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David Hilton-Jones

, Jane Freebody

, and Jane Stein

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date: 18 January 2021

Mobility 92

Importance of maintaining walking 94

Choice of walking aids 96

Orthotics 98

Managing transfers 102

Falls 104

Wheelchairs 106

Powered height-adjustable office chairs 108

Shop mobility 108

Driving 110

Transport 110

Further reading 112

Issues of mobility feature large in muscle disease; the generally slow deterioration means that many people make ever increasing compensations over time as the body adjusts to new levels of weakness. Knowledge of biomechanics is essential and we interfere with people’s mobility at our peril. Well-meaning but ill-judged advice or intervention can make matters worse: at best losing the confidence of the patient, at worst causing them to stop walking. Because of the associated upper limb weakness, and sometimes weak grip, using a wheelchair brings problems of its own. An important factor in many people with muscle disease choosing to delay using a wheelchair for as long as possible....

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