I absolutely hated the four pronged cane I used for a short time, damned heavy and nigh impossible to find a flat place to position it in a sidewalk covered with acorns.
Gait Improvement in Adults With Hemiparesis Using a Rolling Cane: A Cross-Over Trial
Affiliations
- PMID: 32556348
- DOI: 10.2340/16501977-2705
Abstract
Objective:
To assess the changes in gait parameters in adults with
hemiparesis using a rolling cane (quadripod cane with small wheels;
Wheeleo®) compared with a classical quadripod cane.
Design: A prospective, multicentric, cross-over randomized trial.
Participants: Thirty-two ambulatory adults with hemiparesis.
Methods: Participants were assessed using a quadripod cane and a rolling cane. Outcome measures were changes in: walking speed during a 10-m walk test and a 6-min walk test; frequency of 2-step gait; physiological cost index; number of therapist interventions to control the balance; perceived exertion; and participant satisfaction.
Results: The following outcomes were improved with the use of a rolling cane: walking speed during a 10-m walk test at comfortable (+22%: p < 0.001) and maximal (+30: p < 0.001) speeds; walking speed (+50%: p < 0.001) and distance (+49%: p < 0.001) during a 6-min walk test; and the frequency of 2-step gait. The physiological cost index, perceived exertion, and number of therapist interventions to control the balance remained unchanged. Participant satisfaction improved.
Conclusion: A rolling cane, Wheeleo®, increases walking speed in adults with hemiparesis without additional risk of falls.
Design: A prospective, multicentric, cross-over randomized trial.
Participants: Thirty-two ambulatory adults with hemiparesis.
Methods: Participants were assessed using a quadripod cane and a rolling cane. Outcome measures were changes in: walking speed during a 10-m walk test and a 6-min walk test; frequency of 2-step gait; physiological cost index; number of therapist interventions to control the balance; perceived exertion; and participant satisfaction.
Results: The following outcomes were improved with the use of a rolling cane: walking speed during a 10-m walk test at comfortable (+22%: p < 0.001) and maximal (+30: p < 0.001) speeds; walking speed (+50%: p < 0.001) and distance (+49%: p < 0.001) during a 6-min walk test; and the frequency of 2-step gait. The physiological cost index, perceived exertion, and number of therapist interventions to control the balance remained unchanged. Participant satisfaction improved.
Conclusion: A rolling cane, Wheeleo®, increases walking speed in adults with hemiparesis without additional risk of falls.
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