How Occupational Therapists Help You Choose the Right Walking Aid

More Than Just Something to Lean On

A walking stick or walker can make a big difference to your safety, confidence, and independence. However, choosing the right walking aid isn’t as simple as picking one off the shelf. A mobility aid that works well for one person may be uncomfortable, difficult to use, or even increase the risk of falls for someone else. That’s why occupational therapists (OTs) carefully assess the person, the task, and the environment before making recommendations. 

Research has shown that mobility aids can support independence and participation in daily activities when they are appropriately prescribed and matched to the individual’s needs. An OT looks at factors such as balance, strength, endurance, posture, pain, falls history, and how you move around your home and community. We also consider where the walking aid will be used, because navigating a busy shopping centre is very different from moving around a small bathroom at home. 

Finding the Right Match for Your Lifestyle

There are many different types of walking aids, each designed for different needs.

Some common options include:

• Walking sticks for mild balance or stability issues.

• Quad sticks that provide a larger base of support.

• Two-wheeled walkers for people who need more support while walking.

• Four-wheeled walkers (4WWs) that offer mobility, a seat for resting, and storage for personal items.

• Specialised walkers for people with neurological conditions or complex mobility needs.

When recommending a mobility aid, an OT may consider: 

• Is the aid the correct height for your body?

• Can you safely use the brakes?

• Do you have the hand strength to grip the handles?

• Will it fit through doorways and around furniture? 

• Can it be transported in your vehicle? 

• Do you need a seat for rest breaks? 

• Is it suitable for both indoor and outdoor use? 

• Will your needs likely change in the future? 

One of the most important parts of the process is often trialling the equipment in real life. An OT may assess how you use the aid in your home, navigate steps or ramps, transfer into a car, or access community environments. After all, the best walking aid is the one that supports your everyday activities, not just the one that looks good in a showroom. 

Walking Further, Living Better 

For many people, the right mobility aid is about much more than preventing falls. It can help maintain access to social activities, medical appointments, shopping, hobbies, and time with family and friends. A four-wheeled walker, for example, may allow someone to walk further because they can stop and rest when needed. A walking stick might provide enough confidence to continue daily walks around the neighbourhood. 

Occupational therapists can also assist with navigating funding options and connecting clients with trusted equipment suppliers. We work alongside physiotherapists, equipment providers, and funding bodies to ensure recommendations are practical, safe, and fit for purpose. 

Choosing a walking aid isn’t a sign of losing independence. In many cases, it’s exactly the opposite. The right walking aid can reduce falls risk, increase confidence, and help you continue doing the things you enjoy. Sometimes a small piece of equipment can open the door to a much bigger world. 

Research has highlighted that older adults are more likely to benefit from mobility aids when they receive appropriate assessment, fitting, education, and training. This reinforces the importance of professional guidance rather than selecting a walking aid based solely on appearance or convenience. 

Reference 
Hunter, S. W., Divine, A., Frengopoulos, C., Odasso, M. M., & Montero-Odasso, M. (2021). The influence of mobility assistive devices on gait, balance, and falls risk in older adults: A review of the literature. Clinical Interventions in Aging, 16, 1787-1802. 

The goal isn’t simply to provide a walking aid. It’s to help you move safely, confidently, and continue participating in the activities that matter most to you.