Upright Walkers: A Comprehensive Guide to Help You Choose the Right One
Upright walkers allow users to walk in an upright position, resting their forearms on platforms. Other names include stand-up walkers and upright rollators. They are designed to provide support while also promoting good posture. Upright walkers are often recommended for people with a variety of conditions and mobility impairments, including:
8 Reasons to Consider an Upright Walker
Parkinsonism resulting in a shuffling gait with feet trailing too far behind a standard walker
Unstable trunk muscles that require mobility supports held closer to the body for stability
Severely arthritic hands that can’t bear weight or hold standard walker handles well
Contracted hands following neurological or nerve injuries/disorders
Elbows that are stuck in flexion
Upper extremity muscles that pull into flexion while the body is moving (flexion synergy) following neurological disorders or injuries
Trunk flexion (kyphosis) that is flexible (able to be corrected) with supports
Hand/wrist injuries resulting in non-weight bearing orders. Forearm supports transfer weight off of the hands
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Consult An Expert Before Purchasing an Upright Walker
Upright walkers are best selected with help from mobility experts because there are multiple factors to consider. Physical therapists (PT) are most versed in walking mechanics and safety, while occupational therapists (OT) address safe and effective mobility device use during daily activities. They often work together.
Benefits of Upright Walkers
Upright walkers offer a number of benefits for people with mobility impairments. These include:
Help users move around more safely and independently, both indoors and outdoors
Reduce pain and fatigue to the hands and wrists by transferring weight to the forearms
Encourage users to maintain a more upright posture, which can improve breathing and reduce back pain.
Improve visual scanning with upright posture.
Some users prefer an upright walker because it eases their fear of falling
Downsides of Upright Walkers
Upright walkers are generally safe and effective mobility aids for individuals with specific needs, such as those listed above. However, there are a few potential downsides to consider:
Cost: Upright walkers are typically more expensive than standard walkers.
Size and weight: Upright walkers are larger and heavier than standard walkers, making them difficult to transport in vehicles.
Maneuverability: Upright rollators can be more difficult to maneuver in tight spaces compared to standard walkers.
Higher center of gravity: Can make upright walkers prone to tipping on sidewalks, curbs, and other objects.
Potential ulnar nerve compression: With prolonged use, the ulnar nerves can become compressed from the forearm supports.
Possible shoulder and neck strain: Everyone’s body is different. While some individuals may notice relieved neck and shoulder tension with upright walker use, others may strain these muscles if there is excessive weight bearing through the forearm supports.
If an upright rollator doesn’t seem like the right match, consider a standard rollator walker instead.
Technical Specifications of Upright Walkers
Be sure to check the technical specifications before purchasing an upright walker. Common specifications include the following:
User height: Ranging from 4’4” to 6’5”
User weight limit: Typically 250-350 pounds
Product weight: Most between 20 and 35 pounds. Some heavy-duty models may weigh up to 40 pounds or more.
What To Look For in an Upright Walker
Integrated seat for rest breaks
Ability to fold for transport
Adjustable hand supports for proper fit
Locking brakes for safety
Larger front wheels: reduce the risk of tipping and chance of getting caught in cracks or crevices
Upright Walker Brands
*Not an all inclusive list:
Conclusion
Upright walkers can be a valuable mobility aid for people with certain mobility conditions, but they have some drawbacks to consider as well. If you are considering one, be sure to consult your local physical and occupational therapy professionals.
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