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Still able to stand without help; arm and grip strength are adequate to control the walker
Multiple walkers may be needed in a home with multiple floors. Compact and lightweight walkers are still tedious to transport up and downstairs, even by an able-bodied assistant.
Individuals with ALS often operate walkers with the brakes still on, to prevent them from rolling away too quickly.
Some walkers are fitted with seats. These are only intended for use when sitting still; they are not intended for using the walker as a makeshift wheelchair.
A wheelchair becomes appropriate when a walker can no longer realistically be used.