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J Neuroeng Rehabil. 2017 Nov 6;14(1):109. doi: 10.1186/s12984-017-0321-3.

How a diverse research ecosystem has generated new rehabilitation technologies: Review of NIDILRR's Rehabilitation Engineering Research Centers.

Author information

1
University of California at Irvine, Irvine, USA. dreinken@uci.edu.
2
Augmentative Communication Inc., Monterey, USA.
3
University of Colorado, Denver, USA.
4
The Smith-Kettlewell Eye Research Institute, San Francesco, USA.
5
University of Pittsburgh, Pittsburgh, USA.
6
Duke University Medical Center, Durham, USA.
7
University of Michigan, Ann Arbor, USA.
8
Northwestern University Prosthetics-Orthotics Center, Evanston, USA.
9
Toronto Rehabilitation Institute, Toronto, Canada.
10
Northwestern University, Evanston, USA.
11
Marquette University, Marquette, USA.
12
Shepherd Center, Atlanta, USA.
13
University at Buffalo IDeA Center, Buffalo, USA.
14
Georgia Institute of Technology, Atlanta, Georgia, USA.
15
Rehabilitation Institute of Chicago, University of Illinois at Chicago, Chicago, USA.
16
Rancho Los Amigos National Rehabilitation Center, Downey, USA.
17
Lakeshore FoundationUniversity of Alabama-Birmingham, Birmingham, USA.
18
Rehabilitation Institute of Chicago, Chicago, USA.
19
Robotics Institute, Carnegie Mellon University, Pittsburgh, USA.
20
Trace Center, University of Maryland, College Park, Baltimore, USA.
21
University of Southern California, Los Angeles, USA.
22
National Institute on Disability, Independent Living, and Rehabilitation Research, Washington, DC, USA.

Abstract

Over 50 million United States citizens (1 in 6 people in the US) have a developmental, acquired, or degenerative disability. The average US citizen can expect to live 20% of his or her life with a disability. Rehabilitation technologies play a major role in improving the quality of life for people with a disability, yet widespread and highly challenging needs remain. Within the US, a major effort aimed at the creation and evaluation of rehabilitation technology has been the Rehabilitation Engineering Research Centers (RERCs) sponsored by the National Institute on Disability, Independent Living, and Rehabilitation Research. As envisioned at their conception by a panel of the National Academy of Science in 1970, these centers were intended to take a "total approach to rehabilitation", combining medicine, engineering, and related science, to improve the quality of life of individuals with a disability. Here, we review the scope, achievements, and ongoing projects of an unbiased sample of 19 currently active or recently terminated RERCs. Specifically, for each center, we briefly explain the needs it targets, summarize key historical advances, identify emerging innovations, and consider future directions. Our assessment from this review is that the RERC program indeed involves a multidisciplinary approach, with 36 professional fields involved, although 70% of research and development staff are in engineering fields, 23% in clinical fields, and only 7% in basic science fields; significantly, 11% of the professional staff have a disability related to their research. We observe that the RERC program has substantially diversified the scope of its work since the 1970's, addressing more types of disabilities using more technologies, and, in particular, often now focusing on information technologies. RERC work also now often views users as integrated into an interdependent society through technologies that both people with and without disabilities co-use (such as the internet, wireless communication, and architecture). In addition, RERC research has evolved to view users as able at improving outcomes through learning, exercise, and plasticity (rather than being static), which can be optimally timed. We provide examples of rehabilitation technology innovation produced by the RERCs that illustrate this increasingly diversifying scope and evolving perspective. We conclude by discussing growth opportunities and possible future directions of the RERC program.

KEYWORDS:

Disability; Rehabilitation engineering; Technology

PMID:
29110728
PMCID:
PMC5674748
DOI:
10.1186/s12984-017-0321-3
[Indexed for MEDLINE]
Free PMC Article

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