When guiding a patient in using a walker, which statement best describes the proper sequence?

• A. Move the walker toward the patient then step with the stronger leg.
• B. The patient should grip the handles firmly and step toward the walker with the stronger leg first, then step with the other leg and repeat.
• C. Have the patient push the walker with the stronger arm and follow with the weaker leg.
• D. The patient should stand still while moving the walker.

Answer: (B)

The main idea is safe, controlled forward progression with a walker, prioritizing stability as you transfer weight. Gripping the handles firmly gives you solid control and helps prevent slipping or losing balance. In this sequence, you lead the step toward the walker with the stronger leg first, which shifts your weight onto the more capable limb and provides a stable base as you advance. Then bring the weaker leg forward to meet the stronger leg and the walker, and continue repeating this pattern. Moving the walker forward and stepping smoothly in this order keeps your center of gravity over the base of support and reduces the risk of falls. Pushing with one arm or standing still while moving the walker would compromise balance and safety, so they’re not appropriate approaches.