AIMS A PRACTICAL GUIDE TO IDIOPATHIC PULMONARY FIBROSIS Table 7: Mobility Aids for Individuals with MS (cont.) Device Indications for Use Types Motorized Scooters * For individuals who can ambulate fully but need assistance for long distances or when fatigued * May be broken down to get into the trunk of a car, but pieces are still large and may weigh up to 30 pounds * No ability to modify if individual's needs change * 3-wheeled * 4-wheeled (greater stability) Power Wheelchairs * Provide mobility but also any need for proper seating * Can have optional power seating functions that allow leg rests to be elevated or seat to lift, tilt, or recline * Can be modified if individual's needs change * Numerous options available; range from basic chairs with captain's seating through chairs with complex seating and positioning options * Mid-wheel, rear-wheel, or front-wheel drive) Table 8: Ambulatory Assistive Devices Device 22 Description L300 GO (www.bioness.com) * 3-axis gyroscope * Accelerometer embedded in the stimulator to monitor movement * Deploy electrical stimulation within .01 seconds of detecting a gait event L300 Plus for foot drop plus thigh weakness (www.bioness.com) * As above, but provides additional stimulation that can be programmed for activation of quadriceps or hamstrings to aid in knee control Walk-Aide Wireless FES (www.walkaide.com) * * * * Hip Flexion Assist Device (HFAD) * For individuals who are experiencing hip flexor weakness * HFAD is designed to improve walking by assisting hip flexion, as well as knee flexion (knee bend) and ankle dorsiflexion (foot lift) Dictus Band or Foot-up * Ankle strap with band that provides dorsiflexion assist by attaching to anchor point on shoe Carbon Fiber or Traditional Ankle-Foot Orthosis (AFO) * Can be prefabricated or custom made * Carbon fiber are lighter weight and usually prefabricated * Custom AFOs can have solid ankle or articulating ankle; ankle angle can influence knee control Knee Braces * Used to control genu recurvatum (knee hyperextension) * Examples include Swedish knee cage and OrthoPro HyperEX Knee Orthosis Needs to be fitted and customized by a trained professional Walk-Aide communicates using Bluetooth wireless technology Battery-operated single channel Utilizes a "tilt sensor" to control stimulation during normal gait Mobilityhttp://www.bioness.com http://www.bioness.com http://www.walkaide.com