A walking frame or walker is a great mobility aid. It is a body-size frame with handles that help with stability and balance. It is designed for people who need extra support when moving around. Whether recovering from an injury, adjusting to a health condition, or looking for added stability, learning how to use a walking frame correctly reduces the risk of falling.

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What’s the difference between a walking frame and a walker?

The terms 'walking frame' and 'walker' are often used interchangeably. However, a walking frame typically refers to a frame without wheels, while 'walker' refers to a broader category, which includes both frames with and without wheels.

Before we dive into the steps for walking correctly, it's important to understand the different types of mobility walking aids available. Each type has its features and benefits, and this guide will show you how to walk with them properly based on your choice.

Choosing The Right Mobility Walker

Before using a walking aid, ensure it’s the right fit for you:
1. Height Adjustability
The frame should be at wrist height when your arms are relaxed.

2. Frame Type
Decide between standard frame (without wheels) or a wheeled frame for smoother movement. Depending on your specific needs and condition, a healthcare provider can recommend a more specialised walker.

Types of Walking Aids

A four-point walking frame or a Zimmer frame, has four rubber-tipped legs and must be lifted to move forward.

Two-wheeled walkers feature two front wheels and rubber-tipped back legs, allowing users to slide it forward smoothly instead of lifting it with each step.

Bariatric walking aids are built for higher weight capacity and may come with two, four, or no wheels, depending on the model. This design helps distribute weight more evenly, making movement smoother and reducing strain on the user. Many bariatric walkers also come with seats, offering a convenient resting option. The added stability and seating options are particularly beneficial for individuals who require a more durable frame for safe, comfortable mobility.

Four-wheeled walkers come in various types, each designed to meet specific mobility needs while offering different levels of support and convenience.

Types of Four-Wheeled Walkers

a. Rollators, also called wheeled walkers or mobility walkers, feature wheels and brakes. It's made to help people who need support while walking but can still balance and move on their own.

Types of rollators:

Three-wheel and Four-wheel: Rollators come with either three or four wheels.
Seat Walkers: Some have seats to rest on.
Foldable: Many can be folded for easy storage or transport.

b. Forearm Support Walkers are designed with padded armrests and handgrips for users who need upper body support while walking. It helps reduce strain on the wrists.
c. A reverse walker is designed to be used from behind, encouraging a more upright posture and natural walking movement.
d. A knee walker mobility aid has a cushioned platform for resting one knee while pushing forward with the other leg. It’s a good alternative to crutches for foot or ankle injuries.

3. Grip Comfort
The third factor when considering a walking aid is the grip. Handles should be comfortable and easy to hold, as this greatly impacts both your stability and ease of use.

Need help picking the right walker? Contact Highgate Healthcare for expert advice.

Helpful Walker Accessories

Accessories can make your walker more practical for daily use. Options like slow-down brakes, utility baskets, cupholders, oxygen bottle carriers, and more improve convenience and can help you navigate daily tasks with ease.

Walker skis are small plastic or rubber attachments that fit onto the rear legs of a two-wheeled walker. They allow the walking frame to glide smoothly across different surfaces, both indoors and outdoors. Whether it's carpet, wood floors, or rough sidewalks, they help users move more easily and stay steady. They replace standard rubber tips and are particularly helpful for users who have difficulty lifting the walker.

The carry apron bag is a waterproof nylon accessory that attaches easily to standard frames with Velcro tabs, featuring four front pockets and a rear zippered pocket.

Steps To Walk Safely With A Mobility Walking Aid

Make sure there's enough space to place the frame properly.

Never pull on the frame to help you sit or stand.

Sitting to Standing

Step 1: Place the mobility walker or frame in front of you, open side toward you.
Step 2: Stand by pushing up from your bed or seat (don’t pull on the frame or handles).
Step 3: Once standing, take a moment to find your balance.
Step 4: Grasp the walker handles and step inside the frame.

Walking

Walking with a four-point walking frame (Zimmer Frame)

Step1: Position the Frame Correctly
Stand upright with the frame in front of you.
Ensure all four legs (or wheels) are touching the ground before moving.

Step 2: Step Forward with the Frame
Lift and place the frame slightly ahead if using a standard frame.

Step 3: Step into the Frame
Move your weaker or injured leg forward first.
Follow with your stronger leg, stepping evenly.

Step 4: Maintain a Steady Pace
Take slow and controlled steps.
Avoid placing the frame too far ahead to prevent imbalance.

Step 5: Navigating Turns and Obstacles
Turn by taking small steps while keeping the frame close.
When moving over small steps or curbs, ensure stability by using handrails if available.

Walking with a two-wheeled walker

It's similar to a four-point or Zimmer walking frame, but instead of lifting, you gently push it forward.

As you walk, slide the walker forward at a steady pace to match your walking speed.

Walking with a four-wheeled walker

Make sure the walker is fully opened and the hinges are locked in place.

Stay close to the frame, near the back wheels, when using it.

When going down a ramp, gently apply the brakes to control the speed.

Before sitting, ensure the brakes are locked and the walker is on level ground, ideally with a wall or fence behind you for extra stability.

Standing to Sitting

Step 1: Identify the seat and space in front.
Step 2: Turn the walker to back into the seat.
Step 3: Feel the seat behind your legs, then reach back with one hand.
Step 4: Move your weaker leg forward, lean into your stronger leg, and lower yourself down.

Safety Tips For Using A Mobility Walking Aid

Always place weight evenly on the frame to prevent tipping.

Use non-slip shoes for better traction.

Avoid loose rugs and clutter that may cause tripping.

Keep the frame in good condition, checking for wear on rubber tips or wheels.

When To Seek Professional Advice

If you're unsure about using a walking aid correctly, consult a physiotherapist or healthcare professional. They can guide you on the best techniques and adjustments for your needs.
Looking for the right mobility walking frame? At Highgate Healthcare, we offer a range of walkers and standard frames designed for comfort and stability. Contact our team to find the best option for you.

References
Elsevier. (2021, September 17). How to use a walker. https://elsevier.health/en-US/preview/how-to-use-walker. Accessed March 26, 2025.
Physiopedia. (n.d.). Walkers. https://www.physio-pedia.com/Walkers. Accessed March 26, 2025.