Overview
This lecture covers the essential points for using walkers as assistive devices, including proper fit, ambulation technique, and safe transitions from sitting to standing.
Proper Fit of a Walker
- Adjust all four walker legs so the walker is level and at the correct height.
- Patient should stand holding hand grips; elbows should bend at 15-30 degrees.
- With arms at sides, the wrist crease should align with the walker hand grips.
Ambulating with a Walker
- Apply a gait belt to the patient for safety before starting.
- Stand on the patient’s weak side to assist in case of imbalance.
- Instruct the patient to look straight ahead, not at their feet, while walking.
- Begin with the back tips of the walker aligned with the middle of the patient’s foot.
- Move the walker forward first, ensuring all four points touch down.
- Move the weak leg forward, putting weight on the hand grips, then move the strong leg.
- Repeat the sequence: walker, weak leg, strong leg.
Sitting Down and Standing Up with a Walker
- To sit: Back up to the chair until the legs touch it, extend the weak leg, and reach back for the armrests before lowering into the seat.
- To stand: Place the walker in front, extend the weak leg, push up from the armrests using the strong leg, then grasp the walker to begin walking.
Key Terms & Definitions
- Walker — A four-legged assistive device that aids with walking and balance.
- Gait belt — A safety belt fastened around a patient's waist to provide assistance during movement.
- Ambulate — To walk or move from one place to another.
- Weak side/Strong side — The side of the body with less/more strength or mobility, respectively.
Action Items / Next Steps
- Complete the free quiz on walkers.
- Review and practice walker fitting and ambulation steps.