Assistive device prescriptions in multiple sclerosis: a cross-sectional study of disability distribution

Area of Science:

• Neurology
• Rehabilitation Medicine
• Health Services Research

Background:

• Multiple sclerosis (MS) is a chronic, progressive neurological condition.
• MS leads to significant functional decline and increased need for assistive devices.
• Understanding assistive aid distribution is crucial for effective patient management.

Purpose of the Study:

• To analyze the distribution of assistive devices among multiple sclerosis patients.
• To correlate device needs with patient demographics and healthcare organization.
• To identify prescribing patterns and specialist roles in MS care.

Main Methods:

• Cross-sectional analysis of 600 prescriptions for 133 MS patients.
• Data collected from January to July 2025 in an Italian metropolitan urban area.
• Statistical associations assessed using Chi-squared tests (p < 0.05).

Main Results:

• Mobility aids (wheelchairs, attachments) constituted 48% of prescriptions.
• Orthopaedic footwear and orthoses accounted for 39.7%, emphasizing mobility needs.
• Age significantly influenced device type (p < 0.0001), with older patients needing more care.
• Physical medicine and rehabilitation specialists (63.2%) and neurologists (18.2%) were primary prescribers.
• Territorial variations in device types and specialties were observed (p < 0.0001).

Conclusions:

• Prescribing patterns for MS assistive devices are influenced by patient age, regional healthcare structures, and specialist involvement.
• Findings underscore the necessity for personalized resource planning and standardized, multidisciplinary care pathways.
• Ensuring equitable access and efficient resource allocation is vital for optimal MS patient outcomes.