Use of mobility aids reduces attentional demand in challenging walking conditions

While mobility aids (e.g., four-wheeled walkers) are designed to facilitate walking and prevent falls in individuals with gait and balance impairments, there is evidence indicating that walkers may increase attentional demands during walking. We propose that walkers may reduce attentional demands under conditions that challenge balance control. This study investigated the effect of walker use on walking performance and attentional demand under a challenged walking condition. Young healthy subjects walked along a straight pathway, or a narrow beam. Attentional demand was assessed with a concurrent voice reaction time (RT) task. Slower RTs, reduced gait speed, and increased number of missteps (>92% of all missteps) were observed during beam-walking. However, walker use reduced attentional demand (faster RTs) and was linked to improved walking performance (increased gait speed, reduced missteps). Data from two healthy older adult cases reveal similar trends. In conclusion, mobility aids can be beneficial by reducing attentional demands and increasing gait stability when balance is challenged. This finding has implications on the potential benefit of mobility aids for persons who rely on walkers to address balance impairments. (C) 2012 Elsevier B.V. All rights reserved.