||Photo courtesy of Druidhills through Wikicommons, January 13, 2013|
- The consumer and/or family members drive the team with their unique insights into what may work, what has been previously tried, and can identify their needs for assistance with mobility. Ultimately, the decisions are theirs!
- Occupational or Physical Therapist (OT/PT) will evaluate fine motor (hand), gross motor (total body), touch, and movement abilities; seating and positioning; visual perception; oral motor skills (feeding/swallowing); and mobility needs (self-propelled manual wheelchair or powered wheelchair with a joy stick/head array) for mobility. They will evaluate the environment for access (home, car, school, etc.). Therapists will also instruct parents/caregivers in the use of the wheelchair, how to assemble/disassemble the wheelchair for transportation, how to get the child in/out of the wheelchair, and set up training opportunities to allow the child to become as independent as possible.
- Speech Therapist will evaluate the child's communication abilities – is an augmentative communication device needed? If so, how will it be used in the wheelchair?
- Rehabilitation Engineers write prescriptions for the assessment, the wheelchair, and ancillary equipment. These are generally based on (or just co-signatures of) recommendations from the PT/OT. Sometimes referrals are needed to facilitate 3rd party payment. The physician should communicate any special medical needs to be considered. It may be appropriate to rent a wheelchair when the disability is expected to be temporary, such as following a surgery or injury. Physicians can guide decisions regarding the need for ventilator trays, and adaptations for transporting oxygen, suction and feeding supplies on the wheelchair. Often a co-signature on the letter of medical necessity (LMN) completed by the therapist is required.
- Teachers, rehabilitation counselors, employers, day care providers, respiratory therapists, recreational therapists, nurses, orthotists, friends, architects, etc. can also make valuable team members to guide practical and usability decisions and to assist in devising accommodations at home, school, and elsewhere.
- Wheelchair/Seating Vendor's representative will submit all the finished paperwork to Medicaid or other insurance. They will obtain prior approval, order equipment, assemble, and deliver it. Wheelchair vendors are often certified seating specialists and have valuable product information and expertise. They can explain the pros/cons of each type of wheelchair to the parents and team. They can also provide price quotes and cost ranges. Vendors have a repair shop where flat tires and other repairs can be made.
Rehabilitation Engineering and Assistive Technology Society of North America (RESNA)
RESNA is an interdisciplinary association of people with a common interest in technology and disability. RESNA website includes a national certified AT professionals locator, provides assistive technology standards; organization publishes a journal and offers a credentialing program.
RESNA Position Papers
A RESNA Position Paper on Clinical Practice is an official statement by the organization that, based on the consensus of experts and evidence summarizes current research and best-practice trends in relevant areas of Assistive Technology. These Position Papers on Clinical Practice, issued by the international professional organization, declare the necessity (medical and/or functional) of specific assistive technology devices and services under appropriate circumstances, and guide practitioners in decision making.
Easter Seals Easy Access Housing Program
Here you will find helpful educational brochures and an expert panel with additional resources and easy-to-implement tips for making an accessible home a reality.
A commercial site offering a variety of assistive technology products.
A commercial site offering a variety of assistive technology products
ABLEDATA's primary mission is to provide objective information on assistive technology and rehabilitation equipment available from domestic and international sources to consumers, organizations, professionals, and caregivers within the United States. The site is sponsored by the National Institute on Disability and Rehabilitation Research (NIDRR), which is part of the Office of Special Education and Rehabilitative Services (OSERS) of the U.S. Department of Education.
Children with Special Health Care Needs
Located at the Utah Department of Health. Wheelchair evaluations can be done statewide for children up to 18 years old.
A free information and referral line for health, human and community services. 2-1-1 provides information and referral on topics such as emergency food pantries, rental assistance, public health clinics, child care resources, support groups, legal aid, and a variety of nonprofit and governmental agencies. Call for quick answers. The online directory provides anytime access to the same information. Confidential and free.
A commercial on-line resource for resale items, including medical equipment, strollers and wheelchairs, and wheelchair-accessible vehicles.
A commercial on-line resource for resale items including medical equipment, strollers and wheelchairs, and wheelchair-accessible vehicles. Search by city.
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For other services related to this condition, browse our Services categories or search our database.
Greer N, Brasure M, Wilt T.
Wheeled Mobility (Wheelchair) Service Delivery.
Agency for Healthcare Research and Quality. Technical Brief Number 9; January 2012. / http://www.effectivehealthcare.ahrq.gov/ehc/products/194/751/TechBrief...
Report prepared by the Minnesota Evidence-based Practice Center; a review of evidence related to wheelchair service, largely focused on adult services; highlights many of the payer, reimbursement, consumer, and provider issues that are relevant also for children.
Spinal Network: The Total Wheelchair Resource Book.
Third Edition ed. Nine Lives Press; 2002. 0971522308
A comprehensive guide to practical information regarding living in a wheelchair.
Butler C, Okamoto GA, McKay TM.
Motorized wheelchair driving by disabled children.
Arch Phys Med Rehabil. 1984;65(2):95-7. PubMed abstract
Butler C, Okamoto GA, McKay TM.
Powered mobility for very young disabled children.
Dev Med Child Neurol. 1983;25(4):472-4. PubMed abstract
Tefft D, Guerette P, Furumasu J.
Cognitive predictors of young children's readiness for powered mobility.
Dev Med Child Neurol. 1999;41(10):665-70. PubMed abstract
Tefft D, Guerette P, Furumasu J.
The impact of early powered mobility on parental stress, negative emotions, and family social interactions.
Phys Occup Ther Pediatr. 2011;31(1):4-15. PubMed abstract