A cane is used to provide additional stability while walking. They are gripped in the hand and act as a “third leg” to provide support while moving one of the other legs. Canes are affordable and may help an ALS patient with walking for a moderate amount of time.
An individual with ALS only benefits from a cane if they retain a moderate amount of grip strength. A larger cane grip is beneficial as it is easier to hold. The cane may slip out of the hand if it is not gripped firmly, which could cause a fall. The user should hold the cane in whichever hand has greater grip strength. If grip strength of both hands is similar, it should be held in the hand that is on the opposite side to the weakest leg.
| Start using when… | Stop using when… | |
|---|---|---|
| Still able to walk independently for moderate distances, but there are some minor fatigue and balance issues; grip strength is adequate | ↔ | Fatigue sets in quickly, and balance issues are significant, even when using the cane; grip strength is insufficient |
A walker or wheelchair becomes appropriate when a cane no longer provides adequate support.