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Hands using an assistive braille-style keyboard beside a computer

Knowledge

Hard vs Soft Technology: The Hidden Half of Assistive Tech

When people talk about assistive technology, they almost always mean the device β€” the wheelchair, the communication tablet, the hearing aid, the grab bar. In the field, that is called **hard technology**: the tangible, physical thing you can touch, buy, and put on a shelf. But researchers Cook and Polgar draw a second category that matters just as much, and it is the one most families underfund. They call it **soft technology**.

Apr 15, 20264 min
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Photo credit: Compagnons

Wheelchair user reaching an apartment gate during a delivery

Knowledge

Disability Equipment and Home Adaptations: A Practical Starting Guide

When someone's mobility or function changes β€” whether from a new diagnosis, a hospital discharge, or the slow arithmetic of aging β€” the home often needs to change with them. The question families ask is nearly always the same: where do we even start? The answer is to go small before you go big, because most families over-build and under-train. A few correct purchases and a handful of adjustments usually cover eighty percent of the real problem.

Apr 15, 20264 min
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Photo credit: Grab

Clinician adjusting an assistive prosthetic device with a wheelchair user

Knowledge

Low-Tech vs High-Tech Assistive Devices: Why Simpler Is Often Better

The assistive technology field divides devices along a spectrum from mainstream to commercially available assistive to custom-made, and separately along a scale from low technology to high technology. Knowing where a device sits on both axes helps families make smarter purchases, because the marketing pressure is almost always toward the most complex, most expensive option β€” and that is very often the wrong choice.

Apr 15, 20264 min
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Photo credit: ThisisEngineering

Disabled and non-disabled friends gathered together in a social setting

Knowledge

Matching Person and Technology: Why Psychosocial Fit Matters as Much as Function

Rehabilitation professionals have long known that selecting the technically correct device is not enough. Studies consistently show that approximately 30% of assistive devices are abandoned within the first year of use. The devices usually work. The problem is almost never the engineering. Marcia Scherer's Matching Person and Technology model β€” one of the most studied frameworks in the field β€” was built specifically to address the factors that functional assessments miss: the personal, motivational, and psychosocial ones.

Apr 15, 20264 min
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Photo credit: Elevate

Wheelchair user transferring into a car

Knowledge

Person-Centered Assistive Technology: Four Principles That Prevent Abandonment

A well-run assistive technology service looks nothing like a showroom or a catalog. It looks like a conversation. Cook and Polgar describe four service-delivery principles that consistently separate programs that deliver lasting results from those that ship devices and hope for the best. Families who recognize these four principles in a clinician or supplier can trust they are in good hands. Families who do not see them should keep looking.

Apr 15, 20264 min
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Photo credit: Cdc

Two people using rollators beside a pond

Knowledge

Safe Mobility at Home: Preventing Falls Without Losing Independence

Falls are the leading cause of injury for older adults and a major setback for anyone recovering from stroke, hip replacement, or a neurological condition. The good news: most falls at home follow predictable patterns, and most of those patterns can be interrupted with simple changes. The goal is not to restrict movement β€” it is to make the movements people already want to make safer and more confident.

Apr 15, 20264 min
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Photo credit: Mobio Marketing

Wheelchair user using an accessible kitchen counter

Knowledge

Accessibility, Sustainability, and Universal Design: Assessing the Environment for AT Use

When assistive technology fails, the device itself is usually not the problem. Research in the field consistently identifies a more common culprit: a mismatch between the device and the environment where it is supposed to be used. Federici and Scherer's handbook devotes an entire chapter to environmental assessment precisely because the environment is one of the most powerful predictors of whether a device succeeds or is abandoned β€” and one of the factors most commonly overlooked in standard evaluations.

Apr 15, 20264 min
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Photo credit: CDC