Physiotherapists’ Perspectives about the use of Assistive Devices used by Persons with Cerebral Palsy

Abstract

Abstract Background: Cerebral palsy (CP) is one of the disabilities recognized in Indian law, with a prevalence of 2.95 per 1000 children. Mobility, orthotics and positioning assistive devices are the most common requirements for persons with cerebral palsy. One of the primary responsibilities of physiotherapists is to prescribe essential assistive devices, facilitate training in their use and provide regular follow-up. They also collect feedback from end users about the devices. Aim: The aim of this study is to obtain feedback from physiotherapists about the use of assistive devices by persons with CP. Materials and Methods: This study adopted qualitative methodology, and data were collected from 22 physiotherapists working with persons with CP in a national institute and a non-government organization working for the rehabilitation of persons with CP in the state of Tamil Nadu. A semi-structured interview schedule was used for data collection. Five focus group discussions were conducted and audio-recorded. The records were converted into transcripts and coded. Results: The following themes were identified and explained. 1. New assistive devices to be designed; 2. Upgrades and modifications required in assistive devices; 3. Difficulties faced by persons with cerebral palsy related to the use of assistive devices; 4. General repairs in assistive devices; and 5. Suggestions to enhance the designs, utility, and safety of the devices. Conclusions: The manufacturers, distributors, and service agencies of assistive devices need to concentrate on the concerns suggested by the physiotherapists and facilitate a conducive environment for persons with cerebral palsy while using the assistive devices.