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Keeping patients moving: Understanding appropriate adaptive devices for positioning and mobility
Julie Will1, Mi Ran Shin1, Brooke Jerome2
1Department of Physical Medicine and Rehabilitation, Children's National Hospital, Washington, DC, USA.
Current Problems in Pediatric and Adolescent Health Care
|December 6, 2025
Summary
Assistive devices improve life for children with special healthcare needs. This paper guides healthcare providers on selecting and ordering essential durable medical equipment (DME) for mobility and positioning.
Area of Science:
- Pediatric healthcare
- Rehabilitation engineering
- Assistive technology
Background:
- Children and youth with special healthcare needs (CYSHCN) encounter significant life challenges.
- Assistive and adaptive devices significantly improve function, accessibility, and quality of life for CYSHCN.
Purpose of the Study:
- To explore adaptive devices for positioning and mobility for CYSHCN.
- To provide an overview of commonly used durable medical equipment (DME).
- To detail the process of ordering DME for pediatric patients.
Main Methods:
- Review of commonly used DME for positioning and mobility.
- Analysis of indications for various devices.
- Comparison of advantages and disadvantages of different DME options.
- Outline of the DME ordering process.
Main Results:
- DME selection and ordering present unique challenges compared to routine care.
- Pediatricians and primary care providers must recognize the importance of assistive devices.
- Understanding device indications, benefits, and drawbacks is crucial for informed selection.
Conclusions:
- Effective selection and ordering of DME are vital for enhancing the lives of CYSHCN.
- Healthcare providers need clear guidance on navigating the DME process.
- Adaptive devices play a critical role in supporting the independence and well-being of children with special healthcare needs.

