First Steps after a Stroke – Quad Cane vs Wheeleo®

This video highlights the first steps of a patient in a rehabilitation center, after suffering a cerebrovascular accident (stroke). The patient presents with hemiparesis, which is a partial paralysis of one side of the body, requiring them to use a walking aid to ensure stability and progress safely.

Objective

To compare the effects of two walking aids – quad cane and Wheeleo® – on the walking rhythm and postural safety of a patient in neurological rehabilitation.

Comparative Analysis

With the Quad Cane:

• The patient adopts a three-step gait:
  1. moves one foot forward
  2. moves the other foot forward
  3. stops in double support to move the quad cane forward
• This pattern significantly slows down progression, but allows the patient to find temporary balance before moving their walking aid.
• Result: a hesitant gait, fragmented, less fluid.

With the Wheeleo®:

• The double support is maintained continuously thanks to the one-handed walker Wheeleo®.
• The patient can take steps without stopping, keeping the Wheeleo® by their side continuously.
• They thus regain a two-step gait, more fluid and closer to the natural locomotion pattern.
• Result: improved walking dynamics, with better coordination and reduced effort.

What this Demonstrates

The type of walking aid used directly influences the quality of movement, the patient’s confidence, and the effectiveness of rehabilitation.

The Wheeleo® respects the patient’s need for stability while promoting continuity of movement, which the quad cane, often used by default but limiting in this context, does not allow.

In Conclusion

This clinical case highlights the importance of adapting the walking aid to the patient’s actual capabilities, and not the other way around.

The Wheeleo® proves to be more suitable than the quad cane for supporting a return to walking that is more fluid, safer, and more functional after a stroke.