The American Physical Therapy Association (APTA), Alexandria, Va, is urging elderly adults who use canes and walkers as walking aids to be properly assessed and fitted by a physical therapist to avoid fall-related injuries. This advice comes in response to a study published in the Journal of the American Geriatrics Society (June 2009), which found that 47,000 senior citizens end up in emergency rooms each year due to falls from improper use and fit of walkers and canes, according to a statement from APTA.

The study, conducted by government researchers, examined 6 years of emergency room records and found that the walker was associated seven times more with injury-related falls than was the cane. PTs advise that these results indicate a strong need for proper fit and assessment, says the statement.

According to Cathy Ciolek, PT, DPT, GCS, many patients often borrow walking aids from friends and family, which can result in injuries, says the statement.

In addition to providing a proper fit, the PT can assess individual needs to ensure you are using the proper walking aid and that it is in proper working condition.  Ciolek suggests some general tips for those using a cane or walker as a walking aid:

  • The walker or cane should be about the height of your wrists when your arms are at your sides.
  • When using a walker, your arms should be slightly bent when holding on, but you shouldn’t have to bend forward at the waist to reach it.
  • Periodically check the rubber tips at the bottom of the cane or walker. Be sure to replace them if they are uneven or worn through.

[Source: American Physical Therapy Association]