Rehabilitation engineers, technologists, and technicians: Vital members of the assistive technology team

ABSTRACT The rehabilitation engineering professions include rehabilitation engineers, rehabilitation technologists / assistive technologists and rehabilitation technicians. The purpose of this white paper is to define the rehabilitation engineering professions, describe educational pathways for the field of rehabilitation engineering, and describe the role of the rehabilitation engineering professions in a multitude of professional settings. An ad-hoc committee was convened by the Rehabilitation Engineering and Technologists (RE&T) Professional Standards Group (PSG) at the 2013 annual meeting, RESNA Conference in Seattle, Washington. The ad-hoc committee reviewed over 80 different sources in preparing the white paper, which included peer reviewed journal articles, conference proceedings, professional organization websites. Based on this review, in addition to expert opinion and stakeholder feedback, the committee developed the following definitions. Rehabilitation Engineer (RE) uses the innovative and methodical application of scientific knowledge and technology to design and develop a device, system or process, which is intended to satisfy the human needs of an individual with a disability. Rehabilitation Technologist / Assistive Technologist (RT/AT) combines scientific and engineering knowledge and methods with technical skills to complement engineering activities for an individual with a disability. Rehabilitation Technician (RTn) works with equipment, primarily assembling and testing component parts of devices or systems that have been designed by others for individuals with disabilities; usually under direct supervision of a rehabilitation engineer or rehabilitation technologist / assistive technologist. Their preferences are given to assembly, repair, or evolutionary improvements to technical equipment by learning its characteristics, rather than by studying the scientific or engineering basis for its original design. This whitepaper provides a framework for future discussions on the advancement of the rehabilitation engineering professions with the goal of improving the quality of life of individuals with disabilities through the application of science and technology.

[1]  J. Dixon,et al.  Engineering Design , 2019, Springer Handbook of Mechanical Engineering.

[2]  Jeffrey W. Jutai,et al.  Psychosocial Impact of Assistive Devices Scale , 2016 .

[3]  Andrew C. Persch,et al.  P4 medicine and pediatric occupational therapy. , 2013, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[4]  Amol M Karmarkar,et al.  Test-retest reliability of the functional mobility assessment (FMA): a pilot study , 2013, Disability and rehabilitation. Assistive technology.

[5]  Elisabeth Pain,et al.  Designing a Career in Biomedical Engineering , 2010 .

[6]  Michael L Boninger,et al.  A preliminary model of wheelchair service delivery. , 2009, Archives of physical medicine and rehabilitation.

[7]  吕一旭 Yixu Lu 引言 (Introduction) , 2009, Provincial China.

[8]  Jon L. Pearlman,et al.  Wheeled Mobility: Wheelchairs and Personal Transportation , 2008 .

[9]  Albert M. Cook,et al.  Cook & Hussey's Assistive Technologies Principles and Practice , 2007 .

[10]  Mark Schmeler,et al.  Test-Retest Reliability and Cross Validation of the Functioning Everyday With a Wheelchair Instrument , 2007, Assistive technology : the official journal of RESNA.

[11]  Barry Romich,et al.  An Introduction to Rehabilitation Engineering , 2006 .

[12]  Hisaichi Ohnabe,et al.  Current Trends in Rehabilitation Engineering in Japan , 2006, Assistive technology : the official journal of RESNA.

[13]  K. A. Hayden,et al.  State-of-the-evidence reviews: advantages and challenges of including grey literature. , 2006, Worldviews on evidence-based nursing.

[14]  Krista L Best,et al.  The wheelchair skills test (version 2.4): measurement properties. , 2004, Archives of physical medicine and rehabilitation.

[15]  Robert A Linsenmeier,et al.  What makes a biomedical engineer? , 2003, IEEE engineering in medicine and biology magazine : the quarterly magazine of the Engineering in Medicine & Biology Society.

[16]  Jean Minkel,et al.  Integrating Assistive Technology Into an Outcome‐Driven Model of Service Delivery , 2003 .

[17]  James B Reswick,et al.  How and when did the rehabilitation engineering center program come into being? , 2002, Journal of rehabilitation research and development.

[18]  Robert W Mann,et al.  Engineering design education and rehabilitation engineering. , 2002, Journal of rehabilitation research and development.

[19]  J. Jutai,et al.  Development of a scale to measure the psychosocial impact of assistive devices: lessons learned and the road ahead , 2002, Disability and rehabilitation.

[20]  R. Walker,et al.  Unfocused ergonomics? , 2001, Ergonomics.

[21]  D. Radcliffe,et al.  Supporting communication in rehabilitation engineering teams. , 2000, Telemedicine journal : the official journal of the American Telemedicine Association.

[22]  Stuart J Meldrum,et al.  Introduction to Biomedical Engineering , 2000 .

[23]  George V. Kondraske,et al.  Measurement Tools and Processes in Rehabilitation Engineering , 1999 .

[24]  Elaine Trefler,et al.  Rehabilitation Engineering Technologies: Principles of Application , 1999 .

[25]  D Colombini,et al.  Guidelines for designing jobs featuring repetitive tasks. , 1998, Ergonomics.

[26]  Charles Robinson,et al.  Rehabilitation Engineering, Science, and Technology , 1997 .

[27]  Shaffer Mj,et al.  A new clinical engineering curriculum. , 1995 .

[28]  A. Boland Disability in America: Toward a National Agenda for Prevention , 1992 .

[29]  Joseph D. Bronzino,et al.  Clinical engineering: Evolution of a discipline , 1992, 1992 14th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[30]  R. Smallwood,et al.  Physical disability: the role of the physical scientist in the health service. A report of the Institute of Physical Sciences in Medicine. , 1988, Clinical physics and physiological measurement : an official journal of the Hospital Physicists' Association, Deutsche Gesellschaft fur Medizinische Physik and the European Federation of Organisations for Medical Physics.

[31]  G. Vanderheiden Service delivery mechanisms in rehabilitation technology. , 1987, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[32]  J G Thacker,et al.  Rehabilitation engineering education at the University of Virginia. , 1982, Journal of clinical engineering.

[33]  R. Tandler,et al.  Engineering as a clinical tool for geriatric rehabilitation. , 1982, Medical instrumentation.

[34]  Alfred R. Potvin,et al.  Skill Requirements for the Rehabilitation Engineer: Results of a Survey , 1980, IEEE Transactions on Biomedical Engineering.

[35]  R. Hannah,et al.  Rehabilitation engineering as the crow flies: Part V—A Problem-Solving Method for Rehabilitation Engineering , 1978, Prosthetics and orthotics international.

[36]  S Cousins,et al.  Rehabilitation engineering as the crow flies: Part IV—Criteria and constraints ∗ , 1978, Prosthetics and orthotics international.

[37]  K. Montan Rehabilitation engineering—a growing part of the rehabilitation services ∗ , 1978, Prosthetics and orthotics international.

[38]  S Cousins,et al.  Rehabilitation engineering as the crow flies: Part I—Development of the Biomechanics Clinic Team , 1978, Prosthetics and orthotics international.

[39]  D. Hobson Rehabilitation engineering—a developing specialty , 1977, Prosthetics and orthotics international.

[40]  M. Ramsay Nurse-therapists at work: six case studies. 4. Obsessive-compulsive disorder. , 1975, Nursing mirror and midwives journal.

[41]  G. Kenworthy,et al.  The provision of a service in rehabilitation engineering. , 1974, Biomedical engineering.

[42]  P. Davidovits Electrical Technology , 2019, Physics in Biology and Medicine.

[43]  Albert M. Cook,et al.  Chapter 5 – Delivering Assistive Technology Services to the Consumer , 2015 .

[44]  Andrei Krassioukov,et al.  International standards for neurological classification of spinal cord injury, revised 2011. , 2012, Topics in spinal cord injury rehabilitation.

[45]  Andrew Y. J. Szeto,et al.  Assistive Technology and Rehabilitation Engineering , 2012 .

[46]  Ali R. Hurson,et al.  Introduction and Preface , 2012, Adv. Comput..

[47]  Tom Chau,et al.  Paediatric rehabilitation engineering from disability to possibility , 2011 .

[48]  Allison Moreno Clinical engineering. , 2011, IEEE pulse.

[49]  Richard Lieber,et al.  Rehabilitation engineering , 2007, Annals of Biomedical Engineering.

[50]  M. Field,et al.  The Future of Disability in America , 2007 .

[51]  Andrew Y. J. Szeto,et al.  REHABILITATION ENGINEERING AND ASSISTIVE TECHNOLOGY , 2005 .

[52]  Joseph D. Bronzino,et al.  Biomedical Engineering: A Historical Perspective , 2005 .

[53]  A. Cook TECHNOLOGY AND DISABILITIES , 2005 .

[54]  J. W. Dietrich Rehabilitation Act of 1973 , 2004 .

[55]  Louise Demers,et al.  The Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST 2.0): An overview and recent progress , 2002 .

[56]  J. Jutai,et al.  Psychosocial Impact of Assistive Devices Scale (PIADS) , 2002 .

[57]  Rory A. Cooper,et al.  Master of Science in Rehabilitation Science and Technology at the University of Pittsburgh , 2000 .

[58]  William C. Mann,et al.  The University at Buffalo Ph.D. in Rehabilitation Science , 2000 .

[59]  K. Ottenbacher Rehabilitation Science Curriculum: University of Texas Medical Branch , 2000 .

[60]  Sharon Wood-Dauphinee,et al.  The programs in Rehabilitation Science at McGill University , 2000 .

[61]  C. Baum The evolution of Rehabilitation Science at Washington University School of Medicine , 2000 .

[62]  M. Fuhrer The proposed field of rehabilitation science and engineering -- A skeptic's appraisal and suggested alternatives , 2000 .

[63]  K. F. Walker University of Florida Doctoral Program in Rehabilitation Science , 2000 .

[64]  E. Volinn Do workplace interventions prevent low-back disorders? If so, why?: a methodologic commentary. , 1999, Ergonomics.

[65]  Molly Follette Story,et al.  The Universal Design File: Designing for People of All Ages and Abilities. Revised Edition. , 1998 .

[66]  E. Brandt,et al.  Education and Training in Rehabilitation Science and Engineering , 1997 .

[67]  D. F. Mitchell,et al.  Educating the rehabilitation engineer as a service provider. , 1997, Assistive technology : the official journal of RESNA.

[68]  E. Brandt,et al.  Enabling America: Assessing the Role of Rehabilitation Science and Engineering , 1997 .

[69]  L Demers,et al.  Development of the Quebec User Evaluation of Satisfaction with assistive Technology (QUEST). , 1996, Assistive technology : the official journal of RESNA.

[70]  ► ► Forward. , 1996, Nursing standard (Royal College of Nursing (Great Britain) : 1987).

[71]  J M Winters,et al.  Rehabilitation engineering training for the future: influence of trends in academics, technology, and health reform. , 1995, Assistive technology : the official journal of RESNA.

[72]  T. Krouskop,et al.  Demonstrating a model approach to independent living center-based assistive technology services. , 1995, Assistive technology : the official journal of RESNA.

[73]  M. Shaffer A new clinical engineering curriculum. , 1995, Biomedical instrumentation & technology.

[74]  Rory A. Cooper,et al.  Rehabilitation Engineering Applied to Mobility and Manipulation , 1995 .

[75]  L Fehr,et al.  Research device to preproduction prototype: a chronology. , 1993, Journal of rehabilitation research and development.

[76]  D K Wright,et al.  An integrated approach to rehabilitation engineering education: the development of a new masters programme at Brunel University. , 1992, Biomedical sciences instrumentation.

[77]  W. F. Sauter,et al.  Rehabilitation engineering in pediatrics. , 1990, Pediatrician.

[78]  G. Goodman The profession of clinical engineering. , 1989, Journal of clinical engineering.

[79]  Marianne Cooper,et al.  Introduction and overview , 1988, J. Am. Soc. Inf. Sci..

[80]  R. Mann Selected perspectives on a quarter century of rehabilitation engineering. , 1986, Journal of rehabilitation research and development.

[81]  J. Foort Comments for a new generation of rehabilitation engineers. , 1985, Journal of rehabilitation research and development.

[82]  A. Staros Rehabilitation engineering and the growth of prosthetics/orthotics practice. , 1984, International rehabilitation medicine.

[83]  J. Reswick Technology--an unfulfilled promise for the handicapped. , 1983, Medical progress through technology.

[84]  Reswick Jb,et al.  Technology--an unfulfilled promise for the handicapped. , 1983 .

[85]  E. Bleck Rehabilitation engineering services for severely physically handicapped children and adults. , 1977, Current practice in orthopaedic surgery.

[86]  D. Selwyn Rehabilitation engineering: new hope for the permanently disabled. , 1975, The Journal of the American Society of Psychosomatic Dentistry and Medicine.

[87]  H. Glanville Rehabilitation and engineering. , 1975, Biomedical engineering.