Choosing amongst a cane, a wheelchair, a walker, and a rollator for those with mobility issues depends on the person’s mobility level, strength, balance, endurance, environment, and specific health needs.
Safety is a very important initial consideration, as choice will often be guided by knowing whether or not there have been recent falls or if dizziness and/or loss of balance occur frequently.
In a nutshell, the choice is generally determined by the following criteria:
· Cane: Requires substantial effort but assists with stability. Ideal if balance is somewhat compromised but leg strength is good.
· Walker: Requires effort but provides good stability. Ideal if poor balance is the main problem.
· Rollator: Requires less effort than a walker and is easier to move, plus it provides a seat for resting. Ideal for those with mild to moderate leg weakness.
· Wheelchair: Provides maximum support, so is ideal for those with major leg weakness and/or instability.
The decision process recommended to determine which of these mobility aids is most suitable for an individual is:
Access Strength & Balance
- Good strength + moderate balance → Cane, Rollator
- Weak legs and/or frequent imbalance → Walker, Rollator
- Cannot stand or unsafe to walk→ Wheelchair
Distance & Environment
- Mostly indoors, short transfers → Walker
- Outdoors, longer distances → Cane, Rollator or Wheelchair
- Uneven ground or long outings → Cane, Wheelchair
Endurance & Fatigue
- Tires quickly → Rollator with seat
- Limited walking ability → Wheelchair
The indications with pros and cons for the use of these mobility aids can be summarised as follows:
Canes
Best for:
✅ Those who can stand and walk longer distances
✅ Somewhat compromised balance needing minimal stability support
✅ Outdoor use and uneven surfaces
Pros:
✔ Increases stability
✔ Lightweight and simple
✔ Helps improve confidence in walking distances
Cons:
❌ Does not provide much stability (only 1 contact point on ground)
❌ Need good leg strength
❌ Some may feel that it indicates disability
See 99Mobility canes here: Walking Sticks & Canes – 99Mobility
Walkers
Best for:
✅ Those who can stand and walk short distances
✅ Poor balance needing stable support
✅ Indoor use and flat surfaces
Pros:
✔ Very stable (4 contact points on floor)
✔ Lightweight and simple
✔ Helps improve confidence in standing and stepping
Cons:
❌ Requires lifting with each step (can be tiring)
❌ Slower and harder for long distances
❌ Not great outdoors or on slopes
See 99Mobility walkers here: Seat Walkers / Rollators – 99Mobility
Rollator (Walker with Wheels + Seat)
Best for:
✅ Those with some balance but who tire easily
✅ Moving indoors and outdoors
✅ People who need a seat to rest frequently
Pros:
✔ Easier to push than lift
✔ Built-in seat lets user rest anytime
✔ Good for longer walking and errands
✔ Some have storage bags
Cons:
❌ Less stable than a standard walker
❌ Needs good brakes and coordination
❌ Not great if very unsteady
See 99Mobility rollators here: Seat Walkers / Rollators – 99Mobility
Wheelchair
Best for:
✅ Those who cannot walk safely or at all
✅ Very limited stamina
✅ Balance or pain issues that make standing hard
Pros:
✔ Maximum support and safety
✔ Doesn’t require strength to walk
✔ Great for longer distances
Cons:
❌ Loss of walking movement (if user can walk a bit)
❌ Heavy and not as independent unless electric
❌ Transport logistics (car space, ramps, etc.)
See 99Mobility wheelchairs here: Wheelchairs – 99Mobility
When deciding which of these mobility aids is best, it is generally recommended that advice be sought from a physical therapist or occupational therapist. These allied health professionals know how to evaluate gait, balance and strength and are knowledgeable in recommending the right device and device size.
As there are numerous different brands to choose from, these professionals can also recommend what specific features might be most useful. Furthermore, they are able to train individuals in how to use the equipment safely.