A systematic review of the evidence for the provision of walking frames for older people

• Published in: Physical therapy reviews Vol. 18; no. 1; pp. 11 - 23
• Main Authors: O'Hare, Margaret P, Pryde, Shona J, Gracey, Jacqueline H
• Format: Journal Article
• Language: English
• Published: Taylor & Francis 01-02-2013
• Subjects: Aging; Rehabilitation; Walking frames
• ISSN: 1083-3196; 1743-288X
• DOI: 10.1179/1743288X12Y.0000000036

Background: The purpose of this paper is to systematically review the evidence for the provision of walking frames to improve mobility for older people.
Objectives: To investigate the types of frames used and the processes involved in prescribing frames, and to determine the effects of using a frame.
Methods: The AMED, CINAHL, Embase, and MEDLINE Electronic databases were searched using key terms between 1990 and January 2011. Research papers reporting outcomes about the effectiveness of walking frames in relation to mobility for older people were eligible for inclusion. Sixteen papers were included under the criteria applied, representing 17% of the studies identified. A range of study designs was included. Double-blind review was carried out and quality assessment conducted using CASP critical appraisal tools. Synthesis of literature was carried out on a narrative basis through the development of themes in relation to types of frames, user's perspective, falls prevention, effects on gait and balance, and physiological effects.
Results: The evidence reviewed is largely of poor quality. Users obtain walking frames from many sources. The evidence reviewed neither proves nor disproves their effectiveness in the prevention of falls. Walking frame use does have an effect on gait patterns and some physiological outcomes. The effect on posture and balance remains unclear.
Conclusions: A need for clinical guidelines in relation to provision of walking frames has been identified. The therapeutic use of walking frames to improve physical fitness merits further research as well as longer-term studies to evaluate the effects over time.