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There are several different types of crutches:
These are the most common type in the United States, and are used most often by people with temporary disability or injury. Placing the pads under the armpits and holding the grip, which is below and parallel to the armpit pad uses these. These are sometimes known as axillary crutches.
These are the most common type in Europe, but used in the US almost exclusively by people with permanent disabilities. Slipping the arm into a cuff and holding the grip use these. At least in the US, these are sometimes referred to as Canadian crutches.
These are less common and used by those with poor hand grip (due to arthritis, cerebral palsy, etc.). The arm rests on a horizontal platform and is strapped in place.