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The Smart Centre

The South East Mobility and Rehabilitation Technology Services (SMART) Centre opened at the Astley Ainslie on 26th February 2007, providing a wide range of rehabilitation technology services for the South East of Scotland.

The SMART Centre provides a wide range of rehabilitation technology services for the South East of Scotland, covering Lothian, Fife and the Borders. These include mobility and postural services (wheelchairs and special seating), prosthetics, and bioengineering services, a Disabled Living Centre and Gait Analysis Service. We also provide a national Driving Assessment Service.

The Wheelchair and Seating Service

This service provides a service to over 24,000 adults and 2,600 children across Lothian, Fife and Borders. The service includes individualised special wheelchair seating for people whose needs cannot be met using off-the-shelf equipment.

The Prosthetics Service

This Service provides upper and lower limb prosthetic care The service aims to provide a high level of care for amputees and others requiring prosthetic assistance. It provides prostheses, where appropriate, and life long care to the patient to ensure that their prosthesis is maintained and continues to meet their individual needs where possible.

Driving Assessment

This service offers driving assessment and/or advice for people who wish to commence, resume or continue driving after illness or injury, and also advises on vehicle modifications to enable safe driving or passenger travel for those with a disability.

Assessments are carried out by a therapist and/or a doctor and generally include:

  • Physical Assessment – range of joint movement, muscle strength and sensation, co-ordination and vision are tested.
  • Static Unit Assessment – conducted with the patient sitting in a test rig which allows us to identify the most appropriate methods for steering, braking and acceleration and is also used to measure reaction times.
  • In-Car Assessment – this is carried out in one of the centre’s vehicles. Automatic and manual cars are available, and we also have examples of the most frequently used modifications.

Electronic Assistive Technology (EAT) service

Environmental control equipment enables very severely disabled people who would otherwise be unable to do so to control electrical equipment, such as telephones, pagers, intercoms, door locks, table lamps and home entertainment equipment such as TVs, DVD players, cable/satellite boxes community alarms, door openers, curtain openers and page turner. It is also possible to enable control of a microcomputer to be achieved via the environmental control system.

Use of the equipment enables the patient to recover a measure of independence, makes continued care at home easier for the relatives and can delay or prevent permanent admission to hospital. Supply of the equipment may also make it feasible to discharge home a patient who would otherwise have to remain in hospital.

Specialised powered wheelchair control systems are programmable devices which can be configured to suit the needs of the patient.

A range of controller options are available, including standard and very low force joysticks as well as interfaces that enable the control of powered wheelchairs using either single switches or groups of switches. The service also provides specialised switches, switch mounts, communication aid mounts and specialised aids to communication.

This part of the service involves joint assessment along with the referring therapist, and then either the modification of commercially available equipment or, alternatively, the design and manufacture of specialised devices.

Special Needs Design Service

This service provides custom designed or modified equipment where standard or commercially available equipment is not available. Our objective is to assist people in meeting their rehabilitation aims, and hence we can provide equipment for use in the home, workplace or to facilitate established leisure interests. We are, however, mainly involved with the following categories of equipment.

  • Aids for daily living, e.g. equipment for eating, drinking and personal care.
  • Mobility aids, e.g. walkers.
  • Therapeutic equipment, e.g. positioning systems, modifications to static seating.

The SMART Centre accept referrals from Allied Health Professionals, especially Occupational Therapists, Physiotherapists and Prosthetists, and work closely with the referrer throughout the development process. We regret however that we are unable to manufacture devices which are already commercially available, or supply the equipment to be modified.

Southeast Mobility and Rehabilitation Technology

SMART Centre
Astley Ainslie Hospital
133 Grange Loan
Edinburgh
EH9 2HL
Tel: Telephone logo 0131 537 9177
www.smart.scot.nhs.uk

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