title: [Needs, uses, cons-pros, good practices and opportunities about walker in elderly with loss of autonomy].
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.
authors.affiliation: Assistance publique-Hôpitaux de Paris, groupe hospitalier universitaire La Pitié-Salpêtrière-Charles-Foix, site Charles-Foix, service de gériatrie, 94205 Ivry-sur-Seine, France. Electronic address: anthony.meziere@cfx.aphp.fr.
authors.forename: Anthony
authors.initials: A
authors.lastname: Mézière
authors.affiliation: Assistance publique-Hôpitaux de Paris, groupe hospitalier universitaire La Pitié-Salpêtrière-Charles-Foix, site Charles-Foix, service de gériatrie, 94205 Ivry-sur-Seine, France.
authors.forename: Claire
authors.initials: C
authors.lastname: Schonheit
authors.affiliation: Assistance publique-Hôpitaux de Paris, groupe hospitalier universitaire La Pitié-Salpêtrière-Charles-Foix, site Charles-Foix, service de gériatrie, 94205 Ivry-sur-Seine, France.
authors.forename: Caroline
authors.initials: C
authors.lastname: Moreau
authors.affiliation: Assistance publique-Hôpitaux de Paris, groupe hospitalier universitaire La Pitié-Salpêtrière-Charles-Foix, site Charles-Foix, service de gériatrie, 94205 Ivry-sur-Seine, France.
authors.forename: Elodie
authors.initials: E
authors.lastname: Baudry
authors.affiliation: Assistance publique-Hôpitaux de Paris, groupe hospitalier universitaire La Pitié-Salpêtrière-Charles-Foix, site Charles-Foix, service de gériatrie, 94205 Ivry-sur-Seine, France.
authors.forename: Marguerite
authors.initials: M
authors.lastname: Monié
authors.affiliation: Assistance publique-Hôpitaux de Paris, groupe hospitalier universitaire La Pitié-Salpêtrière-Charles-Foix, site Charles-Foix, service de gériatrie, 94205 Ivry-sur-Seine, France.
authors.forename: François
authors.initials: F
authors.lastname: Piette
authors.affiliation: Assistance publique-Hôpitaux de Paris, groupe hospitalier universitaire La Pitié-Salpêtrière-Charles-Foix, site Charles-Foix, service de gériatrie, 94205 Ivry-sur-Seine, France.
authors.forename: Valentine
authors.initials: V
authors.lastname: Curtis
authors.affiliation: Université Pierre-et-Marie-Curie, institut des systèmes intelligents et de robotique (ISIR), 75005 Paris, France.
authors.forename: Viviane
authors.initials: V
authors.lastname: Pasqui
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D051341:Dependent Ambulation / Q000523:psychology / Q000706:statistics & numerical data; D007722:Health Knowledge, Attitudes, Practice; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data; D006801:Humans; D051346:Mobility Limitation; D010465:Perception; D026684:Personal Autonomy; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data; D018570:Risk Assessment; D014853:Walkers / Q000706:statistics & numerical data* / Q000600:supply & distribution