Frequent fractures and progressive deformity may lead to difficulties with ambulation and impaired mobility. Other signs that may be encountered are ataxia (uncoordinated ambulation), circling, blindness, lethargy, and disorientation. This can cause ambulation impairment, such as trouble climbing stairs or maintaining balance. Post-reduction, people may begin early crutch-assisted ambulation with weight bearing as tolerated. Exercise enhances walking speed, allowing for safer and more functional ambulation capabilities. Mobility&colon; Includes technologies such as those that assist older adults in ambulation, transportation, or driving. EDSS steps 5.0 to 9.5 are defined by the impairment to ambulation. A walking heel may be applied for ambulation. They are usually used to provide support for patients who have temporary restriction on ambulation. Up to 75% of patients will achieve some degree of ambulation. Measurement of ambulation was recorded in 10-minute bins. VCD's also help reduce time to ambulation and time to hospital discharge. Very high doses actually meant less ambulation. There was a serious purpose behind their ambulation. Improvements in gait parameters included walking speed, cadence, stride length and Functional Ambulation Category scores.