Unlike a crutch cane, rollators – whether one-handed or two-handed – offer support that varies considerably depending on the height of the handles. This adjustment is not trivial: it must be adapted to the specific needs of the patient and the goals of rehabilitation.
When the handles are set at wrist height (arms along the body), the user can transfer part of their body weight to them.
This setting is particularly indicated at the beginning of rehabilitation, when the patient has significant muscle weakness or needs substantial support while walking.
It is also useful in case of pain in a lower limb (knee, hip…), to temporarily relieve the painful joint.
When the handles are positioned higher, with the elbows slightly bent, the objective is different: it is to improve stability.
By increasing the number of support points on the ground, the device widens the base of support and thus reinforces the patient’s balance.
With rollators (one or two-handed), this support remains constant throughout the walking cycle, which promotes better adaptation to movements in the environment.
This configuration is often recommended for people who are not yet using a technical aid, or who do not use their walker in cluttered environments.
In rehabilitation, we generally start with a low position to offer maximum support. Then, as progress is made, we gradually adjust the height towards a higher position to promote balance work.
The ultimate goal: to progressively wean the patient off any walking aid, accompanying each stage in a targeted and adapted manner.
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