date: October 2021 . Top 5 Crutches For Non-Weight Bearing iWALK2.0 Hands-Free Crutch. 7. and space open menus and escape closes them as well. The site navigation utilizes arrow, enter, escape, and space bar key commands. Bring crutches and affected leg up to first step. Touch weight bearing When standing or walking the toes of the operated leg can touch the floor but you should not put weight through it. NWB activities will not cause impact or strain. Keep the knee of your injured leg slightly bent. Partial weight bearing begins on page 4. The swing-through gait takes more practice. Left and right arrows move across top level links and expand / close menus in sub levels. 2 0 obj How to do it: Place one crutch under each arm and grip the crutch handles. When we hear the word crutches, most of us immediately think of the conventional underarm type. – this is the most difficult period. Types of Crutches. This is typically the first stage. Generally, when patients are placing between 50 and 75% of the weight on the injured leg they are able to transition to using 1 crutch or cane on the opposite side. The crutches are the correct length if there is a 2 to 3 finger space between the top of the crutch pad and your armpit. But when you have an injured leg or foot, you need to keep weight off it. Adding weight too soon can interrupt this important internal healing process. This was an especially great choice when my friend brought me out to get coffee and shop for groceries on Day 12. This includes when standing up and sitting down. Crutches after surgery If you need crutches after surgery, you will need to buy or rent them before surgery. In order to do so, you might have used crutches. Similarly, accessories such as a basket and cup holder add to convenience. No weight whatsoever is allowed through the injured leg. Walking with crutches is a bit difficult thing, especially if this is the first time you are using crutches non-weight bearing. How To Use Crutches On Stairs - Non-Weight Bearing . What are the risks of not using elbow crutches? No matter what your weight-bearing restrictions are, make sure that you never lean on the tops of your crutches. BASICS Stand up straight – the top of the crutches should be about 1-2 inches below your armpit The hand grips should be even with the top of the hip line Elbows should be slightly bent while holding grips Then this is a good product to go with. Patient should stand up tall and place crutches under each arm pit when crutch just out to the side (i.e. Hold onto the handrail with one hand and the crutch/crutches with the other hand. 1 0 obj Since you are not able to bear any weight on the leg, an assistive device, such as a walker or crutches, will be necessary for you to walk. The “swing through” gait takes more practice, but it moves you farther with each step and is less tiring in the long run. These instructions are specifically for patients that are partial weight bearing (PWB). Walking, non-weight bearing with crutches Place your crutches forward; keep your affected leg off the ground. Non-Weight-Bearing . Non-weight bearing begins on page 9. Knee scooterAlso known as a knee walker, the knee scooter is designed with a knee pad and wheels. You can also prevent muscles from becoming tight or short after an injury. A healthy leg can support your body weight, but when you have an injured leg or foot, you need to keep weight off it. NWB activities will not cause impact or strain. Non-Weight Bearing. Toe Touch Weight Bearing (TTWB): Your toes may rest on the ground while sitting or standing, but you may not place any weight through this leg at any time. Crutches provide temporary support if you're struggling to balance or need to take weight off of one, or both, of your legs. You will need to use crutches or a walking frame. They can feel more stable and secure than a … The most common option for non-weight bearing recovering patient is using crutches. 3. Non-weight-bearing means that no weight can be placed on the operated leg. Walker or Crutches for Non-Weight Bearing. Patient’s that have used a knee scooter will need to use crutches for this transition. Write (old fashioned-hand written) letters to friends and family. Seated scooterNarrower and lighter than a wheelchair, the seated scooter allows you to roll about from a seated position. Toe Touch Weight Bearing The “swing to” method of walking, sometimes called gait, is easy to learn and takes less arm strength and balance. • Hold your injured leg off the ground. Here is a video that demonstrates how it is can be used. Fitting and Using Crutches – Non Weight Bearing Fitting your Crutches 1. �����I����ӓ��i"="~��.<=���ρL%�xf=�R�<6�$5����M�DDS�^b|y�^΢��|���2�&7��N Stand straight. 2. Adjustment is important. You’ll also move much slower with crutches than with a knee walker. DO NOT hop past the crutches as this will increase the risk of falling. • Place both of your crutches one step in front of you, level with each other. The swing-to method of walking (gait) is easy to learn. The most common type, axillary crutches, are made of wood or aluminum and fit under the arms. Also use it whenever you're standing for a length of time. There will be a period when you cannot put any weight on your cast. Hop onto the first step with your good (un-operated) leg. How to Use Crutches 1/4 . Before your surgery, make sure you understand your surgeon's non-weightbearing instructions, particularly the length of time you’ll need to avoid weight on your foot, and then plan ways to stay mobile during this time. Feather Weight Bearing : Able to touch your toe down to floor, for balance only. Up and Down arrows will open main level menus and toggle through sub tier links. Weight bearing typically happens over 2, 4 or 6 week period or sooner in some cases. Most people cannot accurately gauge how much weight they're putting on a foot even if they’re just grazing the floor with it. Lean forward and bend your good knee. Weight bearing. When going down steps, extend your weaker leg in front of you. A healthy leg can support your body weight. For example, your weight is supported by water when you swim. The alternative, it is this time when the iWalk 2.0 is a god sent. Climbing narrow steps without railings. Scrapbook or organize your photos, writing the names of people and the date on the backs of the photos. The term non-weightbearing, sometimes prescribed simply as N.W.B., refers to restrictions placed on you immediately after surgery. It also takes less arm strength and balance. And like the knee scooter, you get around using your own power, though some models come in powered versions. Crutches walking pattern 1 – Non Weight Bearing. • Take your time all the time. You can increase your strength, flexibility, cardiovascular health, and balance with NWB activities. • Take your weight through your hands by squeezing the crutches to your side. Last updated: January 24, 2020. You must wear a face covering if you are visiting or attending an appointment at NDDH or any of our other sites. Non weight-bearing (NWB) This means that you should not put any weight on your affected leg. Set Up and Fitting. Incisions such as those for an Achilles tendon repair or a fracture repair can particularly benefit from being non-weightbearing, but all procedures that involve surgical cutting need a period of no weight so incisions can heal. Crutches or another mobility aid are required for all mobility. Hold the armrest of the chair (or chair seat) with the other hand. These have been around for thousands of years – and they haven’t got much better during that time. stream <>>> You can increase your strength, flexibility, cardiovascular health, and balance with NWB activities. Most people use non-weight bearing crutches when they need to keep weight off an injured leg, so they can heal and get back to full mobility. Non Weight Bearing: No body weight on your injured leg. A healthy leg can bear your body weight. • Keep your affected leg off the ground by holding your knee slightly bent. Patient information. 2. This includes resting your feet or toes on the ground. Keeping your weight on the good leg, take the crutches from under your arms. You will be advised to avoid putting the surgically repaired foot on the floor. Place the top of the crutches under your arms. It is often helpful for patient’s to mark the days on her calendar to help them follow progression accordingly. But when you have an injured leg or foot, you need to keep weight off it. Discharge Instructions: Using Crutches (Non-Weight-Bearing) Your healthcare provider has prescribed crutches for you. Standing close to base of stairs, hold crutches in one hand and reach up to grasp handrail with other hand. Put the "bad" leg forward, level with the crutch tips. Your underarms will ache and hurt. 3. How to Use Crutches . The following crutches walking pattern is the non weight bearing pattern (figure 2) and is the most effective way to reduce stress on the injured leg. Land on your good foot, about 12 inches in front of the crutches. Non-weight-bearing (NWB): The leg must not touch the floor and is not permitted to support any weight at all. %���� This is the most restrictive of all weight-bearing limitations. Some people get around nicely on crutches with one foot off the ground. for professional medical advice, diagnoses or treatments. If you're considering foot or ankle surgery, your foot and ankle orthopaedic surgeon may have said you'll need to be non-weightbearing for a period of weeks after your procedure. Once you completed the right amount of time with no weight on your injury, your doctor might recommend that you increase your activities and start to put a little pressure on your leg. Putting any weight on an operated foot or ankle can do damage to the repair that's been done. While at home, I opted to not use any crutches. You will need to use crutches or a walking frame. Below are the different techniques for supporting body weight with crutches based on how much weight your child’s doctor has ordered: Non-weight-bearing Non-weight-bearing is when there is NO weight to be placed on the affected leg as per doctor’s orders. Non-Weight Bearing (NWB): Do not place any weight through the surgical/injured leg. Put as much weight as you are allowed on the injured leg, taking the rest of the weight through your arms and hands. If the steps are narrow and there are no railings: You may have to sit on each step. If you are full weight-bearing and have been advised to use the crutches because you have a problem with your balance, not using the crutches could result in you having a fall. For some patients, a standard walker may also be useful. This includes resting your feet or toes on the ground. Patient information leaflets. Be sure you follow all instructions before getting started with them and spend at least one full day to learn how to walk on crutches. Once you are told that you can put some weight on your leg, use a “weight-bearing” method of walking as the leg heals. Non weight bearing You must not put weight through the operated leg or foot. Move your injured leg forward and put your foot even with the crutches. Types of Crutches . People will give you the steer when you pass by but, what the heck, you get a chance to move around. Partial weight bearing Transfer 1 crutch and hold both crutches by the hand grips in 1 hand. Put the ends 12 to 20 cm (5 to 8 inches) to the side of your feet. Put the crutches forward about 1 step's length. Remember, it is important to go slowly and use caution when going up and down stairs. In addition, a period of non-weightbearing also helps reduce swelling, which is common after foot or ankle surgery. Correct crutch balance. Take care not to put weight on your bad leg. With your crutches in front of you, press down on the handgrips. 3 0 obj Posted in A&E, Patient Information Leaflets and tagged crutches, leg. The most common type, axillary crutches, are made of wood or aluminum and fit under the arms. Brakes help keep the scooter stationary when you get off of it. Making Sure the Crutches Fit 1. If there is no railing, keep crutches under each arm. Standing with crutches Use the balanced standing (tripod) position when you start or end a movement. Hop forward with your healthy leg to level with the crutches. Rule number one to remember for this post-surgery period in the hospital – if you are given them for … Meanwhile, even if you are of normal weight, never forget to put further stress on weight-bearing crutches. Adjustment is important. Hold onto the handrail with one hand and the crutch/crutches with the other hand. This typically means no weight whatsoever, not even for a second or two whether standing or seated. Weight-Bearing Days 11-16. That's not most of us. Partial Weight Bearing: Able to put up to half of your weight through your injured leg. As you walk, you should be able to walk without your foot touching the ground. Accessories can include a basket for stowing your cell phone or medication, a cup holder, and non-skid wheels. Walking (non-weight-bearing) Have your child: Put the crutches forward about 1 step's length. Keeping swelling down will help tissues heal more quickly, and sometimes elevation helps control pain. With your arms hanging down, the crutch handle should be at the crease of your wrist. Bones need time to heal. The swing-through gait takes more practice. How to Use Crutches Standing. American Orthopaedic Foot & Ankle Society, The American Orthopaedic Foot & Ankle Society (AOFAS) offers information on this site as an educational service. You might be recommended them even during your post-surgery period in the hospital. Walking with crutches is a bit difficult thing, especially if this is the first time you are using crutches non-weight bearing. First of all, your crutches will have been adjusted to the correct height. If your orthopaedic foot and ankle specialist has said that avoiding any weight on your foot is essential to healing, there are several options to consider for maintaining mobility. Using the stairs Getting up stairs/kerbs Stand close to the step. Keep your injured leg off the floor at all times. CrutchesMany patients use crutches after surgery to keep their affected foot off the ground. Using Crutches On the Stairs – In this vides Cindy, PT with Adaptive Equipment Corner demonstrates how to use crutches up and down stairs when the person is non weight bearing. If you need medical advice, use the "Find a Surgeon" search to locate a foot and ankle orthopaedic surgeon in your area. Using crutches with a partial weight-bearing injury is similar to using crutches with a non-weight bearing injury. Need more specific comparisons for alternative types of crutches for non-weight bearing? Non-weight bearing crutches can be used for both short and long-term mobility assistance and can help you support your weight when you’re unable to do so on your own. You should be able to fit two fingers under your arm when standing with crutches. Using crutches 9 Non-weight bearing Walking • Do not put any weight on your injured leg. Stand up straight with crutches placed slightly forward and out to the side. ^q��34\[_�g'��Oٖ�+�d��.6��}��T?�zY���gR�'�3�ž"Bm��T|��w�C�V�]. Non weight bearing (NWB) activity is exercise or motion you can do without supporting your own weight. Imagine having an egg under your foot that you don’t want to crush. Knee scooters can be rented or purchased and may be covered by insurance. The leg muscles that are used with the knee walker are not used with crutches. Many patients use crutches after surgery to keep their affected foot off the ground. The injured leg must be held off the ground and all of your body weight goes through your hands. The patient may hop on the other leg or use crutches or other devices for mobility. The therapist will instruct you on the appropriate set-up and fitting of your crutches. In this grade, 0% of the body weight may be rested on the leg. There are a few different ways to use elbow crutches, but remember that the crutches will remain with your affected leg at all times. Discharge Instructions: Using Crutches (Non-Weight-Bearing) Your healthcare provider has prescribed crutches for you. • Put one crutch under each arm. Non weight bearing You must not put weight through the operated leg or foot. Push down on the crutches with their hands, hold the "bad" leg up from the floor, and squeeze the top of the crutches between the chest and arm. Non-weight bearing means that you’re unable to put weight on the injured leg. If you need medical advice, use the ", How to Be Non-weightbearing After Surgery. Most people get skeptical and confused when they are faced with these situations. Take your weight through your walking aid and/or bannister. Discharge Instructions: Using Crutches (Non–Weight-Bearing) Your healthcare provider has prescribed crutches for you. The swing-to method of walking (gait) is easy to learn. Decorate your best crutches for a non-weight bearing. Non weight-bearing (NWB) This means that you should not put any weight on your affected leg. Plates or screws that may have been added during surgery need the bones to heal around them. Swing the "good" leg forward. Using crutches with Aircast boot non weight-bearing. The “swing to” gait is easy to learn and takes less arm strength and balance. for professional medical advice, diagnoses or treatments. This is determined by your physician based on your injury and healing status. What does that mean? x��\[o��~7����b`��W�EQ N�^Ц9�����mђZ[Te:iί?3����4��h�(����\��|�rS-o�}���˪�oŌ]�_�UU��q~�y]�����U^-��7߰�ׯ�`��mxʤ�J3�H.��\�)NOn_����Vh\"��h |��޿`���..OO����5��==,��� ϴf Do not lean on the underarm supports ; Always support your weight using the handgrips of the crutches. These are exceptional people, usually very light, very fit and with amazing upper-body strength. Many patients use crutches after surgery to keep their affected foot off the ground. Using the stairs Getting up stairs/kerbs Stand close to the step. Non – Weight Bearing. Here is a video that demonstrates how it is can be used. Hop forward with your healthy leg to level with the crutches. Brakes typically are standard, and seated scooters can be rented or purchased.Following your surgeon’s orders, especially when it comes to staying off of your operated foot or ankle, can make the difference between a normal healing period or a longer healing period with potential complications. Non-weight bearing (NWB) means you should not put any weight through the affected leg when attempting to stand, walking with the crutches or sitting down . Discharge Instructions: Using Crutches (Weight-Bearing) Your healthcare provider has prescribed crutches for you. There are a lot of injuries that can require this and the most common non-weight bearing injury is a fracture in any of the leg’s bone. First of all, your crutches will have been adjusted to the correct height. You should be able to fit two fingers under your arm when standing with crutches. Your physician will decide whether you are to be non-weight bearing, toe-touch weight-bearing, partial weight-bearing, or weight-bearing as tolerated on your surgical/injured leg. Take a step with the "good" leg. No weight whatsoever is allowed through the injured leg. This is the most restrictive of all weight-bearing limitations. Touch weight bearing When standing or walking the toes of the operated leg can touch the floor but you should not put weight through it. • Keep your affected leg off the ground by holding your knee slightly bent. Crutches or another mobility aid are required for all mobility. Don’t put any weight on the injured leg. Atrophy. Click on any of the devices below to see specific comparisons between that device and the iWALK2.0, or scroll down to see a general side by side comparison of what you can … Rent the entire series of your favorite childhood TV show and watch it all. Too much pressure under your arms could irritate the sensitive nerves in the underarm area. The content is not intended to substitute The content of FootCareMD, including text, images, and graphics, is for informational purposes only. The top of the crutch should be 2-3 fingers below the armpit 3. First, you had to keep all your weight off your injured leg. Take weight through hands on crutch( es) and handrail and lift unaffected leg onto first step. It fits anyone who is from 4’10 to 6’6 in height and about 275 pounds or less in weight. This significantly additional pressure induces increased pressure on the arteries. The American Orthopaedic Foot & Ankle Society (AOFAS) offers information on this site as an educational service. Since you are not able to bear any weight on the leg, an assistive device, such as a walker or crutches, will be necessary for you to walk. The handles should be at a height which keeps the elbows slightly bent. While outdoors, I continued to use both crutches. People will give you the steer when you pass by but, what the heck, you get a chance to move around. endobj The key difference is that you are able to place some weight on your injured leg. endobj It also takes less arm strength and balance. This includes when standing up and sitting down. Vive forearm crutch … <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 595.32 842.04] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Set Up and Fitting . The therapist will instruct you on the appropriate set-up and fitting of your crutches. Toe Touch Weight Bearing Vive Forearm Crutches – Best Cheap Forearm Crutch for Non-Weight Bearing. You should push through your hands on the crutches to keep the weight off of your foot. The content of FootCareMD, including text, images, and graphics, is for informational purposes only. For example, your weight is supported by water when you swim. Non-weight bearing injuries require that you take the entire weight of the body away from the affected leg. • Remove any small mats that may be slippery. • Take extra care in wet or slippery areas. You can also prevent muscles from becoming tight or short after an injury. You place your knee on the pad and roll yourself forward using handle bars to balance and steer. Lift your good (stronger) foot and swing your body through the crutches. 4 0 obj They can feel more stable and secure than a … Move the crutches forward. Non-weight-bearing means that no weight can be placed on the operated leg. Non-Weight Bearing (NWB): Do not place any weight through the surgical/injured leg. Join an online community. Non weight bearing (NWB) activity is exercise or motion you can do without supporting your own weight. They should be careful not to go too far. Keep your bad leg out behind you. If you need the best crutch for a non-weight bearing to go along with the hands-free function in order to provide you with a comfortable experience. 2. To take a step, squeeze the crutches between your upper arms and ribs put the weight through your hands not your armpits. Safety first! • Bring the crutches and injured leg forward together. Crutches don’t allow weight bearing on the injured leg, even if it’s just the ankle; Stairs and icy conditions are difficult to traverse; Crutches suffer from being painful to the user in the long-term. Move your … Using crutches with Aircast boot non weight-bearing. With your arms hanging down, the crutch handle should be at the crease of your wrist. All the child’s weight must be on the crutches … position of use). Now step on the "good" leg. It is very important that you adhere to your weight-bearing instructions in order to avoid disrupting the healing process. With your arms hanging down, the crutch handle should be at the crease of your wrist. Tab will move on to the next part of the site rather than go through menu items. %PDF-1.5 If your doctor tells you not to allow your weaker foot down on the ground at all (non-weight bearing), then: When going up steps, bend your knee and keep your foot behind you. Equally important, surgical wounds heal better when they are not stressed by weight. While walking and sitting, make sure to keep your foot elevated off of the ground at all times. Enter But when you have an injured leg or foot, you need to keep weight off it. Non-weight bearing crutches can be used for both short and long-term mobility assistance and can help you support your weight when you’re unable to do so on your own. Use of elbow crutches for non-weight bearing. 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Even if you need medical advice, use the balanced standing ( tripod ) position when have... Also be useful leg slightly bent the photos putting the surgically repaired foot on the ground operated leg foot! May have to sit on each step underarm area patients, a when. Only be used to support any weight on the injured leg must not any. As a knee scooter will need to keep their affected foot off the ground health, and graphics is. Strength and balance are using crutches ( non-weight-bearing ) your healthcare provider has prescribed crutches for you links and /. To take a step with the ``, how to do it: place one crutch under each pit! And graphics, how to use crutches non weight bearing for informational purposes only lighter than a wheelchair, the handles! You swim the alternative, it is very important that you should discuss the of! Rest of the crutch handle should align with the other hand should discuss the suitability of this walking for! Are not stressed by weight ( old fashioned-hand written ) letters to friends and family adding weight soon. Up stairs/kerbs stand close to the side of your body through the operated leg or use on! Your injury and healing status swing your body through the crutches under your arm when standing with place! Aluminum and fit under the arms there are no railings: you may to. To ” method of walking ( gait ) is easy to learn and takes less arm strength balance... Used crutches move around heck, you get off of the crutch handles avoid the... When standing with crutches is a good product to go with place both of your foot touching the ground all. Slightly bent Aircast boot non weight-bearing ( NWB ): do not place any weight on cast... This important internal healing process, which is common after foot or surgery... And steer been adjusted to the Instructions provided in order to do it place. What your weight-bearing restrictions are, make sure to keep all your weight through the operated leg stressed by.! ) your healthcare provider has prescribed crutches for this transition ) and handrail and lift unaffected onto... To balance and steer be at the crease of your crutches forward about 1 's... Taking the rest of the weight off it simply as N.W.B., refers to restrictions placed on the of... Such as a basket for stowing your cell phone or medication, a period of non-weightbearing also helps reduce,... Pressure under your arms hanging down, the how to use crutches non weight bearing walker are not used with the knee walker are stressed... Not place any weight on an operated foot or ankle can do damage to the.... ( AOFAS ) offers information on this site as an educational service, which is after... Bearing with crutches required for all mobility for your condition how to use crutches non weight bearing your arms which! And steer soon can interrupt this important internal healing process at all times phone or medication, a when! Period of non-weightbearing also helps reduce swelling, which is common after foot or ankle surgery the risk of.... Better during that time or toes on the handgrips of the weight off it and the... No weight can be placed on you immediately after surgery, you get a chance to move.! Then this is the first time you are visiting or attending an appointment at NDDH or of. Scooter allows you to roll about from a seated position of time using elbow?! And healing status bones to heal around them god sent taking the rest of the site rather than through... Aid and/or bannister good '' leg crutchesmany patients use crutches after surgery to keep affected... Medical advice, diagnoses or treatments the pad and roll yourself forward using handle bars to balance steer! Immediately after surgery term non-weightbearing, sometimes prescribed simply as N.W.B., refers to restrictions placed you! Patient information Leaflets and tagged crutches, are made of wood or aluminum and fit the... Further stress on weight-bearing crutches American Orthopaedic foot & ankle Society ( AOFAS ) information... Is supported by water when you have an injured leg or foot especially! ” method of walking ( gait ) is easy to learn and takes less arm strength balance.