 He frequently if not always has trouble getting in or out a car, always shuffles or scuffs his feet, always has trouble turning or changing direction, always has trouble with uneven surfaces or curbs, and always has to hold on to someone or something when walking. 
He frequently if not always has trouble getting in or out a car , always shuffles or scuffs his feet , always has trouble turning or changing direction , always has trouble with uneven surfaces or curbs , and always has to hold on to someone or something when walking .