Differences in the Limits of Stability Between Older Rolling Walker Users and Older Single-Tip-Cane Users - A Preliminary Study.
OBJECTIVE
To identify the differences in the limits of stability (LOS) between older rolling walker and single-tip-cane users.


METHODS
This was a matched paired t-test design with repeated measure.


METHODS
Eighteen older subjects were matched based on age, gender, and functional level. The subjects were assessed using the multidirectional reach test initially and 5-month later in four directions: forward, backward, leftward, and rightward.


RESULTS
Initially, there were no differences between cane users and rolling walker users in the LOS in all directions. However, 5-month later, the cane users who held their canes in their right hand had significantly better stability in forward and rightward reach than the walker users (p < .05). Further, the walker users demonstrated significantly decreased functional reach in forward reach (p < .05).


CONCLUSIONS
Cane users might have better stability than walker users in the forward direction and in the direction toward the side holding the cane. This study may provide guide for clinicians including nurses for selecting appropriate rehabilitative interventions for older adults using walkers and canes.
Physical Therapy Department, University of North Texas Health Science Center, Fort Worth, TX, USA.
Hao Howe
HH
Liu
Myles
M
Quiben
Clayton
C
Holmes
Michael
M
Connors
Yasser
Y
Salem
D000368:Aged; D000369:Aged, 80 and over; D002183:Canes / Q000592:standards*; D005260:Female; D006801:Humans; D008297:Male; D004856:Postural Balance / Q000502:physiology*; D019145:Rehabilitation Nursing / Q000379:methods; D014853:Walkers / Q000592:standards*; D016138:Walking / Q000502:physiology