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  4. Need and use of assistive devices for personal mobility by individuals with spinal cord injury

Need and use of assistive devices for personal mobility by individuals with spinal cord injury

The Journal of Spinal Cord Medicine, 2016 · DOI: 10.1080/10790268.2015.1114228 · Published: January 1, 2016

Spinal Cord InjuryAssistive TechnologyRehabilitation

Simple Explanation

This study examines the use of mobility devices among individuals with spinal cord injury (SCI) in Switzerland. It looks at which devices are provided, how often they are used, and whether there are unmet needs for devices that people require but do not have access to. The research found that the types of devices people have or use depend largely on their age and the severity of their SCI. While many have access to basic devices, there's still a significant unmet need for certain supplementary devices. The study highlights the importance of understanding these needs to improve mobility and quality of life for individuals with SCI, emphasizing that while basic needs are often met, additional devices that could improve activity and participation are not always available.

Study Duration
September 2011 and March 2013
Participants
492 individuals with spinal cord injury
Evidence Level
Not specified

Key Findings

  • 1
    Adapted cars (78.2%) and manual wheelchairs (69.9%) were the most commonly provided devices.
  • 2
    Provision of devices varied significantly with age and SCI severity; for example, older individuals were more likely to have walking frames, while those with complete tetraplegia were more likely to have power wheelchairs.
  • 3
    There was a considerable unmet need for arm braces (53.2%) and power assisted wheelchairs (47.3%).

Research Summary

The study investigated the provision, use, and unmet need of assistive devices for personal mobility in the Swiss population with SCI, revealing that device provision is highly dependent on age and SCI severity. While most participants have access to basic mobility devices, significant unmet needs exist for supplementary devices like power-assisted wheelchairs and arm braces, highlighting gaps in current care standards. The findings underscore the importance of addressing unmet needs to optimize mobility and improve the quality of life for individuals with SCI, suggesting the necessity for further research into the reasons and consequences of these unmet needs.

Practical Implications

Policy and Funding Adjustments

Review and adjust policies and funding models to ensure access to supplementary devices based on individual needs and potential for improved participation.

Healthcare Professional Training

Enhance training for healthcare professionals to better assess and prescribe assistive devices, considering individual needs and the potential benefits of supplementary devices.

Device Development and Accessibility

Promote the development and accessibility of affordable and effective assistive devices, particularly for unmet needs like arm braces and power-assisted wheelchairs.

Study Limitations

  • 1
    The study relied completely on self-report.
  • 2
    Definitions of the different mobility devices were wide and encompassed a multitude of products without further specification.
  • 3
    The study used a cross-sectional design, therefore individual changes over time are not reflected.

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