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Use of walking aids

There are a number of different aids available to assist those with walking difficulties. They include:

• single point sticks (canes)
• quadripods (4 point sticks)
• crutches
• pick-up frames
• wheelie frames

Walking aids have a number of useful functions. Their main functions are to increase stability or balance; and to help relieve some of the strain from a weak or painful leg.

When used correctly, an appropriate walking aid can reduce the risk of falling. However, there are a number of important things to consider:

• is the walking aid necessary, and if so, what is the best walking aid for you?
• is the walking aid the correct height? Generally, the hand support should be at the height of the wrist crease, when you are standing straight.
• is the walking aid being used correctly? A stick is most effective when used in the opposite side to the weak or painful leg. A pick-up frame should be on the ground when the legs are stepping
• is the walking aid well maintained? In particular, ensure stoppers and hand grips are not worn

Does the aid interfere with daily activities? For example, with a pick-up frame, it is not possible to carry cups or plates from room to room. Use of a small trolley will provide similar support, and enable safe moving of objects around the home.

Finally, some people consider use of a walking aid as unfashionable, or a sign of increased frailty, resulting in not wanting to use a walking aid. However, it is important to weigh up the potential benefits of safety against these issues.

Before making any decisions about walking aids, please discuss all of your options with your doctor, physiotherapist or occupational therapist.

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