Elderly adults who use canes and walkers as walking aids should be properly assessed and fitted by a physical therapist to avoid fall-related injuries. According to an article by Aminzadeh and Edwards, (Public Health Nursing, Vol. 15, No. 4), falls are a major health concern among older adults. One third of community-living elderly persons report at least one fall each year. Consequently, falls are the leading cause of fatal and non-fatal injuries, increased health care utilization, premature institutionalization, and functional disabilities among older persons. Properly fitted devises are the first defense in reducing the risk of injury.

Danielle Mellinger, MPT and Clinic Director of the Halifax office of First Choice Rehab states, "Many patients will borrow a family member's cane, walker or crutch and they may not be the best fit for them. If the height and fit are not adjusted properly, it can add to the patient's discomfort and could lead to further injury." She also adds that patients may become discouraged with poorly-fitted devises and will decide on their own to discontinue use of them. "This can set them up for a very dangerous situation," she remarks.

In addition to providing a proper fit, your physical therapist can assess your individual needs to ensure you are using the proper walking aid and that it is in proper working condition. "You may have started out with a cane, but over time, that may no longer be the safest choice. Your physical therapist can evaluate your physical capabilities and make a recommendation for the devise that is best for you at any current time," says Mellinger. The APTA provides 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.

As experts in restoring motion and mobility in people's lives, physical therapists work collaboratively with physicians to ensure safe recoveries from illness or injury. Mellinger recommends seeing a First Choice Rehab physical therapist for an assessment and proper fit or asking for a referral to a physical therapist from your physician. Visit www.firstchoicerehab.com to find a physical therapist near you.