Navigating urban obstacles like curbs safely is essential for maintaining independence when using a walker. Proper technique is paramount when encountering a change in elevation, as an incorrect maneuver can easily lead to a loss of balance and a serious fall. The method for ascending a curb differs from the technique for descending one, requiring careful attention to weight distribution and equipment handling.
Preparing Your Walker and Assessing the Curb
The safest technique for curb navigation depends on the walker type, as stability varies. Standard walkers (four non-wheeled legs) and two-wheeled walkers offer more inherent stability for vertical changes than four-wheeled rollators. Rollators are generally less stable for vertical changes unless they are specifically designed with features like wheelie bars or have their brakes locked securely. Before attempting any curb, check the height; curbs over six inches should generally be avoided unless assistance is available.
Surface condition also requires careful assessment; wet, icy, or uneven pavement necessitates seeking an alternative route. Proper walker height adjustment is a precursor to safe use. Ensure the handles align with the user’s wrist crease when standing upright, allowing for a slight bend in the elbow. This correct fit promotes an upright posture and provides the best mechanical advantage for lifting and balancing the device.
The Step-by-Step Method for Going Up
The method for ascending a curb prioritizes getting the walker onto the higher surface first to establish a stable point of support. Begin by moving the walker as close to the curb face as possible without touching it, ensuring the rear legs are near the base.
Firmly grasp the handles and use upper body strength to lift the front of the walker up and onto the curb, ensuring all four legs rest securely on the elevated surface. For wheeled walkers, tilt the device slightly back to lift the front wheels over the edge before rolling it forward to set all four points down.
With the walker stable on the new level, the user steps up, leading with the stronger or unaffected leg. This provides maximum initial pushing power and steps onto the curb, positioning the foot between the walker’s frame. Maintain a firm grip for balance, but avoid placing full body weight onto the device. Finally, the weaker or affected leg is brought up to meet the stronger leg, completing the ascent. This principle is known as “up with the good leg” to maximize muscular effort.
Safe Techniques for Going Down
The technique for descending a curb is the reverse of going up and is executed backward to maintain stability. First, turn the body and the walker around, backing up until the rear legs are positioned right at the curb’s edge.
For a standard or two-wheeled walker, gently lower the device onto the street or lower surface, ensuring all four legs are stable before proceeding. If using a four-wheeled rollator, lock the brakes and carefully roll the rear wheels off the edge, using the handles to control the descent.
The user then steps down, leading with the weaker or affected leg, following the rule “down with the bad leg.” This positioning allows the stronger leg to bear the primary weight and control the slow, eccentric lowering of the body. The user controls the descent by bending the knees and maintaining a slight forward lean, keeping the walker close for continuous support throughout the maneuver. Once the first foot is on the lower surface, the stronger leg follows to complete the descent.