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Gait improvement in adults with hemiparesis using a rolling cane: A cross-over trial
Thierry Deltombe1, Mie Leeuwerck, Jacques Jamart
1Physical Medicine and Rehabilitation Department, Université catholique de Louvain, Cliniques universitaires de Mont-Godinne, BE-5530 Yvoir, Belgium.
Objective:
To assess the changes in gait parameters in adults with hemiparesis using a rolling cane (quadripod cane with small wheels; Wheeleo®) compared with a classical quadripod cane.
Design:
A prospective, multicentric, cross-over randomized trial.
Participants:
Thirty-two ambulatory adults with hemiparesis.
Methods:
Participants were assessed using a quadripod cane and a rolling cane. Outcome measures were changes in: walking speed during a 10-m walk test and a 6-min walk test; frequency of 2-step gait; physiological cost index; number of therapist interventions to control the balance; perceived exertion; and participant satisfaction.
Results:
The following outcomes were improved with the use of a rolling cane: walking speed during a 10-m walk test at comfortable (+22%: p<0.001) and maximal (+30: p<0.001) speeds; walking speed (+50%: p<0.001) and distance (+49%: p
Conclusion:
A rolling cane, Wheeleo®, increases walking speed in adults with hemiparesis without additional risk of falls.
