How should a patient use a walker?

• A. Hold hands in front without gripping
• B. Use the walker as a seat
• C. Hold the handgrips on the upper bars, take a step, move the walker forward, and take another step
• D. Push the walker with one hand while stepping with the other

Answer: (C)

Coordinating movement of the walker with stepping to maintain a stable base of support is essential for safe ambulation. The correct technique is to grip the handgrips on the upper bars, push the walker forward a short distance to create a new base of support, then take a step into the walker with one leg (usually the weaker leg) followed by the other leg. Repeat this sequence, moving the walker a small amount after each step. This keeps most of your weight supported by the arms and the walker, helps maintain balance, and prevents stepping too far ahead of your support.

Using the walker as a seat, pushing with one hand while the other steps, or stepping without first moving the walker all reduce stability and increase the risk of falls. Keep your feet inside the width of the walker and maintain an upright posture with controlled movements.