What is the Evidence?

Written by Vanessa Sheppard

Assistive and adaptive technology is a well-established, research-backed field that significantly enhances the lives of individuals with disabilities. From medical studies to real-world success stories, there is substantial evidence demonstrating that these tools improve mobility, communication, and independence.​

A compelling example of assistive technology’s impact is in mobility devices, particularly for individuals with spinal cord injuries (SCI). Properly fitted manual and power wheelchairs not only improve mobility but also reduce secondary health complications like pressure sores and increase participation in work and social activities. The Rehabilitation Engineering and Assistive Technology Society of North America (RESNA) plays a pivotal role in this domain by developing and maintaining assistive technology standards through its Assistive Technology Standards Board (ATSB).¹ These standards ensure that mobility devices meet rigorous safety and performance criteria, thereby enhancing user confidence and well-being. ​

Beyond mobility, adaptive technology enhances environmental control and communication.² Voice-activated smart home systems, sip-and-puff controls, and adaptive switches enable individuals with high-level spinal cord injuries to regain autonomy over their environment, from adjusting thermostats to sending emails. RESNA’s development of voluntary consensus standards ensures the reliability and effectiveness of these technologies, thereby restoring a sense of control and reducing caregiver dependency.¹

In employment and education, assistive technology has proven to be transformative for individuals with SCI. Ergonomic computer setups, adaptive keyboards, and speech-to-text software allow people with limited hand function to work efficiently, increasing job retention and career opportunities. The National Rehabilitation Information Center (NARIC) highlights that access to these technologies significantly improves employment rates among individuals with SCI.​

Working with RESNA-credentialed practitioners, such as Assistive Technology Professionals (ATPs), is crucial in the selection and implementation of assistive technology. ATPs are certified experts trained to analyze the needs of consumers with disabilities, assist in selecting appropriate assistive technology, and provide training in the use of selected devices.³ Notably, ATP involvement is mandated by law in the clinical provision of complex power and manual wheelchairs, known as Complex Rehabilitation Technology (CRT). This legal requirement underscores the importance of ATPs in ensuring that individuals receive devices tailored to their specific needs, thereby enhancing functionality and independence. ​

RESNA’s commitment to establishing and maintaining assistive technology standards is evident in their comprehensive approach, which includes the formation of specialized committees that focus on various aspects of assistive technology, such as wheelchairs, support surfaces, and cognitive accessibility. These committees work collaboratively to develop guidelines that ensure the safety, reliability, and effectiveness of assistive devices. ​

RESNA

ATech is dedicated to making these proven solutions more accessible. While focusing on supporting those with spinal cord injuries, the technology developed and advocated for benefits a broad range of individuals with mobility impairments. The evidence speaks for itself—assistive technology works, and with continued advocacy, awareness, and innovation, we can ensure these life-changing tools reach the people who need them most.​

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