nonambulatory

Nonambulatory is a medical term describing an individual who cannot walk or ambulate independently. In clinical contexts, nonambulatory status means that walking without substantial assistance is not possible, and the person may rely on a wheelchair, other mobility devices, or support for transfers. The term is typically contrasted with ambulatory status, though definitions vary by field and region; some contexts reserve nonambulatory for those who cannot walk even with standard assistive devices, while others emphasize dependence on mobility aids.

Causes of nonambulatory status are diverse and may be temporary or permanent. They include major injuries such as spinal cord injury or severe fractures, neurological conditions such as stroke, multiple sclerosis, or amyotrophic lateral sclerosis, progressive diseases like muscular dystrophy, advanced arthritis, and advanced frailty in older adults. Acute illnesses or postoperative conditions can also render a person nonambulatory for a period of recovery.

Implications for daily living are substantial. Nonambulatory individuals often require assistance with activities of daily living, home modifications, and adapted transportation. Rehabilitation approaches vary but may aim to maximize remaining function, improve safety, and enable the best possible level of mobility with devices such as wheelchairs, walkers, or orthoses. The documentation of nonambulatory status informs care planning, eligibility for services, and long-term support considerations.

In summary, nonambulatory describes limited or absent walking ability, with dependent mobility that shapes medical care, rehabilitation, and daily living support.