Is the person cleared to work with you? Do you have any recommendations from their healthcare providers? If you are ready to go, start small and adjust to what you observe and the client tells you. Let the clients reaction to every progression guide you.
I would start with ROM movements without added weight. Arm/Upper body movements can be done sitting down (as necessary). Sitting down and standing up is very useful. A variety of leg motions can be done with hand support on the walker, a chair, ect. (make sure it is stable). Be sure to cue the client very clearly. Try not to talk too much while they are doing the exercises.
Be cautious, everyone is different and will react according to how they function and respond.
I’m with Karin on this one – the actual training on acclimating your client to use a walker should be conducted by a PT or an OT. Once they’re comfortable with getting around, he/she should be ready for some training. First off, I would get input from both their Physician & Physical Therapist regarding programming & take it from there. Good luck Kimberly!
this should be done by a physical or occupational therapist. Obviously, there is a reason why this person needs to use a walker. Some event or disease process has led to this point, and I would assume that this person has been in physical therapy for it.
Natalie is correct in what she is saying but his should not fall on your responsibility.
Since you would train this person only after a physician’s approval, I would look for parameters there and hopefully get a starting point from the physical therapist.
Once all that is established, you should first look at what the person needs to do in daily life, inquire into areas that are difficult and devise a strategy to help there first. Often just getting up from a chair is the first exercise. I always preferred to do exercises standing as long as you have a location where this is safe. Depending on the circumstances, you will have to settle for what is doable rather than what is ideal.