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New technical advances in swivel walkers
J Stallard1, B Lomas, P Woollam
1Orthotic Research & Locomotor Assessment Unit (ORLAU), Robert Jones and Agnes Hunt Orthopaedic and District Hospital NHS Trust, Oswestry, Shropshire, UK.
Prosthetics and Orthotics International
|October 24, 2003
Summary
Swivel walkers, once common for myelomeningocele, are now adapted for diverse neurological conditions. Modern designs enhance fit, adjustability, and stability for pediatric patients with lower limb dysfunction.
Area of Science:
- Orthotics and Assistive Devices
- Pediatric Rehabilitation
- Neurological Disorders
Background:
- Swivel walkers were historically prescribed for pediatric myelomeningocele.
- Reciprocal walking orthoses became preferred for patients with good upper body function.
- Reduced spina bifida incidence led to wider swivel walker application.
Purpose of the Study:
- To describe the evolution and adaptation of swivel walker designs.
- To highlight the expanded use of swivel walkers in various pediatric neurological conditions.
- To detail design modifications for improved patient fit and function.
Main Methods:
- Review of historical prescription trends.
- Analysis of design modifications in swivel walkers.
- Consideration of clinical application in diverse pathologies.
Main Results:
- Swivel walkers are now used for conditions beyond myelomeningocele, including spinal muscular atrophy, multiple sclerosis, and muscular dystrophy.
- Design updates facilitate fitting for 1-year-olds, easier ambulation adjustment, and standing frame conversion.
- Modifications support manual handling compliance with National Health Service policies.
Conclusions:
- Swivel walkers have evolved significantly in design and application.
- Adaptations allow for broader use in pediatric patients with complex neurological needs and lower limb dysfunction.
- Standardized training is encouraged for appropriate prescription and safe use.