When instructing a client on using the three-point gait with crutches, which of the following steps should be emphasized to ensure correct usage and safety? (Select all that apply)

A. Use the affected leg to help push off from the ground: In a three-point gait, the affected leg does not bear weight. Using it to push off could cause instability and increase the risk of falls. The unaffected leg and crutches provide the primary support. B. Move the affected leg forward to match the crutches: The client should move the affected leg forward with the crutches while keeping weight on the arms and unaffected leg. This allows partial advancement of the injured side without bearing full weight on it. C. Advance the unaffected leg to meet the crutches: After the crutches and affected leg move forward, the unaffected leg is brought up to meet them. This ensures safe, steady progression without compromising balance. D. Ensure the crutch pads are 1 to 2 inches below the axilla: Proper crutch fit prevents pressure on the axilla, which can damage nerves and blood vessels. Maintaining a small gap allows safe and comfortable weight bearing on the hands. E. Lean forward significantly to maintain balance: Leaning excessively forward shifts weight improperly and can cause falls. The client should keep an upright posture, distributing weight through the hands on the crutches. F. Place the crutches under the axilla for support: Resting directly under the axilla risks brachial plexus injury and should be avoided. The weight should be borne through the hands, not the underarms. G. Advance both crutches while bearing weight on the unaffected leg: Moving both crutches forward together allows the affected leg to move with them while the client’s weight is supported by the unaffected leg. This is a key step in the three-point gait.