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Mobility issues 

Mobility issues
Chapter:
Mobility issues
Author(s):

John Zajicek

, Jennifer Freeman

, and Bernadette Porter

DOI:
10.1093/med/9780198569831.003.0029
Page of

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date: 24 August 2019

Introduction 314

Multi-disciplinary therapy interventions 316

Mobility aids and equipment 320

Wheelchairs, posture, and seating equipment 322

Types of wheelchairs and mobility devices 324

Specialised seating equipment 328

People with MS commonly experience restrictions in mobility. Surveys indicate that as many as 87% of people report difficulties in walking to some extent. Natural history studies show that approximately 50% of people require the use of a walking aid within 15 years of diagnosis, and that this rises to approximately 80% by 30 years post onset. In the progressive form of MS this rate of progression appears to be faster, with 50% of people requiring a walking aid within just 5 years following diagnosis. The evidence demonstrates that mobility limitations are associated with a poorer quality of life; with many people unable to obtain wheelchair access to the places they want to go, and/or having adequate transport facilities to enable them to participate in family, social, vocational, and leisure activities. This can leave people isolated and lonely at home. Assessment and interventions related to improving mobility are therefore a key part of intervention....

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