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A walker (North American English) or walking frame (British English) is a device that gives support to maintain balance or stability while walking, most commonly due to age-related mobility disability, including frailty. Another common equivalent term for a walker is a Zimmer(frame), a genericised trademark from Zimmer Biomet, a major manufacturer of such devices and joint replacement parts. Walking frames have two front wheels, and there are also wheeled walkers available having three or four wheels, also known as rollators.
Walkers started appearing in the early 1950s. The first US patent was awarded in 1953 to William Cribbes Robb, of Stretford, UK, for a device called "walking aid", which had been filed with the British patent office in August 1949. [1] Two variants with wheels were both awarded US patents in May 1957, [2] [3] and the first non-wheeled design that was called a "walker" was patented in 1965 by Elmer F. Ries of Cincinnati, Ohio. [4] The first walker to resemble modern walkers was patented in 1970 by Alfred A. Smith of Van Nuys, California. [5] In 2023, designs for the first open source walker were released after testing that could be digitally-replicated with a low-cost 3D printer, customized and reduced mass by 20%. [6]
The basic design consists of a lightweight frame that is about waist high, approximately 12 inches (30 cm) deep and slightly wider than the user. Walkers are also available in other sizes such as pediatric (for children) or bariatric (for obese persons). Modern walkers are height adjustable and should be set at a height that is comfortable for the user, but will allow the user to maintain a slight bend in their arms. This bend is needed to allow for proper blood circulation through the arms as the walker is used. The front two legs of the walker may or may not have wheels attached, depending on the strength and abilities of the person using it. It is also common to see caster wheels or glides on the back legs of a walker with wheels on the front; additionally felt products adapted to glide with the legs such as adhesive feet, along with tennis balls with holes cut into them to place them onto the legs are also utilized on surfaces such as hardwood, epoxy and linoleum flooring common to institutions. [7]
The person walks with the frame surrounding their front and sides and their hands provide additional support by holding on to the top of the sides of the frame. Traditionally, a walker is picked up and placed a short distance ahead of the user. The user then walks to it and repeats the process. With the use of wheels and glides, the user may push the walker ahead as opposed to picking it up. This makes for easier use of the walker, as it does not require the user to use their arms to lift the walker. This is beneficial for those with little arm strength.
A walker is often used by those who are recuperating from leg or back injuries. It is also commonly used by persons having problems with walking or with mild balance problems.
Also related is a hemi-walker, a walker about half the size of a traditional walker which is intended for use by persons whose dexterity is limited or non-existent in one hand or arm. These walkers are more stable than a quad cane (a cane with four points that touch the ground, as opposed to one), but are not recommended as highly as a traditional walker for those who can use it.
A walker cane hybrid [8] was introduced in 2012 designed to bridge the gap between an assistive cane and a walker. The hybrid has two legs which provide lateral (side-to-side) support which a cane does not. It can be used with two hands in front of the user, similar to a walker, and provides an increased level of support compared with a cane. It can be adjusted for use with either one or two hands, at the front and at the side, as well as a stair climbing assistant. The hybrid is not designed to replace a walker which normally has four legs and provides four-way support using both hands.
A different approach to the walker is the rollator, also called wheeled walker, invented by the Swede Aina Wifalk in 1978. Wifalk had polio. [9] [10] Although originally a brand name, "rollator" has become a genericized trademark for wheeled walkers in many countries, and is also the most common type of walker in several European countries.
The rollator consists of a frame with three or four large wheels, handlebars and a built-in seat, which allows the user to stop and rest when needed. Rollators are also often equipped with a shopping basket. Rollators are typically more sophisticated than conventional walkers with wheels. They are adjustable in height and are light-weight, yet sturdier than conventional walkers. The handlebars are equipped with hand brakes that can be lifted or pushed downward to instantly stop the rollator. The brakes can also be used in maneuvering the rollator; by braking one side while turning the rollator towards that side a much tighter turning radius can be achieved.
A study in the 2000s found an increase in the use of rollators by young people "usually in their thirties who are setting a new standard for walking among young people". The researchers conclude that this might be helpful in alleviating the stigma that using a rollator currently carries. [11]
A Norwegian-made version of Wifalk's rollator won the 2011 Red Dot Design Award in the "Life science and medicine" class. [10] The European norm for walking aids EN ISO 11199-2:2005 applies to rollators and walking frames.
This type of walker provides support and stability to the dogs, while allowing them to rely partly on their hind legs and continue using them. It is suitable for dogs with mobility problems with hind legs (or unstable). It also helps them to exercise their back legs and can help maintain any partial mobility they may have left or, in some cases, help to improve it.[ citation needed ]
Assistive technology (AT) is a term for assistive, adaptive, and rehabilitative devices for people with disabilities and the elderly. Disabled people often have difficulty performing activities of daily living (ADLs) independently, or even with assistance. ADLs are self-care activities that include toileting, mobility (ambulation), eating, bathing, dressing, grooming, and personal device care. Assistive technology can ameliorate the effects of disabilities that limit the ability to perform ADLs. Assistive technology promotes greater independence by enabling people to perform tasks they were formerly unable to accomplish, or had great difficulty accomplishing, by providing enhancements to, or changing methods of interacting with, the technology needed to accomplish such tasks. For example, wheelchairs provide independent mobility for those who cannot walk, while assistive eating devices can enable people who cannot feed themselves to do so. Due to assistive technology, disabled people have an opportunity of a more positive and easygoing lifestyle, with an increase in "social participation", "security and control", and a greater chance to "reduce institutional costs without significantly increasing household expenses." In schools, assistive technology can be critical in allowing students with disabilities to access the general education curriculum. Students who experience challenges writing or keyboarding, for example, can use voice recognition software instead. Assistive technologies assist people who are recovering from strokes and people who have sustained injuries that affect their daily tasks.
An indoor rower, or rowing machine, is a machine used to simulate the action of watercraft rowing for the purpose of exercise or training for rowing. Modern indoor rowers are often known as ergometers because they measure work performed by the rower. Indoor rowing has become established as a sport, drawing a competitive environment from around the world. The term "indoor rower" also refers to a participant in this sport.
Inline skates are a type of roller skate used for inline skating. Unlike typical roller skates, which have two front and two rear wheels, inline skates typically have two to five wheels arranged in a single line. Some, especially those for recreation, have a rubber "stop" or "brake" block attached to the rear of one or occasionally both of the skates so that the skater can slow down or stop by leaning back on the foot with the brake skate.
A tricycle, sometimes abbreviated to trike, is a human-powered three-wheeled vehicle.
A bicycle brake reduces the speed of a bicycle or prevents the wheels from moving. The two main types are: rim brakes and disc brakes. Drum brakes are less common on bicycles.
A touring bicycle is a bicycle designed or modified to handle bicycle touring. To make the bikes sufficiently robust, comfortable and capable of carrying heavy loads, special features may include a long wheelbase, frame materials that favor flexibility over rigidity, heavy duty wheels, and multiple mounting points.
An assistive cane is a walking stick used as a crutch or mobility aid. A cane can help redistribute weight from a lower leg that is weak or painful, improve stability by increasing the base of support, and provide tactile information about the ground to improve balance. In the US, ten percent of adults older than 65 years use a cane, and 4.6 percent use walkers.
The Trikke is a chainless, pedalless, personal vehicle with a three-wheel frame. The rider stands on two foot platforms above the two rear wheels and steers the vehicle with handlebars attached to the lone front wheel. The cambering system is designed to provide a stable, three-point platform that lets the rider lean into turns while all three wheels remain in contact with the ground. There are several variations of the Trikke, from body-powered fitness machines, to battery-powered transportation and personal mobility vehicles.
A utility bicycle, city bicycle, urban bicycle, European city bike (ECB), Dutch bike, classic bike or simply city-bike is a bicycle designed for frequent very short, relatively slow rides through very flat urban areas. It is a form of utility bicycle commonly seen around the world, built to facilitate everyday short-distance riding in normal clothes in cold-to-mild weather conditions. It is therefore a bicycle designed for very short-range practical transportation, as opposed to those primarily for recreation and competition, such as touring bicycles, road bicycles, and mountain bicycles. Utility bicycles are the most common form globally, and comprise the vast majority found in the developing world. City bikes may be individually owned or operated as part of a public bike sharing scheme.
A velocipede is a human-powered land vehicle with one or more wheels. The most common type of velocipede today is the bicycle.
Vehicles that have two wheels and require balancing by the rider date back to the early 19th century. The first means of transport making use of two wheels arranged consecutively, and thus the archetype of the bicycle, was the German draisine dating back to 1817. The term bicycle was coined in France in the 1860s, and the descriptive title "penny farthing", used to describe an "ordinary bicycle", is a 19th-century term.
A crutch is a mobility aid that transfers weight from the legs to the upper body. It is often used by people who cannot use their legs to support their weight, for reasons ranging from short-term injuries to lifelong disabilities.
A kickstand is a device on a bicycle or motorcycle that allows the bike to be kept upright without leaning against another object or the aid of a person. A kickstand is usually a piece of metal that flips down from the frame and makes contact with the ground. It is generally located in the middle of the bike or towards the rear. Some touring bicycles have two: one at the rear, and a second in the front.
A mobility aid is a device that helps individuals with mobility impairments to walk or improve their overall mobility.
A wheelchair is a mobilized form of chair using 2 or more wheels, a footrest and armrest usually cushioned. It is used when walking is difficult or impossible to do due to illnesses, injury, disabilities, or age related health conditions.
A motorized wheelchair, powerchair, electric wheelchair or electric-powered wheelchair (EPW) is a wheelchair that is propelled by means of an electric motor rather than manual power. Motorized wheelchairs are useful for those unable to propel a manual wheelchair or who may need to use a wheelchair for distances or over terrain which would be fatiguing in a manual wheelchair. They may also be used not just by people with 'traditional' mobility impairments, but also by people with cardiovascular and fatigue-based conditions.
Assistive technology in sport is an area of technology design that is growing. Assistive technology is the array of new devices created to enable sports enthusiasts who have disabilities to play. Assistive technology may be used in disabled sports, where an existing sport is modified to enable players with a disability to participate; or, assistive technology may be used to invent completely new sports with athletes with disabilities exclusively in mind.
Aina Wifalk was a Swedish social scientist and inventor of the modern walker.