The use of mobility related devices by older individuals with developmental disabilities living in community residences

The proportion of the population over the age of 65 is increasing, and this includes persons with developmental disabilities, For this population, impaired mobility is often the result of the combined effects of the aging process, chronic diseases, and developmental disability. Unfortunately, there has been virtually no research on the interaction of these factors on mobility. Neither has there been a focus on mobility related assistive devices that might increase independence and safety, and improve quality of life for older persons with developmental disabilities. This study investigated the types of ambulation problems experienced by older persons with developmental disabilities and their use of mobility devices. The sample included 27 participants over the age of 60 with developmental disabilities living in community residences in Western New York. All but one participant used a walker and all had difficulty in walking. Participants and their caregivers were interviewed. Videotapes of participants' performance using their walkers were reviewed by an occupational therapist and a physical therapist. The assistive device most used by participants was the walker and 92.59% of participants reported satisfaction with their walker. Reasons for using a walker included skeletal problems, muscle weakness, balance problems and prevention of injuries to lower extremities. In most cases the physical therapist recommended the device, and provided training and follow-up. Caregivers in both the home and day program played important roles in ensuring correct use of the device. No accessibility problems were found in the community residences. These residences provided a social environment that fostered the use of walkers. The high level of consumer satisfaction with the walkers suggests effective service delivery for this population.