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Post Polio Syndrome - Management & Treatment in Primary

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12 <strong>Post</strong> <strong>Polio</strong> <strong>Syndrome</strong><br />

Assistive technology and adaptive equipment<br />

Assistive technology is def<strong>in</strong>ed as any item of equipment or product,<br />

modified or customised, that is used to ma<strong>in</strong>ta<strong>in</strong> or improve functional<br />

capabilities of persons with disabilities. 20 Assessment for assistive<br />

devices rema<strong>in</strong>s for the most part with occupational therapists. Kl<strong>in</strong>g<br />

et al 2 found that many polio survivors needed various technical aids to<br />

perform mobility related activities such as dress<strong>in</strong>g, shower<strong>in</strong>g, toilet<strong>in</strong>g<br />

and cook<strong>in</strong>g.<br />

Standard aids and appliances for personal and domestic activities of<br />

daily liv<strong>in</strong>g commonly <strong>in</strong>clude:<br />

● toilet aids, bath/shower aids,<br />

● recl<strong>in</strong>er chairs,<br />

● orthopaedic chairs,<br />

● profile recl<strong>in</strong>er beds,<br />

● perch<strong>in</strong>g stools,<br />

● handrails,<br />

● long handled reachers,<br />

● long handled personal care clean<strong>in</strong>g devices, and<br />

● meal preparations devices such as adapted bottle and t<strong>in</strong> openers,<br />

electric knives, adapted cutt<strong>in</strong>g boards and plate guards.<br />

Interventions that require a higher level of technical support may <strong>in</strong>clude<br />

home environmental control systems to operate various appliances,<br />

lights, phone, computer and Internet systems. In recent years assistive<br />

technology that requires <strong>in</strong>creas<strong>in</strong>g levels of technological support has<br />

become an area of specific expertise.<br />

Occupational therapists may work as part of an assistive technology<br />

advisory team <strong>in</strong> the assessment for assistive technology support systems.<br />

In Ireland, the Clients’ Technical Services of the Central Remedial Cl<strong>in</strong>ic,<br />

Dubl<strong>in</strong> provides an assistive technology needs assessment for persons<br />

with vary<strong>in</strong>g degrees of disability. This service is a public health service<br />

and generally requires a referral from a health professional though not<br />

always.<br />

PPS Mngt and Treat.<strong>in</strong>db 12 02/07/2007 16:07:49

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