Should Stroke Patients Use Canes? Expert Advice on Rehabilitation - Rehabilitation

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Stroke


Hello, Director: My father had a sudden stroke two months ago and was immediately sent for rehabilitation.
In recent days, he has been able to walk somewhat unsteadily, but he refuses to use a cane, believing that relying on it will hinder his progress.
He says we are not doctors and do not understand anything.
Could you please advise whether it is better for him to use a cane or not? Your persuasive authority would be enough to convince him! Thank you!

Shang Zhi, 20~29 year old female. Ask Date: 2007/04/15

Dr. Chen Xianchang reply Rehabilitation


1.
Walking with a cane has its benefits: (1) increased safety, reducing the risk of falls.
(2) improved gait.
(3) decreased spasticity.
2.
If a patient experiences limb spasticity that does not worsen with walking and has a good gait, then consideration can be given to walking without a cane.

Reply Date: 2007/04/15

More Info


When it comes to stroke rehabilitation, the use of assistive devices like canes can play a significant role in the recovery process. Your father's situation, where he has recently experienced a stroke and is now attempting to walk, raises important questions about the balance between independence and safety in rehabilitation.


The Importance of Canes in Stroke Rehabilitation
1. Safety and Stability: After a stroke, patients often experience weakness, balance issues, and coordination problems. A cane can provide the necessary support to help prevent falls, which are a common risk for stroke survivors. Using a cane can enhance stability, allowing your father to walk more confidently, especially as he is still in the early stages of recovery.

2. Encouraging Mobility: While your father may feel that using a cane could hinder his progress, the opposite is often true. A cane can encourage him to walk more frequently and for longer distances, as it provides a safety net. This increased mobility can lead to improved strength and coordination over time.

3. Gradual Independence: The goal of rehabilitation is to regain as much independence as possible. Using a cane does not mean he is dependent; rather, it can be a stepping stone towards regaining full mobility. As he becomes stronger and more confident, he may find that he can gradually reduce his reliance on the cane.

4. Physical Therapy Guidance: It is essential for your father to work closely with his physical therapist. They can provide tailored exercises and strategies to improve his strength and balance. The therapist can also assess whether he should use a cane and, if so, how to use it effectively. They can help him understand that using a cane is a tool for recovery, not a crutch that limits his progress.


Addressing Concerns About Dependency
Your father's belief that using a cane will prevent him from improving is a common concern among stroke patients. Here are some points to consider when discussing this with him:
- Empowerment Through Support: Explain that using a cane is not a sign of weakness but rather a proactive step towards recovery. Many people use assistive devices during rehabilitation and successfully transition to walking independently.

- Setting Realistic Goals: Encourage him to set small, achievable goals for his walking sessions. For instance, he could aim to walk a certain distance with the cane before trying to walk without it. This approach can help him see progress and build confidence.

- Positive Reinforcement: Celebrate his achievements, no matter how small. Positive reinforcement can motivate him to continue using the cane and engage in rehabilitation exercises.


Conclusion
In summary, using a cane can be beneficial for your father's rehabilitation after a stroke. It provides safety, encourages mobility, and can lead to greater independence over time. It is crucial for him to understand that using a cane is a part of the recovery process and not a hindrance to his progress. Encourage open communication with his healthcare team, and consider involving them in discussions about the best strategies for his rehabilitation. Ultimately, the goal is to support him in regaining his strength and confidence, allowing him to return to his daily activities safely.

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