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Popular Items
ALS can change the way everyday dressing works.
Changes in hand strength, arm movement, mobility or balance can make tasks like fastening buttons, putting on a shirt or getting into pants increasingly difficult.
Adaptive clothing provides alternative closures and garment openings that can make those dressing steps easier to manage.
Joe & Bella offers ALS clothing for adults who dress independently as well as people who receive help from a family member or caregiver.
Dressing Needs Can Change With ALS
Amyotrophic lateral sclerosis, also known as ALS or Lou Gehrig's disease, affects people differently.
Over time, someone may experience difficulty with:
- Fastening small buttons
- Gripping or manipulating closures
- Raising or positioning an arm
- Reaching the lower body
- Pulling conventional clothing into place
- Standing during dressing
- Completing the dressing routine independently
Because those needs can change, the most useful adaptive feature may change too.
Rather than looking for one universal type of ALS clothing, choose garments around the specific dressing task that's becoming difficult.
Adaptive Shirts for ALS
Traditional button-down shirts can require significant finger dexterity and coordinated use of both hands.
Magnetic clothing replaces conventional shirt buttons with hidden magnetic closures, providing another way to fasten and unfasten the garment.
This may be useful when manipulating small buttons becomes difficult.
Explore:
Important: Magnetic closures may not be appropriate for people with certain implanted medical devices. Follow the product warning and guidance from your device manufacturer or healthcare provider.
Adaptive Pants for ALS
Lower-body dressing may also become more difficult when reaching, bending, standing or pulling conventional pants into place becomes challenging.
Adaptive pants offer different ways to get into and out of the garment.
Select Joe & Bella pants use side-opening designs, while four-way stretch provides additional flexibility during dressing and everyday wear.
Explore:
The right design depends on how the person gets dressed and whether they dress independently or receive assistance.
Clothing for Assisted Dressing With ALS
As ALS progresses, some people may begin receiving more help with dressing.
Adaptive clothing can also be useful in an assisted-dressing routine because alternative closures and openings provide different ways for a caregiver to put on or remove a garment.
The most useful design depends on the person's movement, positioning and level of assistance.
If dressing has become especially difficult, an occupational therapist can help identify techniques or adaptive equipment suited to the individual's abilities.
ALS Clothing for Changing Needs
A feature that's useful today may not be the feature someone needs later.
For example:
When buttons become difficult:
Consider a magnetic shirt.
When lower-body dressing becomes difficult:
Look at how adaptive pants open and how the garment needs to be positioned.
When more dressing assistance is needed:
Consider which openings make it easier for the wearer and caregiver to work together.
This makes adaptive clothing particularly useful as a problem-solving category rather than a single prescribed type of garment.
Four-Way Stretch and Minimal Seams
Joe & Bella garments incorporate four-way stretch and minimal seams into their construction.
Four-way stretch gives the garment flexibility as it moves, while minimal seams can be another consideration when choosing clothing for everyday comfort.
These features aren't treatments for ALS. They're simply garment-design details that may be useful alongside easier closures and alternative openings.
ALS Clothing vs. Limited Mobility Clothing
There is natural overlap between these collections, but they serve different purposes.
This page is specifically about dressing needs associated with ALS.
Our Adaptive Clothing for Limited Mobility collection is broader and focuses on dressing when bending, reaching, balance or range of motion is difficult regardless of the underlying condition.
People living with ALS may find both collections relevant.
What About Wheelchair Clothing?
Some people with ALS use wheelchairs or other mobility devices, but wheelchair use isn't universal.
If clothing considerations related specifically to seated dressing or wheelchair use are the main concern, see our Wheelchair-Friendly Adaptive Clothing collection.
That keeps this ALS collection centered on the diagnosis-specific dressing journey rather than assuming everyone with ALS has the same mobility needs.
What About Toileting Access?
If easier toileting or lower-body access is a primary concern, the specific pant design matters.
Joe & Bella's CareZips® use three adaptive zippers: two outer-seam zippers from the waist to the knee and an inseam zipper that runs from knee to knee through the crotch.
Our Everyday Side-Zip Pants use a different side-opening design.
Rather than suggesting that all ALS clothing provides toileting access, choose the pant based on the person's specific dressing and access needs.
Nurse Taylor's Tip
"With ALS, think about clothing needs as something that may change over time.
Start with the part of dressing that's difficult now. If buttons are the problem, changing the shirt closure may be enough. If lower-body dressing becomes harder later, then it may be time to look at adaptive pants or a different dressing technique.
You don't necessarily need to change an entire wardrobe at once. Focus first on the garments and dressing steps causing the most difficulty.
If needs change significantly, an occupational therapist can help reassess the dressing routine."
— Nurse Taylor
Everyday Style, Adaptive Design
Adaptive clothing doesn't have to look medical.
Joe & Bella incorporates easier-dressing features into familiar shirts and pants so adults living with ALS can continue choosing clothing based on personal style as well as function.
The goal is straightforward: make the clothing easier to work with as dressing needs change.