3. The Progression – When ALS Gains Momentum
Transitioning into the third stage, the symptoms of ALS become more pervasive and intense. The muscle weakness graduates from being a mere inconvenience to a significant barrier in performing daily functions. Movements become increasingly difficult, and patients often experience significant limitations in their mobility.
Walking distances that were once manageable might become strenuous, or even impossible, requiring the assistance of mobility aids like walkers or wheelchairs. In some cases, there might be a need for more substantial equipment such as powered mobility devices. This stage is marked by an increased dependence on assistive devices to carry out regular activities, indicating the steady advancement of the disease.
The progression of ALS in the third stage also emphasizes the need for changes and adjustments in the patient’s immediate environment. Accessibility becomes a key concern at this stage. Homes might need modifications such as the installation of handrails, ramps, or stairlifts to accommodate the patient’s changing mobility needs.(3)