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Hip Flexion AssistDevice
-Uses elastic bands to augment activefexion during the swing phase o gait
-Improves walking perormance speed!endurance" and lower extremit# strength$
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Functional electrical stimulation
F%&" devices• For oot drop improve toe clearance b#
stimulating the peroneal nerve andacilitating active ankle dorsifexion
• 'he stimulation is triggered during swingphase! either via a heel switch or via a tilt
sensor
• (ontraindication) ankle instabilit#
-Assist c#cling-acilitateexercise andimprove apatient*sph#sical
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DRIVING MODIFICATIONS
Changes in MS over time may result in difficulty operating a car. Ability to drive safelymay be affected if patient experience any of the following:
• Difficulty getting into or out of a car
• Muscle weakness or stiffnessspasmscramps or pain! particularly in the arms or right foot
• "oss of sensation in the feet or hands
• #mpaired coordination
• Slowed reaction time
• $atigue n Sei%ures or loss of consciousness
• &lurred vision! blind spots! double vision!
loss of colour vision
•
Cognitive problems such as short'termmemory loss( disorientation while driving such
as forgetting the destination! getting confused
about where they are or missing exits( poor concentration(
• Mood changes: depression andor problems controlling anger
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What are the modifcations?
a) Mechanical hand controls to operate
the gas and brake
b) Spinner knob to turn the steering wheel
c) Adaptive steering andor braking
mechanisms that re*uire less effort
d) +i'tech driving e*uipment for gas!
brake and steering control using a ,oystick
- very expensive
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e)ide angle rear view mirror
f ) Speciali%ed seats to ease car transfers
•
"ifts for stowing wheelchairs and assistivedevices
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+eerences
• ,I%.%H,%+! /$! 0 /$ 'H.1A&! F$ n$d$"$ Driving with 1ultiple &clerosis1A,A2I,2 1A3.+ (HA,2%&"$ Nationalmssociety.org$ +etrieved 1arch 4!5674! romhttp)88www$nationalmssociet#$org8,ational1&&ociet#8media81&,ationalFiles89rochures89rochure-Driving-with-1ultiple-&clerosis$pd
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