Muscle weakness in hands, arms, legs or the muscles of speech,
swallowing, or breathing: An individual with ALS may benefit
from a flexible work schedule, liberal use of leave time, being
allowed to work from home, elimination of physical exertion
and workplace stress, scheduled rest breaks away from the workstation,
and ergonomic
workstation design, including ergonomic
seating and forearm
supports.
Twitching (fasciculation) and cramping of muscles, especially
those in the hands and feet: Ergonomic
equipment, foot
rests, and heated
clothing and heaters are useful for controlling stationary
postures and cold work areas. For computer access, speech
recognition, alternative
input devices, one-handed
keyboards, alternative
keyboards, expanded
keyboards, and miniature
keyboards can help.
Impairment of the use of the arms and legs: A wheelchair
or scooter
may accommodate individuals who have difficulty moving around
a workplace. Adjustable
workstations also help individuals convert standing areas
to sitting workstations. For building access, accessible parking,
ramps,
stair
and chair
lifts, and elevators
are helpful. Implementing appropriate emergency
evacuation procedures may also be a benefit.
"Thick
speech" and difficulty in projecting the voice in more
advanced stages: An individual with ALS who has difficulty
with speech may be accommodated by typing information into the
computer and using speech output (screen
reading software), using voice
amplification, or a communication
aid.
Dealing with workplace stress: An individual with ALS
may benefit from reduction or elimination of stress in the current
position, transfer to a less stressful position, flexible schedule
to recover from any effects caused by workplace stress, and
work at home to avoid workplace stress.
Organizations
