Article

In this systematic literature review, we examined whether and how walking aids
(i.e., canes, crutches, walkers, and rollators) enable activity and participation
among adults with physical disabilities. Medline, Embase,
all EBM reviews,
PsychInfo, CINAHL, and Web of Science databases were used to identify studies
published since 2008. Quantitative and qualitative designs were included. Data
regarding participants, assistive device use, outcome measures, and domains of
participation were extracted.
Two reviewers independently rated the level of
evidence and methodological quality of the studies. Outcomes were categorized per
types of walking aids and activity and participation domains. Thirteen studies
were included. Two studies involved canes, four pertained to rollators, and seven
dealt with multiple types of walking aids. Mobility was the most frequently
examined domain of activity and participation. Both negative and positive results
were found. Negative outcomes were linked to the physical characteristics of the
device, the use, environment, and personal reluctance. When incorporated in daily
life, walking aids were found to enable several domains of activity and
participation. Whether walking aids facilitate activity and participation may
depend on the user's ability to overcome obstacles and integrate them in daily
life. More high-quality research is needed to draw conclusions about their
effectiveness.

Langue : ANGLAIS