I would like to propose a little test for all of us to take. Start when you get up in the morning. You will need something to write with and something to write on. Notice I didn’t say pen and paper, since some of us use other means to write, such as a computer or even a recorder.
Here is the test: Every time you use any adaptive equipment, mark down what it is. I myself started out with a pen with a special grip. While dressing, I used a button-hook for my shirt buttons, a device for my socks, and elastic shoe laces so I could slip on my shoes. This is without counting my wheelchair and personal supplies.
If we carry through to the end of the day, I believe most of us will be amazed by how much our lives are affected by adaptive equipment; and by how large and small adaptations and modifications can make a positive difference. When I was first injured, I did not have access to hand controls so I fashioned sticks to use in my car. (I know how dangerous that was and want to emphasize that you should not try this at home.) This was one of my first realizations that the right equipment can make everyday life easier and safer.
For many years the Department of Veterans Affairs (VA) has been the lead consumer and supplier of adaptive equipment. As such, the VA has traditionally funded technological research and development that has through the years resulted in upgrades, improvements and innovations in assistive devices. As with medical care, the science has trickled down to the private sector, thereby benefiting all persons with mobility impairments.
As the cost of health care escalates and budgets shrink, it is incumbent upon all of us to fight for the adaptive equipment that will help us function optimally, to help us live our day-to-day lives to the fullest and work toward our dreams.
This is an issue that we are trying to address as an organization; however, it is incumbent upon all of us to reach out and lobby our representatives and the appropriate agencies-whether it is the VA, Medicare or Medicaid-and impress upon their leadership the enormous difference that getting the right equipment can make in terms of healthier, more productive lives. The ability of rehab therapists to use their position and skills unencumbered by budget constraints cannot be emphasized enough. Truly, a person who has the right equipment for his/her level of ability is literally free of physical limitations.
We all have the responsibility to look to the future and to help each other find ways to live fuller, more fulfilling lives. Adaptive equipment makes that future possible. Together we can ensure that we have the tools to make dreams happen.
Clair Russell Hesselton, PhD
President
