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Medical Equipment

Walkers or Rollators: The Great Walking Aid Debate

Being mobile is such a huge part of retaining your independence. Unfortunately, it’s also something most able-bodied people take for granted. Until something happens to compromise your ability to get where you want to go in a safe and timely manner, most people don’t even give a second thought to walking aids and how they work. Because of the wide variety of walking aids available, it can be confusing to choose one. For example, should you choose walkers or rollators as your mobility aid?

Questions like these lead many people to find themselves a bit lost and confused on the subject. This is true regardless of if they become injured or reach an age where they need support.

If this is a situation you are in yourself right now – either because of your own lack of mobility or that of your loved one – we want you to know that patients have options. Two of our favorite devices are the time-honored walker and the newer rollator. This guide will give insight into both mobility aids. We are here to help you to successfully choose walkers or rollators as your aid.

 

Walkers or Rollators: Similar Mobility Aids?

Both walkers and rollators have similar purpose: to help individuals who are having mobility or balance issues achieve balance and stay upright with less pain. Both are remarkably helpful for increasing balance, security, and alleviating weakness, but that’s where the similarities stop.

So which is right for you? Should you choose walkers or rollators? Below are some features of both to help you choose.

 

Features of Walkers

Typically made of aluminum or another lightweight metal for durability, walkers have four legs covered with non-slip cups. Each of these four feet should be firmly on the floor prior to the patient taking a step. Used properly, walkers allow patients to exercise, stay upright, and remain mobile without fearing a fall.

Walkers, as reliable as they are, do require that the patient has enough balance and upper body strength to lift the walker. It requires coordinated and smooth movements as the patient moves forward. Not only does this mean that the person using it must have these physical skills, they also need to have the confidence to carry them out.

Even if the patient has the upper body strength to lift the walker, it might not be the right choice if they are afraid of becoming off balance while doing so. Even a lack of confidence can change gait just enough to make the walker increase the risk of a fall versus preventing falls.

For patients with confidence issues or weakness, the better answer might be a walker with two wheels in the front. This is a good alternative for patients who need support to stay mobile, but aren’t quite capable enough to use a rollator.

 

Features of Rollators

Though a rollator looks similar to a walker, it’s actually very different in application and use. The standard rollator has a wheel on each of its four legs, making it easy to push around. Because it has wheels, a rollator doesn’t require as much upper body or arm strength to navigate. There is no lifting involved when walking on a level surface – you simply push it along.

Rollators also feature a braking system; this system helps patients retain a sense of control if they begin moving too quickly. The brakes can be used to slow the rollator. It slows down in the event that the user feels it is moving too fast. The brakes can also stop it completely. Some rollator models come with only three wheels; this stripped-back tristand style provides greater maneuverability for the patient.

Regardless of whether your chosen rollator has three or four wheels, nearly all have some type of padded seat at the top and center. This is an invaluable resource for people who experience chronic pain, weakness, or dizziness because it effectively allows the patient to sit anywhere at any time. Patients can rest when shopping, take breaks on walks, sit securely if they become dizzy without fearing a fall.

 

Walkers or Rollators: Considerations

Now that you know a little bit more about your choices, it’s time to talk about what you need to consider when making your choice between walkers or rollators. The overarching goal is to help retain patient independence. However, it’s also important to keep elements like comfort level and budget in mind, too.

Other potential considerations include:

  • Upper Body Strength: It’s likely that even a rollator will need to be lifted at some point in time in order to cross a threshold or traverse a curb outdoors. Can the user lift the mobility aid on their own or will they require help to do so?
  • Traveling With Mobility Aids: Not being confined to their home is a primary reason that many people begin to use a mobility aid in the first place. Being able to transport walkers or rollators can be made easier if it is both lightweight and foldable.
  • Height and Weight: In order to ensure the maximum in safety and stability, it’s important that the walking aid you choose works well for the patient’s height and weight. All patients should be measured first by your local pharmacist, regardless of which device they choose.
  • Balance and Stability: In general, patients need to have a fair bit of stability and balance in order to use a rollator. Even a walker that has two wheels in the front requires that you have a certain amount of balance. It requires stability to remain safe while it’s in use. Patients who lack these may need a totally different device.
  • The Budget: Patient budget plays a major role in device choice. While it shouldn’t be considered at the expense of your safety, choosing the right walking aid might mean scaling back your wish list of features.

What Else Should You Keep In Mind?

The patient’s unique mobility level, as of the time of purchase, may also impact whether walkers or rollaters are best. If the patient can’t easily walk from the bedroom to the bathroom, a walker is likely to be the safest and most stable option. On the other hand, if the patient can walk fairly well, but needs additional help with stability and/or balance, a rollator may be better. The latter also preserves a more normal walking gait while also providing a resting place, while the former is more sturdy and less likely to slip. Mobility level can fluctuate over time, too, and some patients may benefit from having both options available at home.

 

Rollators or walkers? Which is best? There’s no one clear answer to this question – it depends on the factors listed above and where the patient is with their illness or injury. That said, you should always seek a pharmacists advice prior to making a purchase. Proper fitting and advice on use is critical to success; without it, injuries and accidents are much more likely to occur. Your health and safety is worth it!

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Medical Equipment

Which Walking Aid is Right for Me?

Are you struggling with the ability to walk comfortably and securely? According to the website DisabledWorld.com, you aren’t alone. Nearly 6.8 million Americans “use assistive devices to help them with mobility,”  including wheelchairs, scooters, canes, crutches, and walkers. Of these devices, it is canes, crutches, and walkers that support the patient’s ability to remain independent and walk safely most often. Called walking aids, these devices preserve freedom and help America heal from injuries without further jeopardizing health. The information in this primer will help you to better understand when you might need a walking aid and which is best for your condition.

A Note on Personal Assessments

Walking aids are readily available in most pharmacies. However, that doesn’t necessarily mean you should pick the first walking aid you find. In fact, most pharmacists and physicians will recommend that you avoid using a mobility aid of any kind without a pre-assessment for suitability. This is because using any kind of mobility device incorrectly can actually cause more harm than good. This is true especially with regard to arthritis and injuries.

Instead, you should seek a recommendation from a member of your medical care team. Then, have your pharmacist measure you to ensure you receive a device that fits. From there, you can try on various walking aids until you find the solution that is most comfortable for you. Most patients have multiple options — we’ll review those next.

Canes

Canes are the simplest method of walking support. They’re stylish, readily available in most pharmacies, and available in many different styles, shapes, and sizes to best suit the patient’s condition. This device is best used by those who experience chronic pain or mild weakness when walking, but may not be a good choice for patients with extensive weakness and/or pain.

Common tip options include:

  • Single-point
  • Multi-point
  • Quad-point

The single-point is a standard, one-tip cane. The multi-point and quad-point tips have three or four tips to provide additional support. Patients who really struggle with weakness or with hand and wrist conditions should use a cane with a molded hand grip, rather than a simple J-shaped cane.

If you already use a cane, but are still experiencing problems walking, it may be time to graduate to a more supportive walking aid.

Crutches

Crutches work similarly to canes, but support both sides of the body rather than just one side. They take pressure off of one or both legs and/or hips, spread it out under the arm or across the forearm instead. Having a tip on each side allows the patient to prevent pressure on the affected limb or ameliorate weakness while the injury or condition heals.

Crutches are by far the most common walking aid used in hospitals, rehab centers, and at-home patient care for injuries like broken legs and sprained ankles. They’re easy to adapt to, can be picked up or put down as needed, and are generally very affordable, too.

Like canes, crutches must be sized appropriately for your body in order to work correctly. However, they differ from canes because they aren’t really designed for permanent or long-term use. Overuse can cause muscle atrophy, so it’s important to always use crutches under a physician’s or pharmacist’s supervision. If you do need to rely on crutches long-term, forearm crutches are generally considered safer and better at providing support.

Walkers (Knee or Full)

When crutches and canes just aren’t feasible anymore, many patients turn to walkers for added support. These types of walking aid provide a wide base of support. Patients can lean over and grasp as they walk. This helps spread out pressure and providing something to “hang on to” for additional security. Using a walker may help with alleviating conditions like arthritis, degenerative disc disease, low blood pressure, osteoarthritis of the knee, ankle, or hip, as well as other chronic pain and weakness conditions.

Walkers usually come in two forms:

  • Standard walkers, which have four individual cane points
  • Rollators, which have four wheels instead of four points

Standard walkers are typically collapsible and customizable, allowing patients to adjust the height and size to best suit their needs. Because most are made from a light aluminum frame, they may be more affordable, too. Patients should only choose a standard walker if they are capable of lifting and moving the walker forward, and only if they retain strength in both arms.

Rollators have caster wheels instead of points, ameliorating the need to lift the walker to move forward. Instead, the patient simply leans over the walking aid and pushes it forward. Most rollators are made from heavier, more stable materials and have a seat. This is preferable for patients with advanced weakness or chronic pain, especially if they need to sit frequently.

 

The walking aid options on this list are really just the beginning — some patients may benefit from solutions like external soft and hard braces, temporary wheelchair use, knee rollers, scooters, internal e-stim devices, or even a combination of more than one walking aid. What is most important is that you always work with your pharmacist or medical care team to find the solution that works best for you!

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Medical Equipment

4 Signs it’s Time to look for Mobility Aids

The CDC estimates that nearly 16.3 percent of all adults in America struggle with mobility challenges that seriously impact freedom and the ability to live an independent life. A significant portion of these patients rely upon mobility aids to increase independence, but not every patient goes from able to disabled enough to require them in just a few days or months.

For patients with progressive lack of functioning or disease, the decision to use mobility aids often comes only after a lengthy fight to retain independence in the first place. Patients often want maintain self-sufficiency for as long as they can, and they may feel that relying on mobility devices is somehow a failure or a loss.

Truthfully, using devices like walkers or wheelchairs is no different than using any other medical device — even eyeglasses! If it helps you to live a better life, increases comfort, or improves freedom, it’s beneficial. Ease your decision-making process with these four clear signs that mobility aids may be right for you, too.

 

1. You Experience Frequent Falls

The World Health Organization (WHO) reports that falls are the second leading cause of accidents around the world. People who experience frequent falls are at an increased risk for serious injury and even death, especially if they’re over the age of 65, though falls can occur at any age.

Approximately 20 to 30 percent of all falls that happen to elderly Americans are severe enough to cause serious injuries, including:

  • Broken limbs
  • Broken hips
  • Head injuries
  • Extensive bruising
  • Internal bleeding
  • Contusions and lacerations

Leaving the house does slightly increase your risk for frequent falls, but simply remaining at home isn’t foolproof, either. Even your own bathroom poses an increased risk for falls.

If you experience two or more falls within a short period of time (e.g. three to six months), or if you have a fall that causes serious injury due to disability or age, it may be time to consider basic mobility devices. Lowering your risk for future falls is of the utmost importance, as each successive fall is often more serious than the last.

 

2. You Become Exhausted Easily

Balance issues aren’t the only reason to use balance or walking aids. Sometimes, issues with exhaustion or weakness can signify a need for mobility aids, too. This is exceptionally common in people with neurological deficits or conditions like:

  • Multiple Sclerosis (MS)
  • Amyotrophic Lateral Sclerosis (ALS)
  • Post-stroke weakness

It’s also a common complaint for patients with various central nervous system diseases, like dysautonomias.

If you struggle with fatigue issues that impact your ability to leave the house for extended periods of time, wheelchairs and walkers with built-in seats can help. Having instant access to a seat when you feel yourself becoming fatigued can prevent undue stress and allow you to better manage your condition when you do head out for the day.

Whether it’s a stroll through a local park, a camping trip at a campground, or even just grocery shopping, learning to make a judgement call about your own limits will set you free. Fatigue and weakness aren’t laziness; there’s no shame in admitting you need support!

 

3. Excursions Cause Significant Pain

An aging population and lack of preventative health care access in the United States have both led to increased rates of chronic pain throughout the general population. One study from the National Institute for Health pegs the number of patients suffering with pain at any given time as high as 1 in 10. The older you are, the higher your risk for significant chronic pain due to arthritis and other systemic conditions, too.

Unfortunately, there are no easy answers in the battle against pain. Some patients benefit most from medication, while others respond better to physical therapy or massage. Still others find their lives improve most when they adjust their lifestyles around their current abilities.

For patients who struggle with constant chronic pain during or after excursions and daily errands, addressing the source of the problem is a must. But you should also consider how you can make your lifestyle easier to cope with, too.

If you find you begin to dread grocery shopping, doctor’s appointments, or outings due to the chronic pain you experience while walking, this is a strong indicator that walking and balance aids may help. Like wheelchairs for users who become fatigued, mobility aids for those who experience pain can give you the freedom to stay out longer without necessitating multiple days for recovery afterward.

Having chronic pain doesn’t necessarily mean you need to jump right to a wheelchair, either. Start with a cane and gradually increase to a walker only as needed. The goal should be to stay moving as much as possible without causing further harm.

 

4. Bad Weather Increases Slipperiness Outdoors

This often-overlooked sign that it’s time to use mobility devices occurs not alone, but in tandem with each of the other entries. If you already struggle with balance, pain, fatigue, or weakness, slippery sidewalks and walkways can greatly increase your risk for falls and injuries. That causes many elderly Americans to avoid going outside in winter weather at all — resulting in isolation during a season in which many Americans find themselves isolated to begin with.

The statistics support just how dangerous winter falls can be. Over 42,000 of all slip and fall accidents in the winter occurred as a direct result of sleet, ice, or snow in 2014 alone. Muscle sprains, herniated discs, and compression fractures are all possible as a result of slips on pavement and sidewalks, as are head injuries like concussions.

In the case that you already struggle with mobility due to age or disability, prevention is critical. Don’t wait until a winter slip and fall happens to address the risk. Use the following prevention methods:

  • Use boot covers with studs on the bottom to improve your traction
  • Take a walker or use a wheelchair to prevent falls
  • Avoid traveling alone without a means of contact if you venture out — it’s important that you be able to contact someone for assistance if a fall occurs.

When you aren’t specifically disabled, but find yourself struggling in the winter anyway, remember that you still have a risk for accidents. Consider using a walking stick or studded cane instead. These devices let you grip into the ice and snow to provide better leverage while walking.

 

The Decision to Use Mobility Aids

Deciding to use mobility aids can naturally feel like “giving in to the disease” for some patients. If you feel this way, too, know that you aren’t alone. Thousands of Americans ranging across every age struggle with this decision each year. Remind yourself that the overall goal is not to reduce your freedom, but to extend or maintain it for as long as possible. You are worthy of the effort it takes to find a solution that keeps you safe, comfortable, and independent long into the future! Visit your local pharmacy for more information about the different types of mobility aids for sale.

 

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