Biomechanical tools were used to assess stability for 11 patients who,
following the surgical amputation of one lower limb, required the ass
istance of a walking frame to ambulate. The Walker Tipping Index (WTI)
, as derived from the forces applied to the walking frame, was develop
ed specifically for this study to examine the relationship between sta
bility and walking frame height during ambulation. However, the WTI ma
y be useful as a criterion of stability to assist clinicians in their
evaluation of walker use in a variety of patient populations. Walker s
tability was examined as subjects, wearing their prostheses, completed
30-sec walking trials in each of the normal, high, and low walking fr
ame height conditions. Adjusting the height of the walker to one setti
ng (3 cm) above or below normal appears to redistribute the load of wa
lking between the upper and lower extremities without adversely affect
ing stability.