Deathe A B, Pardo R D, Winter D A, Hayes K C, Russell-Smyth J
Department of Physical Medicine and Rehabilitation, University of Western Ontario, London, Canada.
J Rehabil Res Dev. 1996 Feb;33(1):30-5.
Biomechanical tools were used to assess stability for 11 patients who, following the surgical amputation of one lower limb, required the assistance of a walking frame to ambulate. The Walker Tipping Index (WTI), as derived from the forces applied to the walking frame, was developed specifically for this study to examine the relationship between stability and walking frame height during ambulation. However, the WTI may be useful as a criterion of stability to assist clinicians in their evaluation of walker use in a variety of patient populations. Walker stability was examined as subjects, wearing their prostheses, completed 30-sec walking trials in each of the normal, high, and low walking frame height conditions. Adjusting the height of the walker to one setting (3 cm) above or below normal appears to redistribute the load of walking between the upper and lower extremities without adversely affecting stability.
