[Needs, uses, cons-pros, good practices and opportunities about walker in elderly with loss of autonomy]

Presse Med. 2015 Jul-Aug;44(7-8):700-6. doi: 10.1016/j.lpm.2015.01.014. Epub 2015 May 8.
[Article in French]

Abstract

Non-use of the walker may be secondary to an initial inappropriate prescribing, a lack of adequate training, a lack of monitoring and side effects of using. Improving both stability and mobility in users is due to several biomechanical mechanisms. The benefits of walker are: general physiological effects, more confidence, better social life and decrease in the burden of care. The disadvantages of walker are: technical or practical aspects criticized by users, musculoskeletal disorders, delayed reaction time, fall risk and stigma. Few scientific data evaluating the interest of the walker concerning mobility exist, thus recommendations are low grade and are often taken from professional clinical experiences. The choice of technical walking assistance depends on the pathology and biomechanical mechanism. The walker robots are few distributed.

Publication types

  • Review

MeSH terms

  • Aged
  • Aged, 80 and over
  • Dependent Ambulation* / psychology
  • Dependent Ambulation* / statistics & numerical data
  • Health Knowledge, Attitudes, Practice
  • Health Services Needs and Demand* / statistics & numerical data
  • Humans
  • Mobility Limitation*
  • Perception
  • Personal Autonomy
  • Practice Patterns, Physicians' / statistics & numerical data
  • Risk Assessment
  • Walkers / statistics & numerical data*
  • Walkers / supply & distribution