Lambert-Eaton myasthenic syndrome (LEMS) is a rare autoimmune disorder that affects the neuromuscular junction, the point where the nerve cells meet the muscle cells.
Symptoms associated with LEMS include muscle weakness, pain, fatigue, speech and swallowing problems, and eye problems.
LEMS patients may need aids and adaptive devices to help with mobility and other daily activities.
Mobility devices
An occupational therapist may recommend canes or walkers depending on the requirements of the patient to improve mobility and for safety. In severe conditions, mobility devices such as wheelchairs or power scooters may be necessary. In addition to helping with mobility, these devices can also ease fatigue in LEMS patients.
Orthotic braces are available to provide support to muscles and joints. These include hand, wrist, and foot braces, and footwear that can be used according to the patient’s needs.
Aids and assistive devices for daily tasks
Aids and assistive devices enable more independence with daily activities such as bathing, grooming, dressing, feeding, drinking, cooking, and toileting. These include:
- grab rails and handrails in the bathroom, toilet, stairs, and walls to provide support and reduce the risk of injuries
- modified cups, plates, bowls, and drinking aids (according to a person’s needs)
- specially designed kitchen aids, including easy openers, knob and tap turners, utensil holders, meal preparation aids, and kitchen appliances
- utensils with grip aids for those with difficulties in fine motor skills and with grasping
- specialized hygiene tools and accessories to promote cleanliness and hygiene
- dressing and grooming aids
- modified sleeping surfaces to help promote good sleep
- mechanical ventilation in cases of respiratory muscle weakness
- technological devices to assist with difficulties in speaking and writing
- vision aids and devices to help with vision problems that are common in LEMS patients because of weakness in the eye muscles
An occupational therapist is able to advise patients and caregivers about the right type of aid and adaptive device for them, so patients carry out everyday daily living activities as independently as possible.
Last updated: Oct. 24, 2019
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