Commonly Used Assistive Devices in Neurological Conditions

Abstract

Background: Assistive devices used externally which made for adaptation with appropriate assisted an impaired person to perform their daily functions. It may be simple, low cost types and also controlled by specialized computer software. Various types of positional devices, mobility devices, daily living devices & also prosthetics, orthotics were used for support. Some evidence suggested that assistive devices helped for ambulation & ambulatory function assessment should be depending on the requirements of assistive device uses in neurological conditions especially on stroke and SCI. Study focused that applicationof stretch splint on experimental thumb where reduced the space. But resultshowed that intensive stretch which applied regularly for three months did not reduce thumb web-space contractures. On the other hand, other study suggested everyday used of assistive devices with environmental modification improves GMFS levels in CP children. Another RCT discussed that h-AFO may reduce toe walking on the hemi paretic side into a heel-toe gait pattern & it also controlled excessive ankle plantar flexion in swing phase. This study also focused that h AFO was more effective than dynamic AFO in gait rehabilitation for hemiplegic CP. Objective: To focus on the uses of assistive devices in neurology. Methodology: Study was done by narrative review. Conclusion: Assistive device helped a physiotherapist to achieve maximum goal during rehabilitation in neurological conditions. Some assistive devices were used for treatment purpose as well as ADL modification & it improved, maintain their quality of life. But it was very much important to know the proper use of devices with their rational and important concerning issue about the overuses and inappropriate uses of assistive devices which may lead to more dependency of neurological patients and also negatively impact on their rehabilitation process. If more RCT will be done about the use and effect of assistive devices may help us to clear conception about the uses of assistive devices and its importance on rehabilitation of neurological conditions.