The rehabilitation of the high level quadriplegic patient has been largely ignored in occupational therapy literature. With the comparatively recent survival of these patients and the low expectation for rehabilitation potential, as this has traditionally been viewed, the design of a therapy programme is a challenge to the vision and skills of the occupational therapist. This article outlines many of the available equipment options and indicates the unique rote that the occupational therapist has to play in increasing the quality of life for this patient group.
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