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Mobility-related assistive technology device classifications: implications for outcomes research.

Laura L Shoemaker1, James A Lenker, Marcus J Fuhrer

  • 1Department of Rehabilitation Science, School of Public Health & Health Professions, University at Buffalo, State University of New York, Buffalo, New York 14214-3079, USA.

American Journal of Physical Medicine & Rehabilitation
|October 1, 2009
PubMed
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Existing mobility device classifications are inadequate for assistive technology outcomes research. A unified taxonomy is needed to improve research on mobility aids, manual wheelchairs, and powered mobility devices.

Area of Science:

  • Rehabilitation Engineering
  • Assistive Technology Research
  • Health Services Research

Background:

  • Mobility-related device classifications serve diverse purposes, including reimbursement, consumer guidance, and research.
  • Evaluating these classifications is crucial for advancing assistive technology outcomes research.
  • Existing classifications vary in scope, with some limited to specific device types.

Purpose of the Study:

  • To evaluate the suitability of six mobility-related device classifications for assistive technology outcomes research.
  • To identify limitations in current classification systems for research applications.
  • To determine the need for a standardized mobility device taxonomy.

Main Methods:

  • Analysis of six distinct mobility device classifications.

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  • Evaluation based on a common framework: purpose, completeness, granularity, and research applications.
  • Inclusion of classifications covering ambulation aids, manual wheelchairs, and powered mobility devices.

    • Main Results:

    • Classifications demonstrated varying levels of detail across core mobility device domains.
    • Unclear terminology and conflation of device features were identified as significant limitations.
    • No single classification fully met the requirements for robust assistive technology outcomes research.

    Conclusions:

    • Current mobility device classifications are insufficient for the needs of assistive technology outcomes researchers.
    • A standardized, comprehensive taxonomy of mobility devices is essential for the field.
    • Developing a common taxonomy will enhance the quality and consistency of outcomes research.