Walking frame suitable for client with Parkinsonism?

[hypnos]

Hi, I work in a home-based rehabilitation team and have just met a client with Parkinson's Disease. She shows typical symptoms of PD with akinesia and is now using a quadripod for indoor ambulation. She shows high risk of fall especially during initiation of gait because of the shuffling. There are quite a lot of obstacle in her house.
I'm just considering whether a walking frame would provide a wider base of support, but my colleague argues that a walking frame further prevents reciprocal movement. What do u think??
Thanks a lot!

[physiomel]

I'm not sure wht you mean by a 'quadripod'..

However, my first action would be to clear the obstacles and loose rugs etc to reduce falls risk. If she resists involve the family to encourage her.

Secondly a wheeled walker doesn't inhibit reciprocal movement as much as a pick up frame.

[sibbles53]

"Care-Quip" 4 wheely walkers with stoppers at the back wheels were especially designed for patients with PD.Hence the patient only has to lean on the frame to slow it down.The handbrake version requires dual activity which causes an increase in the apraxic features of PD gait thus reducing gait safety.Thus the CQ frame with stoppers produces a safe reciprocal gait.If necessary the back wheels can be removed for further safety.The frame also has a seat and basket.It can be purchased from Linds Rehabilitation (Aust) for approx. $210.00.

[LiteGaitSRM]

Parkinson's patients in the United States successfully utilize the LiteGait BWS system in hospital and home settings. The LiteGait eliminates the fear of falling which results in patients regaing the confidence to take bigger steps and regain balance quicker. Balance can be developed far more rapidly while safely supported over a very slow moving treadmill. Once developed then the patterns can be transitioned for over ground ambulation. In Australia please contact Stewart Crowther at scrowther@exerciseaustralia.com (www.LiteGait.com)