Work

Assistive devices for mobility and communication in autism spectrum disorder: A retrospective cross-sectional cohort study on disability management

Year: 2026

Type: article

Abstract: BACKGROUND Assistive devices are crucial for supporting communication and mobility for individuals with autism spectrum disorder (ASD). AIM To investigate the provision of assistive devices for children and adolescents with ASD in a metropolitan area of Southern Italy, with specific focus on communication and mobility aids. METHODS The study analysed specialist prescriptions to evaluate age distribution and device allocation in different healthcare districts, the specialty of the prescribing physicians, and integration with rehabilitation services. RESULTS A total of 120 prescriptions were analysed, and the peak prescription rates occurred at the ages 7 years and 10 years. Child neurologists predominantly prescribed communication aids (P = 0.009), while physical medicine and rehabilitation specialists managed most mobility-related devices (P = 0.29). Device allocation was guided by functional needs rather than age (P = 0.73 for communication aids, P = 0.45 for wheelchairs, and P = 0.37 for gait aids, such as orthosis or insoles. Rehabilitation services, including home care and residential programs, were frequently integrated with device provision. CONCLUSION This study provides one of the few evaluations of assistive device prescription patterns for children and adolescents with ASD, which are important for both holistic care and healthcare resource management. Further studies are warranted to establish standardized prescribing protocols and whether expanding prescriber training or implementing interdisciplinary pathways could improve equitable access without compromising quality.

Source: World Journal of Clinical Pediatrics

DOI: 10.5409/wjcp.120813