Mobility
- DOI:
- 10.1093/med/9780199580354.003.0004
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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