For those who are motivated and have enough upper body strength, we proceed. Standing is very motivating for some people. The chance to get on their feet helps involve them more in the rehab process. Then there are people who find very quickly that it is more effort than they care to make and are satisfied with using a wheelchair. Gait training involves being fitted for braces to keep knees from buckling and feet from dropping as you propel yourself using crutches or a walker.
Some braces provide support for the hip as well.
Most are made of metal or plastic. Braces in general have become lighter over the years, and some can be worn discreetly underneath clothing. The other option is an alternating gait, in which one leg and crutch are moved at a time. The option selected is a matter of strength, upper body balance, and personal preference. People with higher level spinal injuries are less likely candidates for gait training because of limited control of trunk muscles.