An acute ankle sprain is being instructed in non-weight-bearing gait with crutches. Which approach BEST facilitates learning?

• A. Give verbal instructions in how to use the crutches.
• B. Have the patient verbally repeat the instructions and demonstrate use of the crutches.
• C. Provide photographs of someone using crutches.
• D. Demonstrate use of the crutches and provide the patient with written instructions.

Answer: (B)

Engaging the learner actively with both saying the steps out loud and showing the movement strengthens how they pick up a new motor skill. When the patient verbalizes the instructions and demonstrates using the crutches, they process the sequence, spot and correct mistakes in real time, and solidify the memory through retrieval and kinesthetic feedback. This teach-back style combines cognitive processing with motor practice, making the technique more accurate and easier to recall during real-life use.

Verbal instructions alone often miss details the learner might not articulate or remember later. Photographs provide a static image without motion or feedback, so they don’t develop the live performance aspect. Demonstration with written instructions is helpful, but the learner benefits most when they actively verbalize the steps themselves and practice the movement, which enhances understanding and safety in non-weight-bearing gait with crutches.