Disability and rehabilitation. Assistive technology · 2026
The public health system and the longing for autonomy. Enhancing ability through powered mobility aid in a metropolitan urban area: a cross-sectional cohort study.
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Chiaramonte Rita, Vecchio Michele, Cioni Matteo, Li Gotti Fabrizio, Leonforte Francesco, Mistretta Antonio, Laganga Senzio Giuseppe, Civello Tamara
Аннотация
PURPOSE: This observational study examined how demographic, clinical and territorial factors influence prescriptions of electric-powered mobility devices in a metropolitan area of Southern Italy, aiming to clarify which characteristics drive the choice between indoor, outdoor, and mixed-use aids.
MATERIALS AND METHODS: From January 2024 to July 2025, 572 users were classified according to underlying disorders and type of mobility aids: indoor, outdoor, and mixed-use.
RESULTS: Overall, 14.2% of users received indoor, 42.5% mixed-use, and 43.3% outdoor-use devices. Sex was significantly associated with aid type (χ2 = 21.64, p < 0.0001), with males more represented in the outdoor group. Users under 18 years mainly received outdoor devices, though without statistical significance than adults (χ2 = 13.2, p = 0.21). Medical conditions strongly influenced prescriptions (χ2 = 63.32, p = 0.0004), with stroke particularly linked to outdoor devices. Only 1.7% were admitted to Italian Residential Sanitary Assistance and received indoor or mixed-use devices (χ2 = 6.09, p = 0.0475), reflecting higher care needs. Users in home-based care (χ2 = 5.81, p = 0.0543), predominantly obtained outdoor devices, suggesting that rehabilitation pathways support greater autonomy. District of residence also influenced prescriptions (χ2 = 43.33, p = 0.0002), indicating variability in territorial service organisation or environmental demands.
CONCLUSIONS: Prescription patterns reflect the interplay between clinical profiles, rehabilitation settings, and territorial characteristics. Data-driven and flexible models that prioritise autonomy-rather than functional restoration alone-may enhance participation, independence, and equitable access to powered mobility technologies.
MATERIALS AND METHODS: From January 2024 to July 2025, 572 users were classified according to underlying disorders and type of mobility aids: indoor, outdoor, and mixed-use.
RESULTS: Overall, 14.2% of users received indoor, 42.5% mixed-use, and 43.3% outdoor-use devices. Sex was significantly associated with aid type (χ2 = 21.64, p < 0.0001), with males more represented in the outdoor group. Users under 18 years mainly received outdoor devices, though without statistical significance than adults (χ2 = 13.2, p = 0.21). Medical conditions strongly influenced prescriptions (χ2 = 63.32, p = 0.0004), with stroke particularly linked to outdoor devices. Only 1.7% were admitted to Italian Residential Sanitary Assistance and received indoor or mixed-use devices (χ2 = 6.09, p = 0.0475), reflecting higher care needs. Users in home-based care (χ2 = 5.81, p = 0.0543), predominantly obtained outdoor devices, suggesting that rehabilitation pathways support greater autonomy. District of residence also influenced prescriptions (χ2 = 43.33, p = 0.0002), indicating variability in territorial service organisation or environmental demands.
CONCLUSIONS: Prescription patterns reflect the interplay between clinical profiles, rehabilitation settings, and territorial characteristics. Data-driven and flexible models that prioritise autonomy-rather than functional restoration alone-may enhance participation, independence, and equitable access to powered mobility technologies.