Disabling Effects

People with this level of functional restriction would normally have lower limb joint deformity in at least one joint and restriction of movement in that joint. They would also have pain on weight bearing and joint swelling (except for the hip). Joint pain may wake the person at night even with the use of painkillers. Where the knee is affected it is likely to be unstable and give way leading to falls. They may be on the waiting list for hip or knee replacement surgery.

Mobility

A person with severe restriction would normally need physical assistance from another person in getting around. The use of a walking aid may help prevent falls but it would not improve physical walking ability. The person would not require guidance or supervision outdoors.

Care

A person with severe restriction would normally have joint deformity with pain and restriction of movement. Knee instability is likely to be present and hence an increased risk of falls. However, the use of a stick may help reduce the risk of falls and may also assist in rising after a fall. Such a person would normally need assistance from another person with dressing, bathing and attending to toilet needs. Help is likely to be needed with rising from sitting, getting out of bed, the bath and in using stairs. No supervision or watching over needs would be present.