Frontiers in Rehabilitation Sciences (Jun 2023)

Policy brief: adaptive cycling equipment for individuals with neurodevelopmental disabilities as durable medical equipment

  • Mary E. Gannotti,
  • Margaret E. O’Neil,
  • Maria Fragala-Pinkham,
  • George E. Gorton,
  • Daniel G. Whitney

DOI
https://doi.org/10.3389/fresc.2023.1160948
Journal volume & issue
Vol. 4

Abstract

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- Durable medical equipment (DME) policies require that the equipment be medically necessary; however, adaptive cycling equipment (bicycles and tricycles) are usually not deemed medically necessary.- Individuals with neurodevelopmental disabilities (NDD) are at high risk for secondary conditions, both physical and mental, that can be mitigated by increasing physical activity.- Significant financial costs are associated with the management of secondary conditions.- Adaptive cycling can provide improved physical health of individuals with NDD potentially reducing costs of comorbidities.- Expanding DME policies to include adaptive cycling equipment for qualifying individuals with NDD can increase access to equipment.- Regulations to ensure eligibility, proper fitting, prescription, and training can optimize health and wellbeing.- Programs for recycling or repurposing of equipment are warranted to optimize resources.

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