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This is an NHS approved site and has been put together by a team of qualified physiotherapists.
However, please note that this website is not intended in any way to replace the advice of your doctor or any other health care professional. Specific advice should be sought in specific situations from a properly qualified health worker.
As we age changes to our bodies can take place, affecting the way we move around. These changes can contribute to your risk of falling, increasing the likelihood of a trip or loss of balance.
This section will ask you a few questions about your general mobility and offer advice on what can help you get around.
However, if an inappropriate walking aid is used, a walking aid is used incorrectly, or if the aid is not suitable for a particular environment, you may be putting yourself at risk. Make sure you seek advice about walking equipment and the way it should be used from a physiotherapist.
Please go to Activity and strength levels to assess your physical activity level, leg strength and balance.
Moving around better
If you’re having difficulty moving around you might consider:
using a walking aid
using equipment or making adaptations to your home
seeing a physiotherapist or occupational therapist
creating a plan if you have to get up during the night
What can I do to help?
If you feel that you need some support when moving around, speak to a physiotherapist or occupational therapist about getting a walking stick or other type of walking aid. A physiotherapist can also advise you on specific exercises that will improve your walking and balance.
Occupational therapists can help address some of the problems that develop as a result of getting older, including difficulty walking. You may also find certain activities are not as easy as they used to be, such as getting out of bed in the morning. They can suggest new techniques,or equipment that may be helpful.
You might also want to consider seeking advice from an occupational therapist. You will be able to contact some occupational therapists directly yourself, but for others you may have to ask your GP to refer you
Your GP surgery, district nurse or other health or social care professional will be able to advice you on how best to get support in your area
For more information on how to move around safely, visit the NHS inform How to move around safely page.
My Action Plan
Speak to my GP practice, occupational therapist or physiotherapist about support/walking aids
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If you use a walking aid already:
Make sure it has been chosen and fitted especially for you. A stick or frame that’s the wrong height can make your walking, balance and posture worse
Keep it clean and in good working order, and check the rubber stoppers or wheels regularly for wear. Your local pharmacy or physiotherapy department should be able to help you replace worn down rubber stoppers
Make sure your home is setup to enable you to use the walking aid safely. You may need to re-arrange furniture and other obstacles
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How walking aids can help?
Walking equipment is usually used for one of two purposes: as part of a rehabilitation programme when someone is recovering from an injury or operation; or as a long-term aid to mobility when someone has a difficulty walking.
Walking aids help by:
providing stability and balance
enabling you to walk easier in terms of speed and evenness of your stride
helping you to maintain an upright posture
increasing your confidence in your walking ability
redistributing your weight – it takes some of the weight off your leg(s) which may help reduce pain in the joints, muscles and ligaments
Ask about getting a walking aid if you need support moving around
There are a range of walking aids available to suit different needs. If you feel that you need some support when moving around, speak to a physiotherapist or occupational therapist about getting a walking stick or other type of walking aid. Walking aids are most helpful when they’ve been properly matched to your needs and fitted especially for you.
My Action Plan
Speak to my GP, occupational therapist or physiotherapist about support/walking aids
Create your own action/note
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Maintenance of the walking equipment
All walking equipment should be checked regularly for signs of wear and tear, especially rubber stoppers (ferrules), as these must be replaced if the slip-resistant rings or bobbles on their underside become smooth, or if the rubber shows signs of cracking
Equipment that is height adjustable can show signs of stress at the height setting if you’ve had it a long time, and therefore need to be checked regularly. Handgrips can also become worn. If you have a triangular (Delta) walker, then you should check the locking mechanism which keeps the walker in an open position. If the folding mechanism is not properly locked the frame may fold unexpectedly
Replacement rubber stoppers (ferrules) are usually available from a physiotherapy department or chemist
If you feel that your walking aid is no longer safe to use, contact the service that gave it to you as they will provide you with a replacement
If you have bought your walking aid privately, then you are responsible for maintenance and upkeep – you can often get replacement parts from where you bought your walking aid
My Action Plan
Check my walking aid for wear and tear
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Maintenance of the walking equipment
All walking equipment should be checked regularly for signs of wear and tear, especially rubber stoppers (ferrules), as these must be replaced if the slip-resistant rings or bobbles on their underside become smooth, or if the rubber shows signs of cracking
Equipment that is height adjustable can show signs of stress at the height setting if you’ve had it a long time, and therefore need to be checked regularly. Handgrips can also become worn. If you have a triangular (Delta) walker, then you should check the locking mechanism which keeps the walker in an open position. If the folding mechanism is not properly locked the frame may fold unexpectedly
Replacement rubber stoppers (ferrules) are usually available from a physiotherapy department or chemist
If you feel that your walking aid is no longer safe to use, contact the service that gave it to you as they will provide you with a replacement
If you have bought your walking aid privately, then you are responsible for maintenance and upkeep – you can often get replacement parts from where you bought your walking aid
My Action Plan
Check my walking aid for wear and tear
Create your own action/note
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Maintenance of the walking equipment
All walking equipment should be checked regularly for signs of wear and tear, especially rubber stoppers (ferrules), as these must be replaced if the slip-resistant rings or bobbles on their underside become smooth, or if the rubber shows signs of cracking
Equipment that is height adjustable can show signs of stress at the height setting if you’ve had it a long time, and therefore need to be checked regularly. Handgrips can also become worn. If you have a triangular (Delta) walker, then you should check the locking mechanism which keeps the walker in an open position. If the folding mechanism is not properly locked the frame may fold unexpectedly
Replacement rubber stoppers (ferrules) are usually available from a physiotherapy department or chemist
If you feel that your walking aid is no longer safe to use, contact the service that gave it to you as they will provide you with a replacement
If you have bought your walking aid privately, then you are responsible for maintenance and upkeep – you can often get replacement parts from where you bought your walking aid
My Action Plan
Check my walking aid for wear and tear
Create your own action/note
To ensure your personal identity is fully protected please do not enter any personally identifiable information in these text boxes
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Maintenance of the walking equipment
All walking equipment should be checked regularly for signs of wear and tear, especially rubber stoppers (ferrules), as these must be replaced if the slip-resistant rings or bobbles on their underside become smooth, or if the rubber shows signs of cracking
Equipment that is height adjustable can show signs of stress at the height setting if you’ve had it a long time, and therefore need to be checked regularly. Handgrips can also become worn. If you have a triangular (Delta) walker, then you should check the locking mechanism which keeps the walker in an open position. If the folding mechanism is not properly locked the frame may fold unexpectedly
Replacement rubber stoppers (ferrules) are usually available from a physiotherapy department or chemist
If you feel that your walking aid is no longer safe to use, contact the service that gave it to you as they will provide you with a replacement
If you have bought your walking aid privately, then you are responsible for maintenance and upkeep – you can often get replacement parts from where you bought your walking aid
My Action Plan
Check my walking aid for wear and tear
Create your own action/note
To ensure your personal identity is fully protected please do not enter any personally identifiable information in these text boxes
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Maintenance of the walking equipment
All walking equipment should be checked regularly for signs of wear and tear, especially rubber stoppers (ferrules), as these must be replaced if the slip-resistant rings or bobbles on their underside become smooth, or if the rubber shows signs of cracking
Equipment that is height adjustable can show signs of stress at the height setting if you’ve had it a long time, and therefore need to be checked regularly. Handgrips can also become worn. If you have a triangular (Delta) walker, then you should check the locking mechanism which keeps the walker in an open position. If the folding mechanism is not properly locked the frame may fold unexpectedly
Replacement rubber stoppers (ferrules) are usually available from a physiotherapy department or chemist
If you feel that your walking aid is no longer safe to use, contact the service that gave it to you as they will provide you with a replacement
If you have bought your walking aid privately, then you are responsible for maintenance and upkeep – you can often get replacement parts from where you bought your walking aid
My Action Plan
Check my walking aid for wear and tear
Create your own action/note
To ensure your personal identity is fully protected please do not enter any personally identifiable information in these text boxes
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Maintenance of the walking equipment
All walking equipment should be checked regularly for signs of wear and tear, especially rubber stoppers (ferrules), as these must be replaced if the slip-resistant rings or bobbles on their underside become smooth, or if the rubber shows signs of cracking
Equipment that is height adjustable can show signs of stress at the height setting if you’ve had it a long time, and therefore need to be checked regularly. Handgrips can also become worn. If you have a triangular (Delta) walker, then you should check the locking mechanism which keeps the walker in an open position. If the folding mechanism is not properly locked the frame may fold unexpectedly
Replacement rubber stoppers (ferrules) are usually available from a physiotherapy department or chemist
If you feel that your walking aid is no longer safe to use, contact the service that gave it to you as they will provide you with a replacement
If you have bought your walking aid privately, then you are responsible for maintenance and upkeep – you can often get replacement parts from where you bought your walking aid
My Action Plan
Check my walking aid for wear and tear
Create your own action/note
To ensure your personal identity is fully protected please do not enter any personally identifiable information in these text boxes
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You have not saved changes to your action plan
You are about to continue without saving your action to your action plan.
Please save this by clicking on the 'back' button and then 'add to action plan'.
If you'd rather not save your action, then please press 'Do not save' to continue with your Falls Assessment.
Maintenance of the walking equipment
All walking equipment should be checked regularly for signs of wear and tear, especially rubber stoppers (ferrules), as these must be replaced if the slip-resistant rings or bobbles on their underside become smooth, or if the rubber shows signs of cracking
Equipment that is height adjustable can show signs of stress at the height setting if you’ve had it a long time, and therefore need to be checked regularly. Handgrips can also become worn. If you have a triangular (Delta) walker, then you should check the locking mechanism which keeps the walker in an open position. If the folding mechanism is not properly locked the frame may fold unexpectedly
Replacement rubber stoppers (ferrules) are usually available from a physiotherapy department or chemist
If you feel that your walking aid is no longer safe to use, contact the service that gave it to you as they will provide you with a replacement
If you have bought your walking aid privately, then you are responsible for maintenance and upkeep – you can often get replacement parts from where you bought your walking aid
My Action Plan
Check my walking aid for wear and tear
Create your own action/note
To ensure your personal identity is fully protected please do not enter any personally identifiable information in these text boxes
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You have not saved changes to your action plan
You are about to continue without saving your action to your action plan.
Please save this by clicking on the 'back' button and then 'add to action plan'.
If you'd rather not save your action, then please press 'Do not save' to continue with your Falls Assessment.
Maintenance of the walking equipment
All walking equipment should be checked regularly for signs of wear and tear, especially rubber stoppers (ferrules), as these must be replaced if the slip-resistant rings or bobbles on their underside become smooth, or if the rubber shows signs of cracking
Equipment that is height adjustable can show signs of stress at the height setting if you’ve had it a long time, and therefore need to be checked regularly. Handgrips can also become worn. If you have a triangular (Delta) walker, then you should check the locking mechanism which keeps the walker in an open position. If the folding mechanism is not properly locked the frame may fold unexpectedly
Replacement rubber stoppers (ferrules) are usually available from a physiotherapy department or chemist
If you feel that your walking aid is no longer safe to use, contact the service that gave it to you as they will provide you with a replacement
If you have bought your walking aid privately, then you are responsible for maintenance and upkeep – you can often get replacement parts from where you bought your walking aid
My Action Plan
Check my walking aid for wear and tear
Create your own action/note
To ensure your personal identity is fully protected please do not enter any personally identifiable information in these text boxes
Error
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You have not saved changes to your action plan
You are about to continue without saving your action to your action plan.
Please save this by clicking on the 'back' button and then 'add to action plan'.
If you'd rather not save your action, then please press 'Do not save' to continue with your Falls Assessment.
Maintenance of the walking equipment
All walking equipment should be checked regularly for signs of wear and tear, especially rubber stoppers (ferrules), as these must be replaced if the slip-resistant rings or bobbles on their underside become smooth, or if the rubber shows signs of cracking
Equipment that is height adjustable can show signs of stress at the height setting if you’ve had it a long time, and therefore need to be checked regularly. Handgrips can also become worn. If you have a triangular (Delta) walker, then you should check the locking mechanism which keeps the walker in an open position. If the folding mechanism is not properly locked the frame may fold unexpectedly
Replacement rubber stoppers (ferrules) are usually available from a physiotherapy department or chemist
If you feel that your walking aid is no longer safe to use, contact the service that gave it to you as they will provide you with a replacement
If you have bought your walking aid privately, then you are responsible for maintenance and upkeep – you can often get replacement parts from where you bought your walking aid
My Action Plan
Check my walking aid for wear and tear
Create your own action/note
To ensure your personal identity is fully protected please do not enter any personally identifiable information in these text boxes
Error
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You have not saved changes to your action plan
You are about to continue without saving your action to your action plan.
Please save this by clicking on the 'back' button and then 'add to action plan'.
If you'd rather not save your action, then please press 'Do not save' to continue with your Falls Assessment.
Maintenance of the walking equipment
All walking equipment should be checked regularly for signs of wear and tear, especially rubber stoppers (ferrules), as these must be replaced if the slip-resistant rings or bobbles on their underside become smooth, or if the rubber shows signs of cracking
Equipment that is height adjustable can show signs of stress at the height setting if you’ve had it a long time, and therefore need to be checked regularly. Handgrips can also become worn. If you have a triangular (Delta) walker, then you should check the locking mechanism which keeps the walker in an open position. If the folding mechanism is not properly locked the frame may fold unexpectedly
Replacement rubber stoppers (ferrules) are usually available from a physiotherapy department or chemist
If you feel that your walking aid is no longer safe to use, contact the service that gave it to you as they will provide you with a replacement
If you have bought your walking aid privately, then you are responsible for maintenance and upkeep – you can often get replacement parts from where you bought your walking aid
My Action Plan
Check my walking aid for wear and tear
Create your own action/note
To ensure your personal identity is fully protected please do not enter any personally identifiable information in these text boxes
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You have not saved changes to your action plan
You are about to continue without saving your action to your action plan.
Please save this by clicking on the 'back' button and then 'add to action plan'.
If you'd rather not save your action, then please press 'Do not save' to continue with your Falls Assessment.
Maintenance of the walking equipment
All walking equipment should be checked regularly for signs of wear and tear, especially rubber stoppers (ferrules), as these must be replaced if the slip-resistant rings or bobbles on their underside become smooth, or if the rubber shows signs of cracking
Equipment that is height adjustable can show signs of stress at the height setting if you’ve had it a long time, and therefore need to be checked regularly. Handgrips can also become worn. If you have a triangular (Delta) walker, then you should check the locking mechanism which keeps the walker in an open position. If the folding mechanism is not properly locked the frame may fold unexpectedly
Replacement rubber stoppers (ferrules) are usually available from a physiotherapy department or chemist
If you feel that your walking aid is no longer safe to use, contact the service that gave it to you as they will provide you with a replacement
If you have bought your walking aid privately, then you are responsible for maintenance and upkeep – you can often get replacement parts from where you bought your walking aid
My Action Plan
Check my walking aid for wear and tear
Create your own action/note
To ensure your personal identity is fully protected please do not enter any personally identifiable information in these text boxes
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You have not saved changes to your action plan
You are about to continue without saving your action to your action plan.
Please save this by clicking on the 'back' button and then 'add to action plan'.
If you'd rather not save your action, then please press 'Do not save' to continue with your Falls Assessment.
Maintenance of the walking equipment
All walking equipment should be checked regularly for signs of wear and tear, especially rubber stoppers (ferrules), as these must be replaced if the slip-resistant rings or bobbles on their underside become smooth, or if the rubber shows signs of cracking
Equipment that is height adjustable can show signs of stress at the height setting if you’ve had it a long time, and therefore need to be checked regularly. Handgrips can also become worn. If you have a triangular (Delta) walker, then you should check the locking mechanism which keeps the walker in an open position. If the folding mechanism is not properly locked the frame may fold unexpectedly
Replacement rubber stoppers (ferrules) are usually available from a physiotherapy department or chemist
If you feel that your walking aid is no longer safe to use, contact the service that gave it to you as they will provide you with a replacement
If you have bought your walking aid privately, then you are responsible for maintenance and upkeep – you can often get replacement parts from where you bought your walking aid
My Action Plan
Check my walking aid for wear and tear
Create your own action/note
To ensure your personal identity is fully protected please do not enter any personally identifiable information in these text boxes
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How to get out of a chair more easily and safely
As we get older we lose strength in the hip and knee muscles that help straighten our legs. Many people find getting up from their chair difficult.
To stand up safely:
Move your bottom to the edge of the chair
Place both feet flat on the floor
Place both hands on the arm rests of the chair. If there are no arm rests, then place both hands on the edge of the chair
Lean forward so that your nose is over your toes
Start to push down through your arms
As you are pushing down through your arms, begin straightening your legs
Let go of the chair and slowly stand up straight
To be able to stand up from a chair without assistance requires strong leg muscles and therefore it is important to exercise regularly – remember to look at our exercise centre
Choosing the right chair for you
The type of chair you choose can affect how easy or difficult it is to stand up. A sturdy chair, that is not too low and has arm rests will make standing up easier. Swivel chairs, chairs with castors and chairs with soft cushions are best avoided.
Build leg strength
It is important that you build and maintain your leg strength – at any age. There’s plenty of good strength based exercises to check out in our Exercise Centre.
If you have difficulties getting up from a chair and would like some advice on seating or equipment, such as chair raisers contact your local occupational therapist.
My Action Plan
Practice technique to stand up/get out of a chair
Keep active and build leg strength - see Exercise Centre
Speak to my occupational therapist about seating options
Seek mobility advice from my GP practice/physiotherapist
Create your own action/note
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Getting out of bed safely
As we get older, it can be challenging for us to get into and out of bed as it requires flexibility and strength in different parts of the body.
How to do it safely:
Move to the side of the bed and roll onto your side. Push yourself up with your hands. At the same time, swing your legs over the side of the bed
Sit on the edge of the bed for at least 30 seconds before standing up
With both feet firmly on the floor, put your hands beside you on the bed and slowly push yourself up
If you feel lightheaded or dizzy, sit back down right away
It is also worth checking that your bed is at a good height.
Check that your knees are reasonably well bent when sitting on the bed
When a bed is too low to the ground, it will be more difficult for a person to stand when getting out of the bed. If necessary, raise the bed slightly using bed raisers
However, it is important not to raise the bed too high, as you need to be able to touch the floor when you put your legs out of bed
If the bed is too high, it also makes it difficult to get into, as well as it being less safe to sit on whilst getting dressed. Wearing silk nightwear can also increase the risk of slipping off the bed
Build leg strength
It is important that you build and maintain your leg strength – at any age. There’s plenty of good strength based exercises to check out in our Exercise Centre.
If you have difficulties getting in or out of bed, contact your local occupational therapist for advice on equipment, such as a bed stick, that might help.
My Action Plan
Practice technique to stand up/get out of bed
Keep active and build leg strength – see Exercise Centre
Speak to my occupational therapist about how I can get in or out of bed more easily
Seek mobility advice from my GP practice/physiotherapist
Create your own action/note
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Making it easier to get up and down stairs
For many older people, getting up and down stairs can be become a struggle and can increase the risk of falling. However, there are things you can do to make it easier.
Getting up and down stairs more safely
If you have any concerns about your own stairs at home or your ability to manage stairs generally, speak to a physiotherapist or occupational therapist.
If possible use a handrail or banister to help with balance and safety
As a general rule, if you have a weaker leg you should always go down steps with your weaker leg leading first. This keeps the weaker leg straight and the stronger leg takes more of the weight. Put both feet on each step rather than trying to take alternate stairs. This is safer and will also help you to slow down and concentrate on each step
To go up stairs you should lead with the stronger leg first. Again, this is so the stronger leg takes most of the weight when moving. The weaker leg will be straighter and requires less effort for each step
Remember strong leg up first – weak leg down first. A silly way to remember this is “use good leg to heaven – and the bad leg to hell”
On the stairs
Good lighting on stairways is especially important. Light switches at both the top and bottom of stairs can help
Using one or two handrails for support can make you feel safer on stairs. If you don’t have any consider getting some fitted
If you use a walking aid, make sure there is one at the top and bottom of stairs, and if you need to, use the handrails whilst going up and down
Try to avoid leaving items on the stairs
If the stair is curved, walk on the widest part of the stair
Be aware of patterned carpets on stairs as this can play tricks on your eyes and cause you to lose balance
Concentrating on walking while carrying items can be a risk especially on stairs. If you must carry something while walking up or down stairs, hold the item in one hand and use the handrail with the other. When you’re carrying something, be sure you can see where your feet are stepping
Build leg strength
It is important that you build and maintain your leg strength – at any age. There’s plenty of good strength based exercises to check out in our Exercise Centre.
My Action Plan
Keep active and build leg strength – see Exercise Centre
Speak to my occupational therapist about how I can manage stairs more easily and safely
Seek mobility advice from my GP practice/physiotherapist
Create your own action/note
To ensure your personal identity is fully protected please do not enter any personally identifiable information in these text boxes
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When using only one stick it should be held in the opposite hand to your painful or weak leg so that you will have a natural walking pattern and an upright posture
The stick and the painful or weak leg should be moved forwards together
If using more than one stick, speak to a physiotherapist for advice on the best way to use the sticks
Watch this useful video on NHS inform explaining how to use a walking stick safely
Making sure your walking stick is fit for you
It’s very important to have the walking stick at the correct height for use. If the height is incorrect then the support will not be adequate and/or may cause discomfort.
The most effective method of checking the height is to stand in your regular footwear with your arms hanging relaxed with a slight natural bend at the elbow (flexed at 15 degrees)
Have someone measure the distance between the wrist crease and the ground – this should be the height of your stick. Over time your height measurements and posture will change so if it has been several years since you were provided with your stick you should check that it is still a suitable height for you
Remember, these are general guidelines so there may be reasons why you require a different height. If in doubt, check with your health care professional.
To use it correctly, you should lift and move it slightly in front of them. You can then lean on the framto the centre of the frame.
With wheels
To use it correctly you should put the frame a short distance in front of you then lean on the frame, taking your weight through the handgrips, and take two equal length steps into the centre of the frame.
In general
Turning with a walking frame – take your time, lift and place the frame round a little, then move your feet. Repeat until you’ve turned. Try not to twist or swivel or turn round in one large movement. A walking frame is mainly used indoors.
Although walking frames are useful because they provide a large area of support, they do not allow you to walk using a flowing walking pattern. Instead, you’ll have to keep stopping and starting as the frame is picked up, moved forwards and stepped into.
This means it might not be suitable for you if you get tired quickly or have difficulty starting movements.
You should not use a walking frame to help you to rise from a chair as you may pull the frame on top of yourself. Instead, you should push up with your hands on the arms of the chair and only hold the frame once standing.
Weight limits
If your walking frame is not issued by a physiotherapist, check to see if there is a recommended weight limit.
Make sure your walking frame is fit for you
Make sure your walking frame suits your needs – seek advice from a physiotherapist if you are unsure. Some models are fixed in height, others can be adjusted – speak to your physiotherapist to make sure it’s at the right height for you.
It is important that you can use your brakes quickly and easily, so that you always feel in control. This is especially important if you are using a frame with a built-in seat.
Make sure your Triangular frame/ Delta walker is fit for you
Handgrips can be either moulded plastic or foam rubber. If you have weak or painful hands or wrists you may find it uncomfortable to push down on these. Alternatives are available with shaped handgrips that are designed to spread the weight over a the palm
Material – the majority of walking frames are aluminium. Some are steel – these may be stronger for heavy duty use but will weigh more. Heavy frames tend to be more stable, but may be difficult to lift and can also cause shoulder and neck discomfort. Walking aids designed for heavy duty use may be steel reinforced, adding to its weight
Wheel type – small solid wheels or castors are really only suitable for use indoors and will need more effort to push over uneven carpet or carpet bars than larger wheels. Pneumatic wheels will require pumping up from time to time, but provide more suspension than solid rubber tyres. If you have painful hands that may be aggravated by jarring you may find this an advantage
Trays can be fixed onto the frame and fold down or are removed when not required. They are especially useful for carrying items such as cups from room to room
Shopping baskets or bags – the size and position of these can vary. Baskets that are positioned low down on the frame may be difficult to reach. However, carrying weight high up on the frame is more likely to make the frame unstable. Do not hang bags from the frame as this can affect its balance and/or cause it to fall over
If your frame is not issued by a physiotherapist, check if there is a recommended weight limit
It is important that your brakes can be used quickly and easily, so that you always feel in control. Many brake lever handles can be pushed down to lock the brakes in the on position. This safety feature is important when using a frame with a built-in seat.
Make sure your 4 wheeled walker is fit for you
It is very important to have the frame at the correct height for use. If the frame is too high, you may find it difficult to straighten your elbows sufficiently and may not take enough weight through your arms. If the frame is too low, it will encourage you to be bent over in a poor posture.
To ensure that the pushing handles are in the best position, the height of the handgrips should be at the level of the wrist bone when your elbows are very slightly bent. Some models are available in a number of fixed heights – the nearest suitable height should be chosen. Others have adjustable handles so that their height can be more finely adjusted using spring loaded catches.
Handgrips can be either moulded plastic or foam rubber. If you have weak or painful hands or wrists may find it uncomfortable to push down on these. Alternatives are available with shaped handgrips that are designed to spread the weight over the palm
Material – the majority of walkers are aluminium. Some are steel – these may be stronger for heavy duty use but will weigh more. Heavy frames tend to be more stable, but may be difficult to lift and can also cause shoulder and neck discomfort. Walking aids designed for heavy duty use may be steel reinforced, adding to its weight
Wheel type – pneumatic wheels will require pumping up from time to time, but provide more suspension than solid rubber tyres. If you have painful hands that may be aggravated by jarring you may find this an advantage
Seats – some frames have a small backrest for support when sat and armrests to help when sitting/standing. Check on the size and the height of the seat; some are very narrow, others are very low. A seat does increase the weight of the frame. Factors such as the frames’ weight, the material of the wheels and how far the seat is from the braked wheels will all affect its stability when you are sitting
Tray – this can be fixed onto the frame and fold down or are removed when not required. They are especially useful for carrying items such as cups from room to room
Shopping baskets or bags – the size and position of these can vary. Baskets that are positioned low down on the frame may be difficult to reach. However, carrying weight high up on the frame is more likely to disrupt the stability of the frame. Do not hang bags from the frame as this can affect its balance and/or cause it to fall over
If your frame is not issued by a physiotherapist, check if there is a recommended weight limit
Single adjustable elbow crutches allow floor to handgrip height adjustment only. Standard and moulded handgrips are available. The overall height of elbow crutches can be adjusted. This is measured by lining up the handgrips with the wrist bone. Some elbow crutches also have an adjustment for the elbow cuff, which should cradle the forearm just below the elbow joint so that movement of the elbow is not affected.
Some crutches can have contoured handles to follow the contours of the hand, spreading the pressure over the palm for more comfortable use. A gel handgrip can also help to improve comfort. These are especially useful if you have arthritic hands.
Make sure your quad sticks/tripods are fit for you
It is very important to have the tripod or quadrupod at the correct height for use.
The most effective method of checking the height is to stand in your regular footwear with your arms hanging relaxed with a slight natural bend at the elbow (flexed at 15 degrees).
Have someone measure the distance between the wrist crease and the ground – this should be the height of your stick. Over time your height measurements and posture will change so if it has been several years since you were provided with your stick you should check that it is still a suitable height for you.
Important factors to consider to ensure that your quad stick/tripod is fit for you include:
Size of base – tripods and quadrupods are available in narrow and wide based versions, the wide base giving greater stability. All can be used for right or left-handed people; the handgrip can be rotated through 180 degrees so that the spread of the base is away from you.