Assistive devices for mobility: Distinguishing between walkers and canes based on usage context
Struggling with balance issues or limited mobility? Here's the lowdown on whether a cane or a walker is right for you.
As we age, some conditions can make getting around tougher. The Centers for Disease Control and Prevention (CDC) reports that almost one in four older adults takes a tumble each year, and these falls can lead to serious injuries. But have no fear – assistive devices are here to help you maintain your independence and keep falls at bay.
While wheelchairs are best suited to folks with no or limited mobility, canes and walkers are ideal for those who can walk but need a little extra support. In this article, we'll discuss the difference between canes and walkers, when and how to use each, and help you make the best choice.
Let's start by comparing the two options:
| Device | Pros | Cons | Conditions | Cost ||--------|--------------|-------------|-----------------|-------|| Cane | - Helps with balance - Adjustable height | - For minimal weight bearing only - Can be hard to hold for some | - Mild balance issues or muscle/joint pain - Sidelined due to injury | $10 - $40 || Walker | - Stable - Foldable | - No wheels - Requires lifting with each step | - More significant muscle/nerve issues - Post-surgery recovery | $20 - $60 |
Now, let's dive deeper into canes and walkers and the medical conditions that require each:
-helps with balance-adjustable
Cane vs. Walker: When to Use Each
-for minimal weight bearing only-some have a curved handle that some may find difficult to grasp and cause pain, especially for people with joint or muscle conditions
A cane can help those with minor balance or stability issues, weakness in their legs or trunk, or those dealing with an injury or pain from conditions such as arthritis.
-mild balance issues-mild to moderate arthritis of the lower limbs
Three types of canes are available:
$10-$40
- Standard cane: Wood or aluminum with a rubber tip and a hook-shaped or flat handle. Best for those needing minimal assistance.
- Three-legged or four-legged cane: Offers greater stability for users who experience pain on one side. Some multi-legged canes have a secondary grip, providing extra help for getting up or sitting down.
- Sit-to-stand cane: A dual-function cane that can be sat on temporarily to help users get up or down.
On the other hand, someone who has had total knee or hip replacement surgery or someone with more significant balance and mobility issues might prefer a walker. This is a three-to-four-legged device that requires the use of both hands.
-offers greater help with balance than a standard cane-can bear more weight-adjustable
For comfort, a person can add support for their wrists or arms and, depending on their needs, a number of different accessories, like wheels or brakes.
-heavier-more cumbersome-may be harder to use on stairs
Walker vs. Cane: Types and Benefits
-one-sided muscle weakness (hemiparesis) or more significant issues with balance
There are three types of walkers, each catering to different needs:
$15-$40
- Standard walker: Has four rubber-tipped legs, which give it more stability but require the user to lift it with each step.
- Two-wheeled walker: Makes moving easier due to front wheels and backsliders, but is less stable and requires more cognitive effort.
- Four-wheeled walker (rollator): Allows users to keep a more natural gait and has features like brakes, a seat, and a basket. However, it's heavier to maneuver and requires more coordination.
Each walker type has benefits and drawbacks depending on the user's specific needs and abilities.
-stable-foldable
Canes and Walkers: To Switch or Not to Switch?
-no wheels-needs lifting with each step
Determining when to switch from a walker to a cane or vice versa involves considering factors such as your balance, strength, and the advice of your healthcare professional.
-for conditions that affect the function of muscles or nerves or for fractures
Where to Find a Cane or a Walker
$20-$60
You can purchase a mobility aid directly from a supplier or find them through a clinic, hospital, insurance company, or non-profit organization for older adults or people with disabilities.
Cost Comparison: Canes vs. Walkers
-easier to move-may have a seat and basket for comfort
According to American Family Physician, canes generally cost between $10 and $40, while walkers can range from $20 to $100.
-less stable than standard-not foldable
Medicare and Mobility Aids
-issues affecting the spinal cord, conditions that slow down mobility like heart or lung diseases
Medicare considers walkers and canes as Durable Medical Equipment (DME) and covers them if they are medically necessary and needed for home use when prescribed by a doctor accepting Medicare.
$35-$100
Using Your Cane or Walker Safely
When using your mobility aid, make sure the handle is at wrist level with relaxed arms, and aim to keep your arms slightly bent and maintain an upright posture without leaning forward.
Conclusion
Struggling with balance or mobility doesn't mean you have to give up independence. With the right assistive device, you can stay active and safe. Whether you need a cane or a walker depends on the level of support you require, your lifestyle, and your budget. Consult with your healthcare professional to determine the best choice for you.
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