Durable Medical Equipment for Children With Spinal Cord Dysfunction: Implications of Age and Level of Injury

J Spinal Cord Med, 2007 · DOI: · Published: January 1, 2007

Assistive Technology Pediatrics Rehabilitation

Simple Explanation

Children with spinal cord dysfunction require various types of equipment to participate in age-appropriate activities. This article reviews durable medical equipment for mobility, communication, self-care, and recreation. The article emphasizes a team approach for assessing and prescribing equipment, including the child, family, therapists, a physician, and an assistive technology specialist. Providing appropriate equipment enhances the ability of children with spinal cord dysfunction to learn, take part in everyday activities, and improves their quality of life.

Study Duration

Not specified

Participants

Children with spinal cord dysfunction

Evidence Level

Not specified

Key Findings

1
Infants and toddlers with spinal cord dysfunction can be mobilized with adaptations to seating systems and riding toys, and can learn to use switches and joysticks for future communication and mobility.
2
Preschool children can learn to self-propel manual or power wheelchairs, and school-age children may need power mobility to navigate larger environments like elementary schools.
3
Adolescents require mobility solutions that maximize their independence, potentially including both manual and power wheelchairs, and adapted vehicles for independent driving.

Research Summary

This article discusses durable medical equipment (DME) for children with spinal cord dysfunction, covering mobility, communication, self-care, and recreation. The importance of a team approach in assessing and prescribing DME is highlighted, ensuring the equipment fits the child's needs and abilities. The provision of appropriate DME enhances the child's learning, participation in daily activities, and overall quality of life.

Practical Implications

Improved Quality of Life

Durable medical equipment can significantly improve the quality of life for children with spinal cord dysfunction, enabling them to participate in activities and interact with their environment.

Enhanced Independence

Providing appropriate equipment allows children to achieve greater independence in mobility, communication, and self-care, fostering self-esteem and reducing reliance on caregivers.

Optimized Development

Early intervention with assistive technology and adapted equipment supports the child's development, facilitating learning, exploration, and social interaction.

Study Limitations

1
High cost of specialized equipment and vehicle adaptations.
2
Potential for shoulder overuse injuries in long-term manual wheelchair users.
3
Rejection of ADL equipment by children and teenagers due to cumbersomeness and time constraints.

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