Mobility Aids

Have you ever looked around in a public place like a shopping mall, for example, and made note of how many people are using some sort of mobility aid like a wheelchair or cane?  Try this experiment the next time you go out, and you might be surprised at just how many people use mobility aids.  If you do not know that much about mobility aids, the article below will teach you a lot!  We think it is beneficial to learn about this subject because you or a loved one might need one at some point in time.

Mobility aids: Types, benefits and use

By Jayne Leonard | Last reviewed Tue 18 July 2017

Reviewed by Gregory Minnis, DPT

Mobility aids are devices designed to help people who have problems moving around enjoy greater freedom and independence.

Typically people who have disabilities or injuries, or older adults
who are at increased risk of falling, choose to use mobility aids.

These devices provide several benefits to users, including more
independence, reduced pain, and increased confidence and self-esteem.

A range of mobility devices is available to meet people’s needs – from canes and crutches to wheelchairs and stair lifts.

Types of mobility aids

The type of mobility aid required will depend on the mobility issue or injury. The most common types of mobility aids include:

Crutches

Crutches help to transfer weight from the legs to the upper body. They can be used singly or in pairs.
Crutches help keep a person upright and may be used by those with short-term injuries or permanent disabilities.

There are many different types of crutches, including:

  • Axillary (underarm) crutches. One part of an axillary
    crutch is placed against the ribcage under the armpits, while users hold
    onto the hand grip. These crutches are typically used by those with
    short-term injuries.
  • Lofstrand (forearm) crutches. This type of crutch
    involves placing the arm into a metal or plastic cuff and holding a hand
    grip. Forearm crutches are more commonly used by people with long-term
    disabilities.
  • Platform crutches. With platform crutches, the hand
    holds a grip while the forearm rests on a horizontal platform. Platform
    crutches are not commonly used, except by people with a weak hand grip
    due to conditions such as arthritis or cerebral palsy.

Canes

Canes are similar to crutches in that they support the body’s weight and help transmit the load from the legs to the upper body.

However, they take less weight off the lower body than crutches and place greater pressure on the hands and wrists.

Assistive canes are useful for people who have problems balancing and
who are at risk of falling. In the United States (U.S.), it is
estimated that 1 in every 10 adults over the age of 65 uses a cane.

Common types of canes include:

  • White canes. These are designed specifically for
    assisting people who are visually impaired. White canes are longer and
    thinner than traditional canes and enable the user to detect objects in
    their path. They also inform other people that the user is blind or
    visually impaired.
  • Quad canes. These have four feet at the end of the cane, providing a wider base and greater stability.
  • Forearm canes. Offering extra forearm support, these canes allow greater weight to be distributed from the wrist to the arm.

Some canes are adjustable or foldable. Canes which are used for
non-medical purposes, such as by hikers, are known as walking sticks.

Walkers

Walkers, also known as Zimmer frames, are made up of a metal
framework with four legs that provide stability and support to the user.
These very stable walking aids are used by 4.6 percent of adults in the U.S. over 65.

Basic walkers have a 3-sided frame that surrounds the user. Users
lift the frame and place it further in front of them, they then step
forward to meet it, before repeating the process.

Some walkers have wheels or glides on the base of the legs, which
means the user can slide the walker rather than lift it. This is
especially helpful for people with limited arm strength.

Types of walkers beyond the basic model include:

  • Rollators. This common style of walker consists of a
    frame with four wheels, handlebars, and seat so the user can rest as
    needed. Rollators also include hand breaks as a safety feature.
  • Knee walkers. Similar to a rollator, this device allows
    the user to rest their knee on a padded cushion while propelling
    themselves forward with their stronger leg.
  • Walker-cane hybrids. A cross between a cane and a
    walker, this mobility aid has two legs rather than a full frame. It can
    be used with one or both hands and provides greater support than a
    standard cane.

Wheelchairs

Wheelchairs are used by people who should not put weight on their
lower limbs or who are unable to walk. They can be more suitable than
walkers for people with severe disabilities or when travel over greater
distances is required.

Wheelchairs can be manually propelled by the user, pushed by someone
else, or electrically powered. A wheelchair that can be propelled by
neural impulses was designed in 2016.

Examples of specialized types of wheelchairs include standing
wheelchairs, where users are supported in an almost upright position,
and sports wheelchairs, which have been developed for use during
specific sports.

Mobility scooters

Similar to a wheelchair, these devices have a seat set on top of either 3, 4, or 5 wheels.

The user’s feet rest on foot plates, and there are handlebars or
steering wheels to control direction. They are typically battery
powered.

Mobility scooters are beneficial for those without the upper body
strength or flexibility to use a manual wheelchair. Many scooter users report a positive impact on their lives due to their choice of mobility aid.

Rules for the use of mobility scooters on sidewalks and roads vary by
location. Training is usually available for people wanting to use a
mobility scooter for the first time.

Guide dogs

Guide dogs are specially trained service animals used to escort
people who are blind or visually impaired by helping the owner navigate
obstacles.

Having a guide dog or therapy animal also has positive psychological, physiological, and social effects.

In the U.S. and several other countries, service animals must legally
be allowed access to any business or agency where the general public is
permitted (except where health or safety risks exist).

Safety Modifications

Several home or office modifications can be made to help navigate
within a building or in other areas where there are changes in surface
heights.

These include:

  • Ramps. Access ramps are especially important as some
    people, including those with wheelchairs and scooters, cannot manage
    stairs. People with walkers, canes, and crutches may also find that
    ramps provide easier access than steps.
  • Stair lifts. These devices move people and wheelchairs up and down stairs, either through the floor or along the staircase.
  • Hand rails. Special handrails are fitted in many
    restrooms and by entrances to provide support and stability to people
    with mobility issues.

Who can benefit from mobility aids?

Anyone who has a mobility issue, either temporary or long-term, can
benefit from mobility aids. The type of mobility aid used will depend on
the needs of the individual.

Mobility aids may be beneficial for people with:

  • arthritis
  • cerebral palsy
  • developmental disabilities
  • diabetic ulcers and wounds
  • difficulties maintaining balance
  • fractures or broken bones in the lower limbs
  • gout
  • heart or lung issues
  • injury to the legs, feet, or back
  • obesity
  • spina bifida
  • sprains and strains
  • walking impairment due to brain injury or stroke
  • visual impairment or blindness

Older adults, people who have had an amputation, and those recovering from surgery also benefit from the use of mobility aids.

Risks

While mobility aids provide a number of benefits to users, there is a risk of injury associated with their use.

For example, underarm crutches may lead to a condition called crutch
paralysis, which is caused by excess pressure on the nerves in the
armpit.

Improper or excessive use of mobility aids may contribute to other injuries. Research indicates
that many users are not properly trained in the use of their mobility
aid, with only one-third of users receiving their mobility aid from a
medical professional, and only 20 percent receiving training.

People using a new mobility aid should make an appointment with a
doctor or physical therapist to learn how to properly use the device.

Source: https://www.medicalnewstoday.com/articles/318463.php