CHALLENGES FOR ASSISTIVE TECHNOLOGY AAATE, Eizmendi G,Azkoitia J.M.,Craddock GM, Editör, IOS Press , Amsterdam, ss.403-408, 2007
The analysis of multidisciplinary workshop physical therapy and rehabilitation practices with using assistive devices between March-December 2006. It has been taken 33 residents from Istanbul Darulaceze Directory, Umut Department that are dependent with wheelchair at least for two years. Twenty of them are male and thirteen of them are female. The mean age of them was 30-79 years old. A total of 7 patients were evo, 6 patients were amputated from lower limb, 6 patients have had fracture, 3 patients have had deep vein thrombosis, 3 patients were cerebral palsy, 2 patients were traumatic spinal cord injuries, 1 patient have had congenital hip dislocation, 2 patients have had cognitive disorder, I patient was addicted to alcohol, 1 patient was meningitis, 1 patient was malnutrition. Examination of medical doctors and physical therapists were been made. Assistive device for mobilisation were been determined. Physical therapy and rehabilitation applications were been programmed and 1821 sessions were been practiced. Barthel index was been used before and after evaluation. Total barthel index point was 1625 before workshop and it has become 2050 after workshop. When we look at functional situations of the patients: before the programme all of the 33 patients were dependent with wheelchair and after the programme; I of the patients is full independent, I of them is independent at parallel bar, 6 of them are independent with walker, I of them is independent with crutch, 1 of them is independent with cane, 3 of them are independent with tripoint cane, 4 of them are independent with medical prosthesis. I of them has died. Assistive devices which have been used are; 1 static stretching device, 3 pair of orthopaedic shoes, 3 AFOS, 5 upper limbs assistive devices, 2 long leg devices.
15 patients are still dependent with wheelchair. These patients' activity of daily living dependence are reduced. Q of these patients are walking independent with or without assistive device. Technology and functional properties of assistive devices that are used to reach the targeted independence level are not sufficiently qualified. It has been decided that they need more modifications,