title: [Active and safe with wheeled walkers : Pilot study on feasibility of mobility exercises for wheeled walker users].
abstract: BACKGROUND
  The number of older people with mobility impairments using wheeled walkers is increasing; however, the handling of these walking aids is often ineffective. Moreover, age-associated functional loss, environmental demands and fear of falling may additionally challenge mobility. The new training program "Active and safe with wheeled walkers" aims to enhance skills and to improve mobility. The present pilot study was carried out to assess the feasibility of the training as well as to identify training effects and methodological insights for further research.
  
  
  METHODS
  The study was carried out with 28 wheeled walker users (age 68-91 years) in assisted living facilities using a pre-post design. Of the participants 13 persons were trained for 10 weeks (90 min, twice a week) and 15 persons served as a control group. Data were collected on functional mobility, hand strength, leg strength, balance, walker handling and fear of falling.
  
  
  RESULTS
  The drop-out rate for the training was 38 % due to health concerns (n = 2), lack of time (n = 1) and changes in health status independent of training (n = 3). Medium to large effects were detected. Data regarding the recruitment strategy and the acceptance of individual exercises are available.
  
  
  CONCLUSIONS
  The results indicate a good feasibility and effectiveness of the training. The simple accessibility of the training was conducive for the regular participation. The everyday relevance of the results and the lack of comparable interventions suggest that further research efforts be carried out. Recruitment strategies, training requirements and data collection methods need to be optimized.
authors.affiliation: Institut für Psychogerontologie, Kobergerstr. 62, 90408, Nürnberg, Deutschland.
authors.forename: Marina
authors.initials: M
authors.lastname: Pflaum
authors.affiliation: Institut für Psychogerontologie, Kobergerstr. 62, 90408, Nürnberg, Deutschland.
authors.forename: Frieder R
authors.initials: FR
authors.lastname: Lang
authors.affiliation: Institut für Biomedizin des Alterns, Friedrich-Alexander-Universität Erlangen-Nürnberg, Kobergerstr. 60, 90408, Nürnberg, Deutschland. ellen.freiberger@fau.de.
authors.forename: Ellen
authors.initials: E
authors.lastname: Freiberger
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control*; D000203:Activities of Daily Living / Q000523:psychology; D000368:Aged; D000369:Aged, 80 and over; D005081:Exercise Therapy / Q000379:methods* / Q000523:psychology; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D051346:Mobility Limitation; D009069:Movement Disorders / Q000175:diagnosis / Q000523:psychology* / Q000534:rehabilitation*; D010865:Pilot Projects; D020127:Recovery of Function; D016896:Treatment Outcome; D014853:Walkers
keywords: Age; Balance; Fear of Falling; Mobility; Strength