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  4. Need and availability of assistive devices to compensate for impaired hand function of individuals with tetraplegia

Need and availability of assistive devices to compensate for impaired hand function of individuals with tetraplegia

The Journal of Spinal Cord Medicine, 2020 · DOI: 10.1080/10790268.2018.1479054 · Published: January 1, 2020

Spinal Cord InjuryAssistive TechnologyRehabilitation

Simple Explanation

This study examined the availability and need for assistive devices among individuals with tetraplegia in Switzerland. Assistive devices can help compensate for impaired hand function resulting from spinal cord injuries. The study found that only about one-third of individuals with tetraplegia had assistive devices for impaired hand function. However, most participants reported they did not have an unmet need for these devices. Factors like independence in grooming and the severity of the spinal cord injury were associated with the availability of certain assistive devices.

Study Duration
September 2011 and March 2013
Participants
150 individuals with tetraplegia
Evidence Level
Cross-sectional survey

Key Findings

  • 1
    Only 32.7% of participants had any assistive device for impaired hand function.
  • 2
    The most frequent devices were adapted cutlery (14.8%), type supports (14.1%), environmental control systems (11.4%), and writing orthosis (10.6%).
  • 3
    The self-declared unmet need was generally low (0.7% - 4.3%), except for adapted kitchenware with a moderate unmet need (8.9%).

Research Summary

This study evaluated the availability and unmet need for assistive devices among individuals with tetraplegia in Switzerland. It used cross-sectional data from the Swiss Spinal Cord Injury (SwiSCI) Study. The study found that only a minority of participants had assistive devices, but most did not report an unmet need. Availability of devices was associated with independence in grooming and SCI severity. The authors concluded that individuals with tetraplegia in Switzerland are generally adequately supplied with assistive devices, and the availability is mainly influenced by the level of functioning.

Practical Implications

Targeted Provision

Focus provision of assistive devices on individuals with more severe SCI and lower independence in grooming.

Address Unmet Need for Kitchenware

Investigate and address the unmet need for adapted kitchenware among individuals with tetraplegia.

Sufficient Provision System

The financial position is not limiting the acquisition of assistive devices for impaired hand function of individuals with tetraplegia

Study Limitations

  • 1
    Relatively small sample size
  • 2
    Reliance on self-report data
  • 3
    Exact lesion level was not assessed

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