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A PT helps show a patient safe use of a walker

Physical therapists recommend that older adults who use canes and walkers as walking aids be properly assessed and fitted by a physical therapist to avoid falls and related injuries.

Each year, approximately three million adults ages 65 and older are treated in emergency departments for falls. Among these incidents, more than 47,000 are linked to the improper use or poor fit of walking aids. Physical therapists can help reduce the risk of these dangerous falls by assessing whether a walking device is appropriate and properly fitted. They can also provide guidance for safe use.

Here are some tips for using walkers and canes:

1. Wrist height

The walker or cane should be about the height of your wrists when your arms are at your sides.

2. Arms slightly bent ...

When using a walker, your arms should be slightly bent when holding on.

3. ...without bending forward.

You shouldn't have to bend forward at the waist to reach your walker.

4. Sturdy walking aid

Periodically check the rubber tips at the bottom of the cane or walker. Be sure to replace them if they are uneven or worn through.

5. Your walking aid

Physical therapists advise against using walking aids borrowed from friends and family, as they may not be the right fit for you. This often leads to misuse and can result in injury. Not sure if your walking aid is the right fit? Your physical therapist can evaluate your walking aid to ensure it is the right device for you, properly fitted to your size, and teach you how to use it safely.

Physical therapists are movement experts. They improve quality of life through hands-on care, patient education, and prescribed movement. You can contact a physical therapist directly for an evaluation. To find a physical therapist in your area, visit Find a PT.

Find a PT Near You

Stevens JA, Thomas K, Teh L, Greenspan AI. Unintentional fall injuries associated with walkers and canes in older adults treated in U.S. emergency departments. J Am Geriatr Soc. 2009;57(8):1464-1469. Article Summary on PubMed.


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