Clinical recommendation Evidence rating Comments
The use of assistive devices can improve balance, reduce pain, increase mobility and confidence, and decrease the risk of falls.9,10 B Expert opinion and systematic review of observational studies
Because many patients obtain assistive devices without recommendations or instructions from a medical professional, clinicians should evaluate these devices for proper fit and use.13,14 C Observational studies and patient surveys on how they use the devices
When only one upper limb is needed to aid in balance or weight-bearing, a cane is preferred. If both upper limbs are needed, crutches or a walker is more appropriate.4 C Clinical review article
Wheelchairs can provide patients with improved mobility and quality of life, but proper sizing and patient education are required to avoid injury to bony prominences and skin breakdown due to seat pressure.5 C Expert opinion