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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