Policy brief: adaptive cycling equipment for individuals with neurodevelopmental disabilities as durable medical equipment

Frontiers in Rehabilitation Sciences

Rehabilitation Sciences

Daniel G. Whitney¹  Margaret E. O’Neil²  Maria Fragala-Pinkham³  Mary E. Gannotti⁴  George E. Gorton⁵ 

[1] Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI, United States;Department of Physical Therapy & Kinesiology, University of Massachusetts Lowell, Lowell, MA, United States;Department of Physical and Occupational Therapy, Boston Children’s Hospital, Boston, MA, United States;Department of Rehabilitation Sciences, University of Hartford, West Hartford, CT, United States;Department of Research, Shriners Hospitals for Children, Springfield, MA, United States;

关键词: neurodevelopmental disability;    adaptive cycling;    adaptive tricycles;    policy;    payment;    cerebral palsy;    autism;    Down syndrome;   

DOI  :  10.3389/fresc.2023.1160948

 received in 2023-02-08, accepted in 2023-05-04,  发布年份 2023

来源: Frontiers

【 摘 要 】

- Durable medical equipment (DME) policies require that the equipment be medically necessary; however, adaptive cycling equipment (bicycles and tricycles) are usually not deemed medically necessary.- Individuals with neurodevelopmental disabilities (NDD) are at high risk for secondary conditions, both physical and mental, that can be mitigated by increasing physical activity.- Significant financial costs are associated with the management of secondary conditions.- Adaptive cycling can provide improved physical health of individuals with NDD potentially reducing costs of comorbidities.- Expanding DME policies to include adaptive cycling equipment for qualifying individuals with NDD can increase access to equipment.- Regulations to ensure eligibility, proper fitting, prescription, and training can optimize health and wellbeing.- Programs for recycling or repurposing of equipment are warranted to optimize resources.

【 授权许可】

Unknown   
© 2023 Gannotti, O'Neil, Fragala-Pinkham, Gorton and Whitney.