The impact of mobility assistive technology devices on participation for individuals with disabilities

Abstract Aim: This study aims to address the gap in research and contribute to the body of knowledge on the perspectives assistive technology device users have toward their devices. Method: Mixed methods were used to better understand the impact of mobility assistive technology devices (MATDs) on participation for individuals with disabilities. The Functional Mobility Assessment was administered in conjunction with two qualitative questions developed by the research team allowing participants to expound on the impact of their MATD experience. Participants were recruited online via the National Spinal Cord Injury Association website and in-person at Abilities Expo in Atlanta, Georgia, and the International Seating Symposium in Nashville, Tennessee. Results: Results are consistent with findings from prior research regarding accessibility for individuals with disabilities. Corresponding findings were found in both the quantitative and qualitative data and are categorized into several major themes: environment (indoor and outdoor), surface heights, transportation, dependence, independence, quality of life and participation. Conclusion: Quantitative data from this study indicate that users of MATD are satisfied with the way in which their devices enable maneuvering indoors, while qualitative data suggest otherwise. Implications for healthcare practitioners are described and future recommendations are provided. Implications for Rehabilitation Healthcare professionals should advocate for proper mobility assistive technology devices (MATDs) for their patients in order to enable increased independence, safety and efficiency. Healthcare professionals must be cognizant of the impact of the environment and/or environmental barriers when prescribing MATD. Additional areas of interest for future research may include investigating the impact of MATD in association with date of onset of disability, according to diagnoses, or specific to length of time since acquiring the device.

[1]  Lorraine Williams Pedretti,et al.  Occupational Therapy: Practice Skills for Physical Dysfunction , 1985 .

[2]  Reliability of a functional mobility assessment tool with application to neurologically impaired patients: a preliminary report. , 1993, Physiotherapy Canada. Physiotherapie Canada.

[3]  Albert M. Cook,et al.  Assistive Technologies: Principles and Practice , 1995 .

[4]  Dimitris Michailakis,et al.  Standard Rules on the Equalization of Opportunities for Persons with Disabilities , 1995, Human Rights and Disabled Persons.

[5]  M J Scherer,et al.  Outcomes of assistive technology use on quality of life. , 1996, Disability and rehabilitation.

[6]  Edward J. Hamilton,et al.  Living in the State of Stuck: How Technology Impacts the Lives of People with Disabilities. , 1997 .

[7]  James I. Charlton,et al.  Nothing About Us Without UsDisability Oppression and Empowerment , 1998 .

[8]  B. Pentland.  Living in a State of Stuck: How technology impacts the lives of people with disabilities , 1998, Spinal Cord.

[9]  J. Chamberlin,et al.  Nothing About Us Without Us: Disability Oppression and Empowerment , 1999 .

[10]  M. Laplante,et al.  MOBILITY DEVICE USE IN THE UNITED STATES: DISABILITY STATISTICS REPORT , 2000 .

[11]  Jon A. Sanford,et al.  Development of a Comprehensive Assessment for Delivery of Home Modifications , 2001 .

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

[13]  S. Söderberg,et al.  Disabled Persons' Experience of Dependence on Assistive Devices , 2002 .

[14]  B. Lutz,et al.  Understanding how disability is defined and conceptualized in the literature. , 2003, Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses.

[15]  J. Hammel,et al.  Providing Alternative Financing for Assistive Technology , 2003 .

[16]  Tae-Gyung Kang,et al.  Mobility Device Use in the United States , 2003 .

[17]  Kyung-Ah Kang,et al.  Meaning of life for adolescents with a physical disability in Korea. , 2003, Journal of advanced nursing.

[18]  Adrienne Harvey,et al.  The Functional Mobility Scale (FMS) , 2004, Journal of pediatric orthopedics.

[19]  Shirley G Fitzgerald,et al.  Assessing the influence of wheelchair technology on perception of participation in spinal cord injury. , 2004, Archives of physical medicine and rehabilitation.

[20]  Shirley G Fitzgerald,et al.  Demographic and socioeconomic factors associated with disparity in wheelchair customizability among people with traumatic spinal cord injury. , 2004, Archives of physical medicine and rehabilitation.

[21]  G. Kielhofner.  Rethinking disability and what to do about it: disability studies and its implications for occupational therapy. , 2005, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[22]  Marcia J. Scherer,et al.  Assessing the Benefits of Assistive Technologies for Activities and Participation. , 2005 .

[23]  Denise Reid,et al.  The Experience of Senior Stroke Survivors: Factors in Community Participation among Wheelchair Users , 2006, Canadian journal of occupational therapy. Revue canadienne d'ergotherapie.

[24]  Peter R. Giacobbi,et al.  Methodological challenges confronting researchers of wheeled mobility aids and other assistive technologies , 2007, Disability and rehabilitation. Assistive technology.

[25]  H Nazirah,et al.  THE APPLICATIONS OF INTERNATIONAL CLASSIFICATION OF FUNCTIONING, DISABILITY AND HEALTH (ICF) BY WORLD HEALTH ORGANIZATION(WHO) IN REHABILITATION MEDICINE PRACTICE , 2007 .

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

[27]  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.

[28]  S. Lord,et al.  The comparative ability of eight functional mobility tests for predicting falls in community-dwelling older people. , 2008, Age and ageing.

[29]  Julianna Arva,et al.  RESNA Position on the Application of Seat-Elevating Devices for Wheelchair Users , 2009, Assistive technology : the official journal of RESNA.

[30]  H Stephen Kaye,et al.  Demographics and Trends in Wheeled Mobility Equipment Use and Accessibility in the Community , 2010, Assistive technology : the official journal of RESNA.

[31]  M. Post,et al.  Is manual wheelchair satisfaction related to active lifestyle and participation in people with a spinal cord injury? , 2011, Spinal Cord.

[32]  Michael L Boninger,et al.  Recent trends in assistive technology for mobility , 2012, Journal of NeuroEngineering and Rehabilitation.

[33]  Winifred Schultz-Krohn,et al.  Pedretti's Occupational Therapy: Practice Skills for Physical Dysfunction , 2012 .

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

[35]  H. Kerr Graham,et al.  Functional Mobility Scale , 2018 .