Format

Send to

Choose Destination
See comment in PubMed Commons below
J Am Geriatr Soc. 1992 Mar;40(3):208-12.

A comparison of a two-wheeled walker and a three-wheeled walker in a geriatric population.

Author information

  • 1Geriatrics Section, William S. Middleton Memorial Veterans Hospital, Madison, Wisconsin 53705.

Abstract

OBJECTIVE:

There are few data on the effect of walkers on gait and mobility or on comparisons of different walker types. We compared a commonly used 4-legged, 2-wheeled walker and a newer 3-legged, 3-wheeled walker in measures of gait, mobility, and patient satisfaction.

DESIGN:

Cross-over controlled trial.

SETTING:

In the Physical Therapy Department of a Veterans Affairs hospital.

PARTICIPANTS:

Subjects were 15 male and female frail elderly veterans (mean age, 82 years), both inpatients and outpatients, consecutively enrolled from a sample of 35 patients referred to the Physical Therapy Department for mobility problems. Subjects met the following criteria: age 65 or over, ambulatory, no prior use of a wheeled walker, stable medical condition, and informed consent.

INTERVENTION:

Subjects were evaluated without either walker and with each of the two walkers on a 15-foot walkway and a 60-foot obstacle course. Subjects were asked which walker they preferred.

OUTCOME MEASURE:

Outcome measures were stride length on the walkway, time on an obstacle course, and walker preference.

RESULTS:

Stride length was 1.4 inches (3.6 cm) greater with the 3-wheeled walker than with the 2-wheeled walker (P = 0.016 by Wilcoxon signed-rank test). Time on the obstacle course was 16.0 seconds less with the 3-wheeled walker than the 2-wheeled walker (P = 0.002). The 3-wheeled walker was subjectively preferred.

CONCLUSIONS:

The 3-wheeled walker appears to have a greater positive impact on gait and mobility than the 2-wheeled walker.

Comment in

PMID:
1538036
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Wiley
    Loading ...
    Support Center