In the world of health care, few roles are as underappreciated yet essential as the technicians who service Complex Rehab Technology. These professionals are the unsung heroes behind the mobility, independence and safety of individuals living with severe disabilities. From spinal cord injuries to cerebral palsy and multiple sclerosis, CRT users rely on highly specialized equipment tailored to their unique needs. But as demand grows, the industry faces a troubling shortage of qualified technicians, threatening not just the quality of care, but also the dignity and autonomy of the people who depend on it.
What is CRT?
CRT refers to medically necessary, individually configured devices designed for people with significant mobility impairments. This includes power wheelchairs, custom seating systems, environmental control units and other adaptive technologies. Unlike standard mobility equipment, CRT devices require precise customization and ongoing maintenance to ensure they meet the physical, functional and clinical needs of each user and deliver the therapeutic benefit prescribed by their attending clinician(s).
The process of acquiring CRT involves a collaborative team: physicians, physical and occupational therapists, and qualified CRT suppliers. But once the equipment is delivered, it’s the service technicians who ensure it continues to function safely and effectively. Their work is not just technical, it’s deeply personal, impacting the user’s ability to live independently, avoid injury and participate in daily life.
Why qualified technicians matter
CRT devices are complex, regulated medical equipment. Servicing them requires more than mechanical know-how, it demands specialized training and a deep understanding of how adjustments affect user health. A poorly repaired wheelchair can lead to pressure injuries, falls or even hospitalization. That’s why technicians must adhere to best practices where strict standards set by the Center for Medicare and Medicaid Services, manufacturers and health care accreditation bodies are absent.
Untrained individuals attempting repairs risk voiding warranties, violating safety regulations and endangering users. In fact, even something as seemingly simple as replacing a battery can have serious consequences if done incorrectly. Qualified technicians are not just mechanics; they’re health care partners.
The technician shortage crisis
Despite their importance, qualified service technicians in the CRT industry are facing a severe shortage. This crisis has far-reaching consequences:
- Increased device downtime: Users may wait weeks or months for repairs, leaving them immobile and vulnerable.
- Declining quality of life: Without functioning equipment, users lose independence and face isolation and depression.
- Higher health care costs: Malfunctioning CRT devices can lead to preventable injuries and hospitalizations.
The shortage stems from several factors:
- Lack of awareness: Few people know this career path exists, let alone understand its impact.
- Limited training programs: There are few formal education tracks for CRT service technicians.
- Low compensation: Salaries often don’t reflect the skill level or responsibility required.
- High turnover: Technicians face burnout due to understaffing and lack of career advancement.
Solutions to bridge the gap
To address the technician shortage, the industry must take a multipronged approach:
- Enhanced training programs: Develop comprehensive, hands-on training that covers both technical and clinical aspects of CRT service.
- Standardized certification: Create industrywide certifications that validate technician expertise and ensure consistent quality.
- Educational partnerships: Collaborate with vocational schools and colleges to introduce CRT service technology as a viable career path.
- Continuing education: Require ongoing professional development to keep technicians up to date with evolving technologies.
- Incentives and support: Offer competitive pay, benefits and clear career ladders to attract and retain talent.
- Public awareness campaigns: Highlight the importance of CRT technicians through media and outreach to inspire new entrants.
- Government funding: Advocate for grants and subsidies to support technician training and recruitment.
Why it matters
At its core, this issue is about equity and access. CRT users deserve timely, competent service to maintain their health and independence. Technicians deserve recognition, support and resources to do their jobs well. And society benefits when people with disabilities can live full, empowered lives.
Investing in qualified CRT technicians isn’t just a health care imperative, it’s a moral one. These professionals are the backbone of a system that enables mobility, dignity and freedom. Without them, the promise of CRT falls short.
Bill may be reached at bnoelting@nrrts.org.
Bill Noelting has 40 years’ experience serving the pharmaceutical and health care industries. For the past 30 years, he has focused on the seating and mobility/ Complex Rehab Technology/ Assistive Technology industry, including serving 20+ years as chief information officer and senior vice president of marketing and strategy for National Seating & Mobility, a national seating & mobility provider.
He is currently acting director of marketing for the iNRRTS. For more information visit Noelting.com.