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The opportunity to realistically equip the ventilator-dependent tetraplegic to return to his community can be met by a concerned team in specialised spinal cord injury centres. Proper equipment, independent electric wheelchair mobility and family training, encourages acceptance of the ventilator-dependent quadriplegic and increases his life-style options. Ideally, the initial 6-month medical management and rehabilitation programme is followed by periodic re-evaluations for medical follow-up, equipment changes and functional upgrading. The medical community must continue to respond to the challenge to offer adequate living facilities and financial resources for equipment and programme development.

Mobility and equipment for the ventilator-dependent tetraplegic