Who uses a quad cane and how effective it is? The elderly and those affected by stroke, hemiplegia, partial paralysis, or vertigo should probably use a quad cane. Those who underwent knee or hip replacement surgery often benefit from a quad cane too. A quad cane is similar to a standard cane except it has a metal, 4-legged base. It helps provide extra support to allow you to walk independently and safely. An advantage of a quad cane is that it provides good stability. You can use quad canes to climb up and down the stairs, unlike a standard or wheeled walker. You don't have to worry about the quad cane falling over if you are in a sitting position. The advantageous part of the quad cane is that it has 4 tips and provides a broader base of support. Quad canes may help reduce falls in people who are recovering from strokes.