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European Mobility Aids Market

M414-54June 2009

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Table of Contents

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Table of Contents

Executive Summary

SummaryExecutive Summary of Mobility Aids Market

European Mobility Aids Market: Market Dynamics

Market AnalysisAn Introduction to Disability- Causes and Statistics

Market overview

Geographic Segmentation

Market Segmentation

Industry Challenges

Market Drivers

Market Restraints

Product Profiling

Market Engineering Measurements

Revenue Forecasts

Market Share Analysis

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Table of Contents (Contd...)

Regulations and Impact on the Market

Market Impact

Changing Disability

Economy and its Effect on the Market

European Mobility Aids Market: Technology Trends

Introduction

Application Spectrum

Technology Trends

European Manual Wheelchairs Market

Introduction

Market Overview


Revenue Forecasts

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European Powered Wheelchairs Market

Introduction

Market Overview


Revenue Forecasts

European Mobility Scooters Market

Introduction

Market Overview


Revenue Forecasts

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European Walking Aids Market

Introduction

Market Overview


Revenue Forecasts

European Mobility Aids Market: Geographic Analysis

German Mobility Aids Market

Introduction


Revenue Forecasts

French Mobility Aids Market

Introduction


Revenue Forecasts

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Italian Mobility Aids Market

Introduction


Revenue Forecasts

Spanish Mobility Aids Market

Introduction


Revenue Forecasts

U.K Mobility Aids Market

Introduction


Revenue Forecasts

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Scandinavian Mobility Aids MarketIntroduction


Revenue Forecasts

Benelux Mobility Aids MarketIntroduction


Revenue Forecasts

European Mobility Aids Market: Strategic RecommendationStrategies

Recommendations

Key Industry ParticipantsDatabase

Market Participants

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Decision Support Database

Database

Documents

About Frost & Sullivan

Overview

Introduction

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Executive Summary

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Market Overview

The European mobility aids market revenues were $1,267.0 in 2008.

The European mobility aids market is expected to reach revenues of $ 1,625.9 million in 2015, at a compound annual growth rate (CAGR) of 3.8 per cent from 2008 to 2015.

Leading companiesLeading companies

Industry trendsIndustry trends

Regional analysisRegional analysis

Current market Current market dynamicsdynamics

ANALYSIS OPPORTUNITIESFORECASTS

Strategic AnalysisOpportunities Assessment

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Market Segmentation

This research service profiles only selected segments of the market that are listed below. The revenues provided in this research service are only for the segments and not for the sub-segments. Similarly, the revenues provided do not include the refurbished products market.

Manual WheelchairsStandard wheelchairsLightweight wheelchairsBariatric wheelchairsPediatric wheelchairsSpecialty WheelchairsSports wheelchairs

Powered Wheelchairs

Mobility Scooters

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Market Segmentation

Tricycles

Walking Aids

Walking sticks

Crutches

Walkers

Rollators

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Geographic Scope

The regions covered in this study are

Germany

France

Italy

Spain

The United Kingdom

Scandinavia

Benelux

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Market Overview

The European mobility aids market has been one of the few billion dollar market that has

been dominated by major multinational companies for the last few decades.

However, slowly due to increasing disability amongst the younger generation and changing

lifestyles of the older generation, there is demand for newer technologies in these devices.

This has led to the foray of newer companies manufacturing unique and sophisticated

products entering the market. This has definitely led to stronger competition in this market.

Product quality, cost efficiency and customer service are a must/mandatory for market participants to

grow in this market.

The market has been evolving continuously, from walking canes to rollators, then from manual

wheelchairs to standing wheelchairs and finally from powered wheelchairs to scooter. Currently,

sophistication and attractiveness are major factors influencing the decision of the buyers.

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Industry Challenges

Lower Reimbursement Level

Changing Demographics

Competition due to Foreign Imports

Industry

Challenges

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Revenue Forecasts

Mobility Aids Market: Revenue Forecasts (Europe), 2008-2015

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Market Trends

The mobility aids market in Europe has been growing steadily.

There has been many regulations introduced to enable the disabled people to enjoy a normal lifestyle and social status. This is expected to drive the sales.

Economic conditions have necessitated the disabled people to work to add to the family income, thus having a positive impact on the market.

Increase in birth defects and disability among children have to led to increased research on these subjects. The results of these studies have helped the manufacturers and the medical community to understand the need of children and design mobility aids to suit them.

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European Mobility Aids MarketMarket Dynamics

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Disability

There are almost 650 million people suffering from some form of disability worldwide. This

accounts for almost 10 to12 per cent of the total population worldwide. Disability can be caused due

to communicable diseases, genetic factors, injuries, ageing and many more aspects. It can be

classified into various categories based on the type of disability and include:

Physical disability

Cognitive disability

Vision and hearing difficulties

Mental health disorders

It is strongly related to age. Disability prevalence rates are lowest for infants and highest for

the elderly.

One in 6 person aged between 16 and 64 suffer due to some form of disability or long

standing ailment.

About 16 percent of the overall European working age population are disabled. Inactivity rate of disabled is

twice as high as that of non-disabled people.

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Disability Statistics Across Geography

18.2The United Kingdom5.

9Spain4.

13The Netherlands3.

10Germany2.

5Finland1.

Disability (as a per cent of the total population)CountrySl.No

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Physical Disability –An overview

Physical disabilities is a term used to describe a restriction on the movement of certain parts

of the body. Physical disability (disabilities) does not directly relate to the use of wheelchair or

wearing a back brace. They can be classified as below:

Restricted control of arms, legs, trunk, walking, face and throat, bladder and bowel

Underdeveloped skeletal structure ( For example, dwarfism)

Dysfunctional joints (For example, arthritis)

The restricted use of face and throat result in inability or difficulty in speaking and eating,

while affected trunk results in difficulty in sitting and improper bladder and bowel affect

toileting procedures.

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Causes of Disability

Disabilities are caused by the following conditions and include:

Accidents leading to spinal injury or amputation or brain injury

Medical disorders like

Cerebral palsy

Spina bifida

Muscular dystrophy/atrophy

Head injury/Stroke

Post polio syndrome

Inherited conditions

Exposure to drugs or toxic chemicals during pregnancy

Multiple sclerosis

Nervous system and circulatory diseases

Respiratory diseases

Arthritis and other musculo-skeletal disorders

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Causes and Statistics

According to World Bank statistics, malnutrition causes 20 per cent of disabilities, accidents/trauma/war 16 per cent, infectious diseases 11 per cent, non-infectious diseases 20 per cent, congenital diseases 20 per cent and others (including ageing) causes13 per cent.It is believed that 20 to 25 per cent of the elderly population are affected by some form of disability.Injury due to accidents is the fourth most common cause for mortality in Europe. These accidents leave as many as 6.8 million people injured every year. Accidents are the second biggest cause for disability.The musculoskeletal system and connective tissue disorder accounts for 40 per cent of the disability caused due to various diseases, closely followed by circulatory system with about 13 per cent and diseases of the respiratory system with about 7 per cent.In England, almost 400,000 people across all age groups have been diagnosed with some form of disability in 2007.According to Eurostat, the statistics among people with restrictions related to work are 42 per cent of them indicated limb, neck or back problems, while 24 per cent of them has diabetes, chest, heart or stomach related problems and 4 per cent indicated sight, hearing, speech and skin.

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Market Overview

Mobility aids market varies from sophisticated and advanced equipment like standing

wheelchairs and scooters to walking aids like canes. The market for every product segment

depends more upon the demand that is directly related to the patient base with different types

of disability.

Mobility is more of a necessity, hence standard devices are reimbursed in all the countries

mentioned in the study, though there are many long waiting lists in certain countries.

Though these products are mainly available through governments, they are sold through

private outlets as well.

This research service deals with products ranging from wheelchairs to canes. The wheelchairs market

is the largest and oldest market, while the scooters and powered wheelchairs market are slowly growing.

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Geographic Segmentation

The regions covered in this study are

Germany

France

Italy

Spain

The United Kingdom

Scandinavia

Benelux

Note: Scandinavia includes Finland, Norway, Denmark and SwedenBenelux includes Belgium, The Netherlands and Luxembourg

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Market Segmentation

Powered Powered WheelchairsWheelchairs

Mobility ScootersMobility ScootersManualManualWheelchairsWheelchairs

Source: Frost & Sullivan

Mobility Aids Market: Market Overview (Europe), 2008

Walking AidsWalking Aids Trolleys and Trolleys and TricyclesTricycles

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Market Segmentation (Contd…)

Manual Wheelchairs are wheelchairs that require human power to push it. They are available in various types like portable, foldable and so on. There are three types of manual wheelchair: self-propelled, attendant-propelled and wheel base. They are further classified as

Standard Wheelchair: This is characterized by a cross-brace frame, in-built or detachable arm rests, swing-away footrests, a mid- to high-level back and push handles to allow non-occupants to propel the chair.

Lightweight Wheelchairs: These provide maximum independence of movement with a minimum of effort, as they are not heavy.

Bariatric Wheelchairs: These are large wheelchairs for patients who exceed the weight capacities of traditional wheelchairs. Bariatric users exceed 350 lbs or 158.75 Kg in weight and require stronger and safer equipment.

Pediatric Wheelchairs: They are exclusively designed for children and are designed such that it can grow larger with the child.

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Specialty Wheelchairs: These are modified standard wheelchairs like foot-driven and one-arm-driven wheelchairs to meet the patient needs.

Sports Wheelchairs: These are specialized ones and are built for the sole purpose of a particular sport in terms of speed, manoeuvrability and strength.

Powered Wheelchairs: These are wheelchairs that use electric motors to move the wheels. They are further classified as traditional style and platform style based on the overall configuration.

Mobility Scooters: These are scooters that help the disabled population travel outdoors predominantly. The major difference between powered wheelchairs and mobility scooters is the fact that the former is maneuvered with one hand only and needs minimal strength unlike the latter which requires two hand steering and more movement of the upper limbs.

Tricycles: They are designed for disabled people having balance co-ordination difficulties to enjoy the benefits of cycling.

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Walking Aids

These help disabled patients either by assisting in walking or enabling walking. They are further classified as below

Canes are devices used to provide stability to the patient while walking.

Walkers are tools that not only provide stability, but also additional support while walking.

Rollators are conventional walkers with wheels, which makes them more sophisticated.

Crutches are devices that provide extra stability to enable normal movement while walking.

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Mobility Aids Market: Impact of Top Three Industry Challenges (Europe), 2009-2015

MediumMediumHighForeign imports increase competition for low-cost products

Challenges 1 - 2 Years 3 - 4 Years 5 - 7 Years

Increasing demand for multifunctional devices poses challenges for manufacturers to maintain affordability

High High High

Low rate of reimbursement threatens advancements in the market

High High Medium


Industry Challenges

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Industry Challenges (Contd…)

Increasing Demand for Multifunctional Devices Poses Challenges for Manufacturers to Maintain Affordability

There are large number of disabled population who are in the agegroup of 15 to 65 years. This population belongs to the working class, unlike the elderly population. In the United Kingdom, almost 48 per cent of the disabled population are employed. This implies that these people require mobility aids to perform both indoor and outdoor tasks comfortably. Hence, the importance is given not only for sophistication, but also for the multifunctional facility of the aid? . With pricing playing major role in the commercial success of theproducts, manufacturers have challenges in having these productsin an affordable range.

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Low Rate of Reimbursement Threatens Advancements in the Market

The patient demographic of mobility aids products is changing as the general population is ageing, and more retired individuals are needing such products. This creates a huge opportunity for smalland regional manufacturers to increase production in mobility aids to meet the growing demand from the expanding geriatric population.However, due to the economic meltdown and lack of sufficient reimbursements across all segments of mobility aids, the growth of the market would be affected marginally. Recession might reduce the buying freedom of the patient population for many sophisticated devices.

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Foreign Imports Increase Competition for Low-cost Products

A number of standard wheelchairs and other low-cost mobility aids are being imported into the market. Manufacturers do not foreseeforeign import as a major threat in the industry; however, companies are aware of the competition imposed by low-cost foreign imports. The market for foreign imports in mobility aids is a substantial niche that must not be ignored by marketers. Overseas manufacturers are improving their production process to compete in the European market. Small manufacturers with market niches in low-end mobility aids are most threatened by foreign imports. The increase of foreign imports and low-cost product competition is a restraining factor of price increase. Manufacturers with market niches in low-end products must formulate new strategies in order to meet the potential threat from foreign imports.

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Mobility Aids Market: Market Drivers Ranked in Order of Impact (Europe), 2009-2015

MediumHighHighIncreasing homecare market expands sales

3

Rank Driver 1 - 2 Years 3 - 4 Years 5 - 7 Years

1 Integration of people with disabilities into the society and work force through mobility aids

High High High

2 Rapid increase in the number of obese people drives demand for specialised wheelchairs

High High High


Market Drivers

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Market Drivers (Contd…)

Across Europe, disabled people are two to three times more unemployed than non-disabled people. In all EU member states, there efforts are made to integrate the disabled into the working environment. Most countries have systems that partially or fully finance the costs of adaptations to the workplace. However, still a lot of progress is required to be made. This definitely is going to increase the disabled population transfer into working community thus increasing the market for the mobility aids.

Integration of People with Disabilities into the Society and Work Force through Mobility Aids

Across Europe, disabled people are two to three times more unemployed than non- disabled people. In all EU member states, the efforts are made to integrate the disabled into the working environment. Most countries have systems that partially or fully finance the costs of adaptations to the workplace. However, still a lot of progress is required to be made. This is likely to increase the working population among the disabled and thereby the market for mobility aids.

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Rapid Increase in the Number of Obese People Drives Demand for Specialised Wheelchairs

Obesity is a serious health hazard in Europe. The patient demographic of mobility aid products is changing. This creates a huge opportunity for small and regional manufacturers to increase production in mobility aids to meet the growing demand from the expanding geriatric population. Although manufacturers face hurdles and challenges such as reimbursement issues and competitive pricing, the market outlook remains optimistic for mobility aids companies that are able to meet the needs of the changing patient demography.

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Increasing Homecare Market Expands Sales

Demographic changes have lead to increased need for homecare. With growing pressure to curb hospital spending, homecare is considered as the right alternative. With increasing elderly population and changing life styles, the demand for mobility aids has been increasing. As increasing number of elderly people are trying to be socially active, the demand is not restricted to standard wheelchairs, but has moved beyond to mobility scooters.

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Mobility Aids Market: Market Restraints Ranked in Order of Impact (Europe), 2009-2015

MediumHighHighCompetitive pricing constrains revenue growth

3

Rank Restraint 1 - 2 Years 3 - 4 Years 5 - 7 Years

1 Reimbursement restrictions in the wheelchair and scooter markets further hinder growth

High High High

2 Recycle market limits new purchases High High High


Market Restraints

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Market Restraints (Contd…)

Reimbursement Restrictions in the Wheelchair and Scooter Markets Further Hinder Growth

As reimbursement amounts are reduced for all mobility aids, the manufacturers are expected to cut costs by developing less-expensive products and reducing services. With decrease in government spending on powered wheelchairs and economic downturn, the out of pocket spending on these are also reducing, thus affecting powered mobility aids market in the short and medium terms of the forecast period .

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Recycle Market Limits New Purchases

A number of mobility aids products are left behind each year from deceased patients. These products are often donated to hospitals and other charity or recycling groups. In addition, used mobility aids can be resold in garage sales or refurbished goods stores. The recycling or reuse of old mobility aids products slows the growth rate of new purchases.

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Competitive Pricing Constrains Revenue Growth

The price elasticity of the mobility aids market has risen due to the significant role played by the government and managed care groups. HME dealers will purchase mobility aids products based primarily on price so that they can be assured of being reimbursed. Therefore, manufacturers must fiercely compete on price in order to win large dealer contracts and purchases.Growing Asian imports of wheelchairs and scooters are bound to drive prices down. With increasing number of participants, the prices will continue to decline.

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Product ProfilingMobility Aids Market: Product Profiling of Market Participants (Europe), 2008

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Product Profiling (Contd…)

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Product Profiling (Contd…)


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Increasing50Competitors (active market competitors in base year)

Increasing100Number of products

Increasing3.8 %Compound Annual Growth rate

Increasing1,625.9 millionPotential revenues (maximum future market size)

Increasing$1,267.0 millionRevenues

IncreasingGrowth stageMarket age

TrendMeasurementMeasurement Name


Mobility Aids Market: Market Engineering Measurements (Europe), 2008

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Revenue Forecasts



CAGR (2008-2015): 3.8%4.01625.920153.91563.420143.81504.620133.61449.920123.41399.220113.31352.720103.31309.02009---1267.02008

Revenue Growth Rate

(%)Revenues ($ Million)Year

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Revenue Forecasts (Contd…)


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The European mobility aids market was valued at $1,267.0 million in 2008 and is

expected to grow at a compound annual growth rate (CAGR) of 3.8 per cent to reach

$1,625.9 million by 2015.

The European mobility aids market is complex, with the various segments performing

differently. Most of them largely depend on reimbursement and global economy currently.

The global economy plays a major role in the out-of-pocket payment capacities of the

individuals, thus influencing the growth and sales of powered and expensive mobility

aids.

Despite constant innovations and introduction of sophisticated technologies across all the

segments, the manual wheelchairs segments contribute the most both in terms of sales

volume and revenues.

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The United Kingdom and Germany together contribute almost 40 percent of the total

mobility aids market.

Due the economic down turn, the powered wheelchairs and mobility scooters market are

expected to be affected during the short term of the forecast period.

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Market Share Analysis

The market leader in mobility aids and associated paramedical products in Europe in 2008

was Invacare with 35.0 per cent market share, followed by Sunrise Medicals with 25.0 per

cent and Meyra with 11.0 per cent market share. The remaining 29.0 per cent was controlled

by Ottobock, Rebotec, Weiner, ATO-FORM, and other companies.

Invacare is an industry leader in the home healthcare market in Europe, It has a global

presence, well-established distribution network, strong product portfolio and brand

recognition. It is expected to revolutionize the market.

Sunrise Medical is one of the world's largest manufacturers of homecare and extended

care products. With strong market presence across Europe and established product line, the

company has created a established customer base for itself.

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Market Share Analysis (Contd…)

Mobility Aids Market: Company Market Share (Europe), 2008


100.0Total

29.0 Others

11.0 Meyra

25.0Sunrise Medical

35.0Invacare Corporation

2008 (%)Company

Note: Others include Pride Mobility Products Corp, PERMOBIL, Convaid Inc and so on

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Market Share Analysis (Contd…)

Mobility Aids Market: Company Market Share (Europe), 2008


Invacare Corporation35%

Sunrise Medical25%

Meyra11%

Others29%

Invacare CorporationSunrise MedicalMeyraOthers

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Regulations and Economic Impact on the Market

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Changing Disability-Regulations

Disability is no longer looked at as charity, and the disabled people have become an integral part of the

society. It is to be noted that the European Commission established the EU Disability Action Plan whose

main operational objectives are the complete implementation of the Employment Equality Directive,

successful mainstreaming of disability issues in relevant community policies and improving accessibility for

all.

With shrinking work force due to ageing population, exclusion of disabled people from the labour market

has a negative impact on the economy.

According to the DAP for 2008- 2009 , the main objectives are

Actions for inclusive participation through accessibility

Action towards full enjoyment of fundamental rights

These objectives include the policy to promote the availability, knowledge and the use of assistive devices

to help the disabled population. In 2007, the United Nations initiated the Rights of Persons with disability,

which has helped in improving the conditions of disabled across the world.

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Changing Disability-Regulations (Contd…)

A number of Commission activities for disabled persons have involved sport. The European Year of Education through Sport 2004 initiated several projects on the integration of people with disabilities through sports and these were funded by the commission.

The concept of equal opportunities in sports for people with disabilities is based on three fundamental pillars, namely access to sports premises as sportspeople, access to sports premises as spectators and support for people with disabilities willing to practice sport (for example, the cost of equipment, training of staff and adapting facilities).

Both competitive and recreational sport is a cross-cutting tool for integration, job creation and equality for people with disabilities.

The European Paralympics Committee (EPC) controls and supervises European championships and cup events in 12 sports for four disability groups (visually impaired, athletes with cerebral palsy, athletes with intellectual disability and athletes with a physical disability).

Special Olympics Europe/Eurasia (SOEE) provides opportunities in sports for 425,000 individuals with intellectual disabilities and it coordinates the participation of European athletes in the quadrennial Special Olympics World Games.

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Economy and its Effect on the Market

Economic down turn has its impact on the market in two different ways.PricingReduced Purchasing Power

PricingOutsourcing has been an indomitable strategy for most of the home healthcare equipment manufacturing companies success in the recent past. This was mainly due to the reduced reimbursement and high competition that necessitated the need for sourcing from Asia.

Across the Europe, the products sourced were quoted in U.S. dollars. As Euro had a rising in the last few years, European customers benefited. However, due to the current downturn and fluctuations in currencies companies have had set back in terms of profit margins and revenues.

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Economy and its Effect on the Market (Contd…)

Reduced Purchasing Power

Most of the sophisticated mobility aids are not reimbursed. With reduced per capita income

due to stringent financial conditions, falling wealth and greater uncertainty, there is a sharp

decline across all types of demand. This drop in demand has sparked an unprecedented

collapse in sales volume. As hospital budgets have reduced, thus limiting the reimbursement

rates, disabled population is expected to spend out of pocket for products not reimbursed by

the hospitals. Hence, sales of powered wheelchairs, mobility scooters and certain

sophisticated and technologically advanced wheelchairs have taken back seat.

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Technology Trends

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European Mobility Aids Market: Application Spectrum

Disability and choice of mobility aids

Loss of control or movement of the legs-------- Wheelchairs

Spinal cord injury------------------------------------- Wheelchairs

Paralysis of the legs and body parts------------ Wheelchairs, crutches, Canes

Bone and joint deformities------------------------- Wheelchairs, Canes, Crutches, Rollators

Curvature of the spine------------------------------ Wheelchairs, Walkers, Rollators

Muscle weakness------------------------------------ Wheelchairs,

Injury to the arms----------------------------------- Crutches

Balancing difficulties due to ageing--------------- Canes, Walkers, Wheelchairs

Amputation of the legs or arms------------------ Wheelchairs

Weakness of the legs due to obesity----------- Wheelchairs, Rollators, Walkers, Canes

Blindness -------------------------------------------- Wheelchairs, Canes

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Technology Trends

The mobility aids market is fast driven by demand for newer products. There is a huge investment in R &D

to customise these aids for patients. These products are not expected to significantly impact the market

during the forecast period, however their presence can be felt in the future.

Standing wheelchairsIt is similar to a standing frame, which allows the user to raise the chair from a seated to a standing position.

This supports the disabled in a standing position and enables interaction with people and objects at eye

level.

Climbing wheelchairsIt is breakthrough technology that gives the disabled the independence of climbing stairs and

navigating on variety of terrain and performing everyday tasks easily and more efficiently

without the aid of others.

These are some of the technologies, but there are a few more that have definitely aided the existing ones to

improvise and customise mobility. Most of them are not available in Europe currently, but are expected to

be sooner and rest have the potential to be launched commercially.

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Manual Wheelchairs

Technologies to aid manual wheelchairs

Manual Wheelchairs for all Terrain

As mobility is no longer a social stigma, people like to enjoy normal living. To assist this,

manufacturers have come up with the basic manual wheelchairs that can used across all

terrains.

One such wheelchair was introduced by Lasher Sport LLC to help people while they are

camping, fishing skiing or hiking by being able to move freely.

Power of Early Intervention

It is believed that in young children the passivity due to immobility can have a negative impact

on the cognitive and physical development of the child. Hence, postural positioning ,

independency in propelling their wheelchairs are a few of the features that can help the

children.

Convaid’s Cuddle Bug is one such wheelchair for children that can impart a marked difference

in their lives.

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Manual Wheelchairs (Contd…)

Power Assists for Manual WheelchairsManual wheelchair propulsion has many negative effects on the wrists, arms and shoulders of

the patients, when used for longer duration. Hence, there are these new power assists that

can help individuals to move beyond it.

Next Mobility, Ottobock are some of the companies involved in the manufacture of power

assist systems that help in improved mobility for manual wheelchair users.

Lever-driven Propulsion Accessory for Manual Wheelchairs To ease the method of propulsion for wheelchair users, NuDrive has developed the new lever

driven propulsion accessory that would reduce the need to move the wheelchairs by gripping

the wheel rims by hand and instead propel the user forwards, backwards, manoeuvre and

brake by pushing the levers.

Wheelchairs for Users with One Active Foot and ArmNeater Uni-Chair developed by Neater Solutions Ltd, is a novel device that helps the users

move by cable linkage mechanism and be independent.

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Powered Wheelchairs

Wheelchairs for Golfers

There are numerous developments happening to normalise the lives of disabled people. One

such thing is to involve them in golfing. Parabasetec Gmbh has developed this unique

Paramobile to help this population.

Obstacle Sensing Wheelchairs

One in 10 blind people use wheelchairs. Smart wheelchairs are the latest devices to enable

mobility for blind and elderly people. These wheelchairs have bump detectors to help them

overcome obstacles while moving independently. Smile Rehab, is one such company that has developed

the unique Smart Wheelchair.

Solar Powered Wheelchairs

The use of solar energy to propel a wheelchair is an unique way to be environment friendly

and cost effective. A team from Southern Taiwan University of Technology has designed

novel wheelchairs that is powered by solar energy, thus increasing longevity of the chair. It is

on the way to be commercialised and launched in the market.

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Mobility Scooters and Walking Aids

Scooters for Travel

There are circumstances, where disabled people require scooters while traveling. Hence, it is of importance to have a scooter that can be taken along.

TravelScoot has the unique product and the world’s lightest mobility Scooter, which can be packed and carried along even in airplanes.

Walkers for Travel

It is very important for people to have walkers when they travel. To aid the walker users, Drive

Medical Design and Manufacturing, has designed the new walker with pouches on either side

and ability to fold to a quarter of its normal size and carried along.

Revolutionary Springer Walking Aid

During the usage of walking aids, users experience stress in their wrists, shoulders and

elbows, due to the shock that is sent during movement. However, Activitech Ltd. has come up

with this unique Springer device that takes the discomfort when attached to the existing aids.

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Walking Aids

Musmate

An innovative walking aid to assist people with foot drop. The product consists of a shoulder

harness, which is connected to the foot with an elastic cord assembly and a shoe connecting

accessory. Optional shoulder pads and waist belts are provided. This has been developed by

Musmate Ltd .

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Segment Analysis

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European Manual Wheelchairs Market- Market Overview

Manual wheelchairs are wheelchairs that require human power to move them. They are classified based on propulsion such as self-propelled, attendant-propelled and wheelbase. From the traditional wheel chairs, manufacturers and disabled population have moved to lightweight, foldable wheelchairs.Manual wheelchairs have evolved over the years with many advancements in materials and design. Titanium and carbon fiber materials are used to make the lightweight wheelchairs.From sturdy and traditional look, at present there are wheelchairs developed with gloss finish and of varied colours to have appealing look for the users. Pediatric wheelchairs has been one segment with constant innovations and advancements to meet the standards and results of various studies to benefit children.Bariatric wheelchairs is another segment growing owing due to increasing obese population.Most manual wheelchairs require a significant amount of energy to propel, thus resulting in shoulder, wrist and arm pain for active users. This has resulted in need for extra accessories to make manual wheelchair propulsion easier. Investing in research in the segments has benefited and created a new market for these accessories.

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Manual Wheelchairs Market: Market Engineering Measurements (Europe), 2008

Measurement Name Measurement Trend

Market age Growth stage Increasing

Revenues $ 699.8 million Increasing

Potential revenues (maximum future market size) $ 902.5 million Increasing

Compound Annual Growth rate 3.7% Increasing

Number of products 35 Increasing


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Revenue Forecasts


Manual Wheelchairs Market: Revenue Forecasts (Europe), 2008-2015

CAGR (2008-2015): 3.7%4.0902.520154.0867.820143.9834.520133.7803.520123.5774.720113.4748.420103.4723.72009---699.82008

Revenue Growth Rate


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Manual Wheelchairs Market: Revenue Forecasts (Europe), 2008-2015

0.0100.0200.0300.0400.0500.0600.0700.0800.0900.0

1,000.0

2008 2009 2010 2011 2012 2013 2014 2015

Rev

enue

s ($

Mill

ion)

3.13.23.33.43.53.63.73.83.94.04.1

Gro

wth

Rat

e (%

)



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Revenue Forecasts and Segment Analysis

The revenues for manual wheelchairs include only the wheelchairs and not the accessories

or repair costs. The revenues for manual wheelchairs were $699.8 million in 2008 and is

expected to grow at a CAGR of 3.7per cent and reach $902.5 million by 2015.

Segment Analysis

The market for the sub segments is largely dependent on the need for the products. Standards wheelchairs and pediatric wheelchairs are the ones that have the ability of being used by people for a set age without any discrimination based on disease condition.

However, in the case of bariatric wheelchairs, the market is driven by the obese population.

Sports and lightweight wheelchairs contributed 55 per cent to the total market revenues in 2008 , bariatric wheelchairs contributed 20 per cent, pediatric wheelchairs contributed 10 per cent, while the rest 15 per cent was contributed by the other segments.

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European Powered Wheelchairs Market- Market Overview

Powered wheelchairs are the first choice for people with limited use of their arms as well as their legs. However, for the existing manual wheelchair users and other ageing population, switching to powered wheelchairs would be difficult.Powered wheelchairs make independent mobility possible for people with limited use of upper as well as lower limbs because most manual wheelchairs require the use of arms to roll the wheels. There are some factors to be considered while opting powered wheel chairs. These wheelchairs can be used only for short distance travel, and most of them cannot be folded and accommodated in cars. These wheelchairs are expensive in comparison to the normal manual wheelchairs and incur a high maintenance cost. Hence, affordability plays a major role in the commercial success of these products.As these products are expensive, reimbursement is largely dependent on patient condition and medical necessity, like inability to operate manual wheelchairs and capability to use this product safely. While the powered wheelchairs are reimbursed, the accessories are not reimbursed.With increasing disabled population integrating into the working environment, the powered wheelchair usage is expected to increase.

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European Powered Wheelchairs Market (Contd…)

Many powered wheelchair components are similar to those found on manual chairs. However, others such as controllers, batteries and drive systems are unique to powered wheelchairs. Currently, manufacturers have moved from the use of stainless steel to titanium. Powered chairs are still considerably heavier than their manual counterparts.There are different types of powered wheelchairs such as powered wheelchairs for children, lightweight powered wheelchairs, elevating and standing wheelchairs, reclining/tilt-in-space wheelchairs, all-terrain chairs and beach chairs and stair-climbing wheelchairs.Batteries are a determining factor in the range and power of a powered chair. Generally, larger batteries mean that a wheelchair has greater power and range between charges. Many chairs require two rechargeable 12-volt batteries. Most wheelchairs utilise U1, group 22 or 24 batteries, although other batteries are used. More manufacturers are designing chairs around the group 24 battery, because it affords a longer range. The type of battery required is also an important consideration in terms of safety, maintenance and transport. Powered chairs may utilise lead acid, gel cell or sealed wet batteries. Gel cell batteries require the least maintenance and have less danger of leaking than the other battery types. Besides, a number of airlines only transport powered chairs with gel cell batteries.

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Powered Wheelchairs Market: Market Engineering Measurements (Europe), 2008





Potential revenues (maximum future market size) $ 19 6.9 million Increasing



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Revenue Forecasts


Powered Wheelchairs Market: Revenue Forecasts (Europe), 2008-2015

CAGR (2008-2015): 3.2%3.9196.920153.7189.420143.4182.820133.1176.820122.9171.520112.8166.620102.8162.02009---157.62008

Revenue Growth Rate


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Powered Wheelchairs Market: Revenue Forecasts (Europe), 2008-2015

0.0

50.0

100.0

150.0

200.0

250.0

2008 2009 2010 2011 2012 2013 2014 2015

Rev

enue

s ($

Mill

ion)

0.00.51.01.52.02.53.03.54.04.5

Gro

wth

Rat

e (%

)



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The European powered wheelchairs market revenues do not include accessories or replacement of batteries or repairs. The total powered wheelchairs market revenues in 2008 were $157.6 million and is expected to grow at a CAGR of 3.2 per cent and reach $ 196.9 million by 2015.

Reimbursement plays a major role for the commercial success of this product.

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European Mobility Scooters Market- Market Overview

Mobility scooters are personalized vehicles to carry persons indoors and outdoors. Both 3 wheeled and 4 wheeled scooters are available. Mobility scooters are the best way to being independent and being able to move to many places.Initially these scooters were launched for aid of severely disabled people, but at present people with wider ailments like breathing problem, rheumatism and obesity also use.When Scooters and powered wheelchairs are regulated under class 3 vehicles in the UK they must be registered for use by the disabled and the age of the user should be above 14 years. In the Netherlands the minimum age of user should be 16.Most of these products are either second hand or refurbished ones that are illegally imported and do not meet the safety standards of the countries. There has been a small population of non-disabled people using these vehicles for commercial purpose as well. Thus, the use of these mobility scooter has become tougher.An increasing number of elderly patients have been benefiting from the use of these mobility scooters, as it enables them to visit doctors, go shopping and so on.Safety concerns is the biggest drawback of the scooters market. It is of very high importance to train the scooter drivers to improve safety.

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Mobility Scooters Market: Market Engineering Measurements (Europe), 2008







83M414-54

Revenue Forecasts


Mobility Scooters Market: Revenue Forecasts (Europe), 2008-2015

CAGR (2008-2015): 1.5%2.3156.320151.9152.820141.7149.920131.4147.520121.1145.420110.9143.820100.9142.52009---141.32008

Revenue Growth Rate


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Mobility Scooters Market: Revenue Forecasts (Europe), 2008-2015

130.0

135.0

140.0

145.0

150.0

155.0

160.0

2008 2009 2010 2011 2012 2013 2014 2015

Rev

enue

s ($

Mill

ion)

0.0

0.5

1.0

1.5

2.0

2.5

Gro

wth

Rat

e (%

)



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The European mobility scooters market revenues do not include accessories or batteries. The European mobility scooters market revenues were $141.3 million in 2008 and is expected to grow steadily at a CAGR of 1.5 percent and reach $156.3million in 2015.

86M414-54

European Walking Aids Market- Market Overview

Walking aids are used by individuals who are injured temporarily or immobilised, mostly

during the rehabilitation process. However, wheelchair users who can walk, use walking aids .

There are different types of walking aids.

Walking canes

Walking frames

Rollators

Crutches

Walking CanesThere are different types of canes. The most common type is the C Canes. They resemble a

curved candy cane in shape and are readily available. They are best suited for people with

temporary injury or walking impairment.

Quad canes differ from C canes and are based on functional grip in the shape of their

base. Instead of rectangular base, these canes end in four points and thus offer a greater

stability at the base of the cane. People with long-term injuries or impairments benefit from

this broader base and better stability.

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European Walking Aids Market- Market Overview (Contd…)

Hemiwalker canes have their base much larger than quad canes. Most people moving from a

walker to a cane benefit from these canes . They are the most suitable for people with

permanent injuries or conditions that affect mobility.

Walkers

Walkers are devices that have four legs, thus providing a support. Height of the frame plays a

major role in providing stability to the user. There are the standard walkers and walkers with

front wheels that help patients, who are unable to lift these walkers.

Rollators

Rollators are walking frames with wheels. Wheels avoid the necessity to lift the apparatus and

give added directional control. Adjustable height handles ensure the user achieves the most

comfortable and correct walking position. Rollators are suitable for use both indoors and

outdoors.

Rollators can be of following types:

Three-wheelers with loop brakes

Four-wheelers with loop brakes

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European Walking Aids Market- Market Overview (Contd…)

Crutches

Crutches are walking aids used by patients injured below the waists. There are different types

of crutches that include:

Auxiliary Crutches

Forearm Crutches

Platform Crutches

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Walking Aids Market: Market Engineering Measurements (Europe), 2008




Potential revenues (maximum future market size) $ 370.2 mil lion Increasing



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Revenue Forecasts


Walking Aids Market: Revenue Forecasts (Europe), 2008-2015

CAGR (2008-2015): 4.7%4.7370.220154.7353.420144.7337.420134.7322.220124.7307.620114.6293.920104.6280.82009---268.42008

Revenue Growth Rate


91M414-54


Walking Aids Market: Revenue Forecasts (Europe), 2008-2015

0.0

50.0

100.0

150.0

200.0

250.0

300.0

350.0

400.0

2008 2009 2010 2011 2012 2013 2014 2015

Rev

enue

s ($

Mill

ion)

4.5

4.6

4.6

4.7

4.7

4.8

4.8

4.9

Gro

wth

Rat

e (%

)



92M414-54


The European walking aids market revenues do not include the second sales and repairs revenues. The European walking aids market revenues were $268.4million in 2008 and is expected to grow at a CAGR of 4.7per cent and reach $370.2million by 2015.

93M414-54

European Tricycles Market- Market Overview

Cycling for people with disabilities has become one of the fastest-growing areas of interest in the world. Its simplicity and low running costs will ensure its success in the future.

There is research happening continuously to come up with newer forms of cycles to benefit all classes of disabled people.

Small-scale manufacturers are combining innovation with positive attitude and designing cycles that meet abilities. People who do not fit the size and shape of a conventional bicycle or have balance or co-ordination difficulties are expected to benefit from these newer cycles.

These tricycles are not only used by disabled people, but also by people who enjoy riding tricycles for recreation purposes. Hence, determining the revenues for tricycles used as mobility aids was difficult.

The total revenues for tricycles in Europe for 2008 were $5.0 - $10.0 million. It is expected to grow at a rate of 1 to 2.0 percent annually.

94M414-54

Geographic Analysis

95M414-54

Mobility Aids Market in Germany

Disability and welfare of disabled people is of very high importance in Germany.German law (Grundgesetz) forbids discrimination on the basis of physical or mental disability. The Social Welfare Code IX (SGBIX), was introduced in 2001, to provide equal opportunities and participation to the disabled and not merely welfare. It focuses on rehabilitation and access for disabled people and stipulates levels of support depending on measurement of the degree of disability. The benefit payments vary according to the degree of disability.

The Neuntes Buch des Sozialgesetzbuches provides that disabled people receive special benefits in order to live a self-determined life, to have equal participation opportunities in society and to avoid discrimination. In addition, the special needs of disabled women and children are taken into account. The benefits particularly include:

medical rehabilitation benefitsbenefits aimed at participation in life at workbenefits aimed at participation in community life

96M414-54

Mobility Aids Market in Germany (Contd…)

According to regulations, all employers (public and private) with a workforce of twenty or more than twenty are required to fill 5 per cent of their jobs with severely disabled employees.

The disability compensations systems was set up for benefit of the disabled. The compensation is provided as

Pensions on account of reduced earning capacity

Old age severe disability pension

Occupational assistance

Integration assistance

Handicap benefits

Social assistance

97M414-54

Mobility Aids Market in Germany (Contd…)

• The eligibility for each of these compensation largely varies.

• In 2005, according to federal health monitoring reports in Germany, there were as many as 6,765,355 people severely handicapped and more than 50 percent of them were aged above 65 years.

98M414-54


Mobility Aids Market: Market Engineering Measurements (Germany), 2008







Competitors (active market competitors in base year) 30 Increasing

99M414-54

Revenue Forecasts


Mobility Aids Market: Revenue Forecasts (Germany), 2008-2015

CAGR (2008-2015): 3.7%4.4302.320154.1289.520143.9278.120133.6267.520123.3258.120113.2249.820103.1242.12009---234.72008

Revenue Growth Rate


100M414-54


Mobility Aids Market: Revenue Forecasts (Germany), 2008-2015

0.0

50.0

100.0

150.0

200.0

250.0

300.0

350.0

2008 2009 2010 2011 2012 2013 2014 2015

Rev

enue

s ($

Mill

ion)

0.00.51.01.52.02.53.03.54.04.55.0

Gro

wth

Rat

e (%

)



101M414-54



Manual Wheelchairs Market: Revenue Forecasts (Germany), 2008-2015

CAGR (2008-2015): 3.8%4.2145.620154.1139.820144.0134.320133.8129.120123.6124.420113.6120.020103.6115.92009---118.82008

Revenue Growth Rate


102M414-54



Manual Wheelchairs Market: Revenue Forecasts (Germany), 2008-2015

0.0

20.0

40.0

60.0

80.0

100.0

120.0

140.0

160.0

2008 2009 2010 2011 2012 2013 2014 2015

Rev

enue

s ($

Mill

ion)

3.33.43.53.63.73.83.94.04.14.24.3

Gro

wth

Rat

e (%

)


103M414-54



Powered Wheelchairs Market: Revenue Forecasts (Germany), 2008-2015

CAGR (2008-2015): 3.1%4.251.120153.74920143.247.320132.845.820122.544.620112.543.520102.542.42009---41.42008

Revenue Growth Rate


104M414-54


Powered Wheelchairs Market: Revenue Forecasts (Germany), 2008-2015

0.0

10.0

20.0

30.0

40.0

50.0

60.0

2008 2009 2010 2011 2012 2013 2014 2015

Rev

enue

s ($

Mill

ion)

0.00.51.01.52.0

2.53.03.54.04.5

Gro

wth

Rat

e (%

)



105M414-54



Mobility Scooters Market: Revenue Forecasts (Germany), 2008-2015

CAGR (2008-2015): 3.1%4.240.720153.439.120142.937.820132.436.220121.835.920111.235.220101.034.82009---34.52008

Revenue Growth Rate


106M414-54


Mobility Scooters Market: Revenue Forecasts (Germany), 2008-2015

31.032.033.034.035.036.037.038.039.040.041.042.0

2008 2009 2010 2011 2012 2013 2014 2015

Rev

enue

s ($

Mill

ion)

0.0

0.5

1.0

1.5

2.02.5

3.0

3.5

4.0

4.5

Gro

wth

Rat

e (%

)



107M414-54



Walking Aids Market: Revenue Forecasts (Germany), 2008-2015

CAGR (2008-2015): 4.7%5.264.920155.061.720145.058.720134.855.920124.553.420114.251.120104.249.02009---47.02008

Revenue Growth Rate


108M414-54


Walking Aids Market: Revenue Forecasts (Germany), 2008-2015

0

10

20

30

40

50

60

70

2008 2009 2010 2011 2012 2013 2014 2015

Rev

enue

s ($

Mill

ion)

0

1

2

3

4

5

6

Gro

wth

Rat

e (%

)



109M414-54

Mobility Aids Market in France

The French disability legislation had gradually developed during the course of the 20th century.

The chronology of important laws revolutionising the disabled lives in France are as below:

1975- The cornerstone of French disability legislation is a 1975 Law that makes the integration of all disabled people in the educational system, working and social life a national obligation

2005 Law for rights and chances equity, citizenship and participation of disabled people.

According to the disability rights regulation, enterprises with more than 20 employees must hire six per cent workers recognized as disabled.

A few of the benefits in the disability compensation system in France include:

Sickness benefits

Medical Benefits

Disability pension

110M414-54

Mobility Aids Market in France (Contd…)

Grants for Aids and Access to work

Disabled Adults Allowance

Insurance for Occupational Accidents and Diseases

According to a study by Vignier et al, in 2008, the prevalence of wheelchair use was 62 per 10,000 people living in France. About 43 per cent of users live in institutions. The users suffer either due to multiple impairments or severe disabilities. They have a mean age of 70 years and 64 per cent are women. These results reveal the usage is not sex-related and decreases marginally with age.

111M414-54


Mobility Aids Market: Market Engineering Measurements (France), 2008








112M414-54

Revenue Forecasts

Mobility Aids Market: Revenue Forecasts (France), 2008-2015

CAGR (2008-2015): 3.6%4.0295.720153.9284.320143.8273.620133.6263.720123.3254.720113.2246.420103.2238.92009---231.52008

Revenue Growth Rate



113M414-54


Mobility Aids Market: Revenue Forecasts (France), 2008-2015

0.0

50.0

100.0

150.0

200.0

250.0

300.0

350.0

2008 2009 2010 2011 2012 2013 2014 2015

Rev

enue

s ($

Mill

ion)

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

4.5

Gro

wth

Rat

e (%

)



114M414-54


Manual Wheelchairs Market: Revenue Forecasts (France), 2008-2015

CAGR (2008-2015): 3.8%4.0151.820154.0146.020144.0140.420133.9135.020123.7129.920113.4125.320103.4121.12009---117.22008

Revenue Growth Rate



115M414-54


Manual Wheelchairs Market: Revenue Forecasts (France ), 2008-2015

0.0

20.0

40.0

60.0

80.0

100.0

120.0

140.0

160.0

2008 2009 2010 2011 2012 2013 2014 2015

Rev

enue

s ($

Mill

ion)

3.13.23.33.43.53.63.73.83.94.04.1

Gow

th R

ate

(%)



116M414-54



Powered Wheelchairs Market: Revenue Forecasts (France), 2008-2015

CAGR (2008-2015): 3.3%4.052.120153.750.120143.448.320133.246.720123.045.220112.943.920102.942.92009---41.52008

Revenue Growth Rate


117M414-54


Powered Wheelchairs Market: Revenue Forecasts (France), 2008-2015

0.0

10.0

20.0

30.0

40.0

50.0

60.0

2008 2009 2010 2011 2012 2013 2014 2015

Rev

enue

s ($

Mill

ion)

0.0

0.51.0

1.5

2.0

2.5

3.0

3.5

4.0

4.5

Gro

wth

Rat

e (%

)



118M414-54



Mobility Scooters Market: Revenue Forecasts (France), 2008-2015

CAGR (2008-2015): 1.3%1.928.320151.627.820141.427.320131.226.920121.026.620111.026.420101.026.12009---25.82008

Revenue Growth Rate


119M414-54


Mobility Scooters Market: Revenue Forecasts (France), 2008-2015

24.5

25.0

25.5

26.0

26.5

27.0

27.5

28.0

28.5

2008 2009 2010 2011 2012 2013 2014 2015

Rev

enue

s ($

Mill

ion)

0.0

0.20.4

0.60.8

1.0

1.21.4

1.61.8

2.0

Gro

wth

Rat

e (%

)



120M414-54



Walking Aids Market: Revenue Forecasts (France), 2008-2015

CAGR (2008-2015): 4.4%5.063.520154.960.520144.657.720134.255.120124.052.920114.050.920104.048.92009---47.12008

Revenue Growth Rate

(%)

Revenues ($ Million)

Year

121M414-54


Walking Aids Market: Revenue Forecasts (France), 2008-2015

0

10

20

30

40

50

60

70

2008 2009 2010 2011 2012 2013 2014 2015

Rev

enue

s ($

Mill

ion)

0

1

2

3

4

5

6

Gro

wth

Rat

e (%

)



122M414-54

Mobility Aids Market in Italy

According to United Nations data, Italy is the oldest country in the world with 20.2 per cent of the population aged above 65 years. This directly results to more number of people being dependent on family members and governments for help and health assistance.

The basic healthcare needs of the elderly population is covered by the National Health System either free of charge or with a small co-payment. The home-based long-term care for disabled individuals is funded by the National Health System or funds provided by local government or out-of-pocket resources. However, the total amount of resources available is limited and access to long-term care, either residential or home-based, is difficult .

About 15 per cent of the population and 12.7 per cent of families in Italy are concerned with issues involving various types of disabilities, thus increasing the burden of the earning members of the family.

Unlike the situation in many other countries, in Italy most older disabled persons remain in their homes and are cared for by family members. The population taking care of these disabled and elderly at home is also equally ageing.

123M414-54

Mobility Aids Market in Italy (Contd…)

If traditional family bonds should become weaker and the need for health assistances and funding from the governments increase, the Italian health system would not be able to cope up with these consequences, with the existing health system and infrastructureAccording to a study published by Bari et al to prevent this hazard, the government should enhance home-based caring services for elderly Italians, to a level closer to that found in other industrialised countries. According to statistics in Europe, the proportion of older disabled persons receiving home-care services ranged from 24 per cent in Denmark to less than 4 per cent in Italy, Spain and Portugal. Thus, the Bari et al study confirmed that, in Italy, the amount of care provided by institutional services to older disabled persons is lower than in most industrialised countries and paradoxically, declines with advancing age. To strengthen the financial aspects of disabled population there are regulation to involve them in work. According to it, public and private employers are required to hire disabled workers in proportion to the total number of people employed:

About 7 per cent of a workforce exceeding 50 workersTwo disabled workers in a workforce of 36 to 50 workersOne disabled worker in a workforce of 15 to 35 workers

124M414-54



Mobility Aids Market: Market Engineering Measurements (Italy), 2008




Potential revenues (maximum future market size) $ 246.21million Increasing



125M414-54

Revenue Forecasts


Mobility Aids Market: Revenue Forecasts (Italy), 2008-2015

CAGR (2008-2015): 3.4%3.8246.220153.7237.220143.5228.820133.4221.120123.3213.720113.2206.920103.2200.52009---194.22008

Revenue Growth Rate


126M414-54


Mobility Aids Market: Revenue Forecasts (Italy), 2008-2015

0.0

50.0

100.0

150.0

200.0

250.0

300.0

2008 2009 2010 2011 2012 2013 2014 2015

Rev

enue

s ($

Mill

ion)

2.9

3.0

3.1

3.23.3

3.4

3.5

3.6

3.7

3.83.9

Gro

wth

Rat

e (%

)



127M414-54



Manual Wheelchairs Market: Revenue Forecasts (Italy), 2008-2015

CAGR (2008-2015): 3.6%3.9155.320153.8149.520143.6144.020133.6139.020123.5134.220113.4129.620103.4125.42009---121.32008

Revenue Growth Rate


128M414-54


Manual Wheelchairs Market: Revenue Forecasts (Italy), 2008-2015

0.0

20.040.0

60.0

80.0

100.0

120.0140.0

160.0

180.0

2008 2009 2010 2011 2012 2013 2014 2015

Rev

enue

s ($

Mill

ion)

3.1

3.23.3

3.4

3.5

3.6

3.73.8

3.9

4.0

Gro

wth

Rat

e (%

)



129M414-54


Powered Wheelchairs Market: Revenue Forecasts (Italy), 2008-2015

CAGR (2008-2015): 3.3%3.913.820153.713.320143.412.820133.212.420123.012.020113.011.720102.911.32009---11.02008

Revenue Growth Rate



130M414-54


Powered Wheelchairs Market: Revenue Forecasts (Italy), 2008-2015

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

16.0

2008 2009 2010 2011 2012 2013 2014 2015

Rev

enue

s ($

Mill

ion)

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

4.5

Gro

wth

Rat

e (%

)



131M414-54



Mobility Scooters Market: Revenue Forecasts (Italy), 2008-2015

CAGR (2008-2015): 1.1%1.623.320151.523.020141.422.620131.222.320120.722.020110.721.820100.721.72009---21.62008

Revenue Growth Rate

(%)

Revenues ($ Million)

Year

132M414-54


Mobility Scooters Market: Revenue Forecasts (Italy), 2008-2015

20.5

21.0

21.5

22.0

22.5

23.0

23.5

2008 2009 2010 2011 2012 2013 2014 2015

Rev

enue

s ($

Mill

ion)

0.0

0.2

0.4

0.6

0.8

1.0

1.2

1.4

1.6

1.8

Gro

wth

Rat

e (%

)



133M414-54



Walking Aids Market: Revenue Forecasts (Italy), 2008-2015

CAGR (2008-2015): 4.2%4.453.820154.351.520144.249.420134.147.420124.145.520114.043.720104.1422009---40.42008

Revenue Growth Rate


134M414-54


Walking Aids Market: Revenue Forecasts (Italy), 2008-2015

0.0

10.0

20.0

30.0

40.0

50.0

60.0

2008 2009 2010 2011 2012 2013 2014 2015

Rev

enue

s ($

Mill

ion)

3.8

3.9

4.0

4.1

4.2

4.3

4.4

4.5

Gro

wth

Rat

e (%

)



135M414-54

Mobility Aids Market in Spain

Spain has 8.5 per cent of its population suffering due to some form of disability. Of these almost 1 million people are of the working age that is between 20 and 50 years of age.

According to statistics, about 20 per cent of the Spanish households have at least one member disabled.

In Spain, amongst the 16 to 64 years age group, only 28 per cent of people with disabilities are currently working, compared with 62 per cent of the general population.

Disability rates among females were higher than among males aged above 45 years.

The proportion of disabled persons decreased for the 65 to 79 age group, from37.4 per cent in 1999 to 31.2 per cent in 2008. However, for the population aged above 80 years old, the proportion of disabled increased to 26.7 per cent in 2008 from 21.3 per cent in 1999.

In 2008, the average age of disabled persons was 64.3 years.

Another important factor about work is disabled people disproportionately work in jobs that are of inferior quality than the average.

136M414-54

Mobility Aids Market in Spain (Contd…)

Amongst currently working disabled population more than 33 per cent work in the job positions that are temporary and unstable. This places a high correlation between disability and poverty.

All public and private companies that employ more than 50 fixed employees, according to the Law for the Social Integration of the Handicapped (Law 13/ 1982 Art.38.1 LISMI), should employ at least 2 per cent of the workforce from disabled population.

The Spanish Government offers monetary incentives to promote hiring of people with disabilities.

137M414-54



Mobility Aids Market: Market Engineering Measurements (Spain), 2008







138M414-54

Revenue Forecasts


Mobility Aids Market: Revenue Forecasts (Spain), 2008-2015

CAGR (2008-2015): 2.2%3.6139.420153.5134.720143.4130.220133.2125.920122.9121.920112.9118.520102.9115.22009---111.92008

Revenue Growth Rate


139M414-54


Mobility Aids Market: Revenue Forecasts (Spain), 2008-2015

0.0

20.0

40.0

60.0

80.0

100.0

120.0

140.0

160.0

2008 2009 2010 2011 2012 2013 2014 2015

Rev

enue

s ($

Mill

ion)

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

Gro

wth

Rat

e (%

)



140M414-54


Manual Wheelchairs Market: Revenue Forecasts (Spain), 2008-2015

CAGR (2008-2015): 3.8%3.789.320153.786.120143.783.120133.680.120123.277.320113.274.920103.272.62009---70.32008

Revenue Growth Rate



141M414-54


Manual Wheelchairs Market: Revenue Forecasts (Spain), 2008-2015

0.010.020.030.040.050.0

60.070.080.0

90.0100.0

2008 2009 2010 2011 2012 2013 2014 2015

Rev

enue

s ($

Mill

ion)

2.9

3.0

3.1

3.2

3.3

3.4

3.5

3.6

3.7

3.8

Gro

wth

Rat

e (%

)



142M414-54


Powered Wheelchairs Market: Revenue Forecasts (Spain), 2008-2015

CAGR (2008-2015): 3.0%3.613.720153.413.220143.212.820133.012.420122.712.020112.711.720102.711.42009---11.12008

Revenue Growth Rate



143M414-54


Powered Wheelchairs Market: Revenue Forecasts (Spain), 2008-2015

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

16.0

2008 2009 2010 2011 2012 2013 2014 2015

Rev

enue

s ($

Mill

ion)

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

Gro

wth

Rat

e (%

)



144M414-54


Mobility Scooters Market: Revenue Forecasts (Spain), 2008-2015

CAGR (2008-2015): 1.3%1.918.020151.817.620141.517.320131.217.120121.016.920110.916.720100.916.52009---16.42008

Revenue Growth Rate



145M414-54


Mobility Scooters Market: Revenue Forecasts (Spain), 2008-2015

15.5

16.0

16.5

17.0

17.5

18.0

18.5

2008 2009 2010 2011 2012 2013 2014 2015

Rev

enue

s ($

Mill

ion)

0.00.20.40.60.81.01.21.41.61.82.0

Gro

wth

Rat

e (%

)



146M414-54


Walking Aids Market: Revenue Forecasts (Spain), 2008-2015

CAGR (2008-2015): 3.9%4.218.420154.117.720144.017.020133.916.420123.715.720113.715.220103.714.62009---14.12008

Revenue Growth Rate



147M414-54


Walking Aids Market: Revenue Forecasts (Spain), 2008-2015

0.02.04.06.08.0

10.012.014.016.018.020.0

2008 2009 2010 2011 2012 2013 2014 2015

Rev

enue

s ($

Mill

ion)

3.4

3.5

3.6

3.7

3.8

3.9

4.0

4.1

4.2

4.3

Gro

wth

Rat

e (%

)



148M414-54

Mobility Aids Market in the United Kingdom

Disabled people account for some ten per cent of the population in the United Kingdom.There are over 6.8 million disabled people of working age, which represents 19 per cent of the working population. Almost 44 per cent of adults aged above 50 years have a disability.

Work and Disability StatisticsCurrently, there are 1.2 million disabled people available for employment in the United Kingdom. Only half of disabled people of working age are employed (about 50 per cent)About 24 per cent of disabled people have no qualifications compared to 9 per cent of non-disabled people.

Budget StatisticsOffice for Disability Issues has stated that

£35 million is committed to improving childcare provision for disabled children over the next three years.

149M414-54

Mobility Aids Market in the United Kingdom (Contd…)

About 20 per cent increase in the Disabled Facilities Grant in 2009, with a further six per cent scheduled for 2010.

A 60 per cent increase in disabled students’ allowances in 2008.

The levels of disability has increased with age in the United Kingdom:

About 8 per cent of those aged 16-17 years suffer due to some form of disability

About 33 per cent of those aged 50 to 65 are also disabled. Of disabled people overall, in broad terms about 70 per cent have difficulty walking and/or climbing steps.

150M414-54



Mobility Aids Market: Market Engineering Measurements (UK), 2008







151M414-54

Revenue Forecasts


Mobility Aids Market: Revenue Forecasts (U.K), 2008-2015

CAGR (2008-2015): 3.9%4.2318.020154.3305.220144.1292.520133.9280.920123.6270.520113.6260.920103.5252.02009---234.32008

Revenue Growth Rate


152M414-54



Mobility Aids Market: Revenue Forecasts (U.K), 2008-2015

0.0

50.0

100.0

150.0

200.0

250.0

300.0

350.0

2008 2009 2010 2011 2012 2013 2014 2015

Rev

enue

s ($

Mill

ion)

0.00.51.01.52.02.53.03.54.04.55.0

Gro

wth

Rat

e (%

)


153M414-54



Manual Wheelchairs Market: Revenue Forecasts (U.K), 2008-2015

CAGR (2008-2015): 3.9%4.2233.920154.4224.520144.2215.120133.9206.420123.7198.620113.6191.620103.6184.92009---178.52008

Revenue Growth Rate


154M414-54


Manual Wheelchairs Market: Revenue Forecasts (U.K), 2008-2015

0.0

50.0

100.0

150.0

200.0

250.0

2008 2009 2010 2011 2012 2013 2014 2015

Rev

enue

s ($

Mill

ion)

0.00.51.01.52.02.53.03.54.04.55.0

Gro

wth

Rat

e (%

)



155M414-54



Powered Wheelchairs Market: Revenue Forecasts (U.K), 2008-2015

CAGR (2008-2015): 3.9%4.330.320154.329.020144.127.820133.926.720123.625.720113.624.820103.624.02009---23.12008

Revenue Growth Rate


156M414-54


Powered Wheelchairs Market: Revenue Forecasts (U.K), 2008-2015

0.0

5.0

10.0

15.0

20.0

25.0

30.0

35.0

2008 2009 2010 2011 2012 2013 2014 2015

Rev

enue

s ($

Mill

ion)

3.2

3.4

3.6

3.8

4.0

4.2

4.4

Gro

wth

Rat

e (%

)


4.3


157M414-54



Mobility Scooters Market: Revenue Forecasts (U.K), 2008-2015

CAGR (2008-2015): 1.2%1.614.420151.614.120141.213.920131.213.820121.013.620111.013.520101.013.32009---13.22008

Revenue Growth Rate


158M414-54


Mobility Scooters Market: Revenue Forecasts (U.K), 2008-2015

12.612.813.013.213.413.613.814.014.214.414.6

2008 2009 2010 2011 2012 2013 2014 2015

Rev

enue

s ($

Mill

ion)

0.0

0.2

0.4

0.6

0.8

1.0

1.2

1.4

1.6

1.8

Gro

wth

Rat

e (%

)



159M414-54



Walking Aids Market: Revenue Forecasts (U.K), 2008-2015

CAGR (2008-2015): 4.7%5.239.520155.037.520144.935.720134.734.120124.532.520114.431.120104.229.82009---28.62008

Revenue Growth Rate


160M414-54


Walking Aids Market: Revenue Forecasts (U.K), 2008-2015

05

1015202530354045

2008 2009 2010 2011 2012 2013 2014 2015

Rev

enue

s ($

Mill

ion)

0

1

2

3

4

5

6

Gro

wth

Rat

e (%

)



161M414-54

Mobility Aids Market in Scandinavia

SwedenThe United nations convention on rights of person with disabilities were enforced in 2008 in Sweden.

Sweden invests 2.8 per cent of its gross domestic product (GDP) in the elderly care sector.

About 41 per cent of all persons with disabilities were 50 to 64 years old, whereas 27 per cent of persons with no disabilities belonged to this age group.

There were as many as 18.8 per cent of the population aged between 16 and 64 years that are impaired. The rate of unemployment in disabled population is 6.3 per cent while the same in non disabled population is 3.7 per cent.

Approximately 20 per cent of the disabled working population needed some kind of assistive

devices.

NorwayAbout 16.4 per cent of the total population aged between 16 and 64 years suffer from some form of disability in Norway.

Almost 45 per cent of the disabled population is employed.

162M414-54

Mobility Aids Market in Scandinavia (Contd…)

In a recent pan-European survey, for elderly population physical activity was highest in Sweden and Finland, where more than 85 per cent of the elderly population spent at least 3.5 hours per week on physical activity. It is believed that the elderly population in these countries are highly active, thus reducing the disabled population prevalence.

FinlandAlmost 21 percent of the elderly population aged above 65 years suffer due to some form of physical disability.Almost 4.3 percent of the total population received disability benefits paid by the Social Insurance Institution.It has been estimated that as high as 200,000 people who are disabled can join the work force.Assistive devices are available from health centers or by referral from the assistive device units of health care districts.

163M414-54

Mobility Aids Market in Scandinavia (Contd…)

Denmark

The expenditure on social services due to disability and rehabilitation in Denmark was DKK69 billion in 2006. The population increased by 7 percent over the period 1985 to 2007. However, the number of people aged above 80 years increased by 37 percent in this period.

Almost 42 percent of the disabled are employed in Denmark.

The general rule is that aids for disabled persons are granted by local authorities under the provisions of the social legislation. The assistance will normally be granted as a loan, as a cash benefit. The granting hereof is independent of the person’s age.

164M414-54



Mobility Aids Market: Market Engineering Measurements (Scandinavia), 2008







165M414-54

Revenue Forecasts


Mobility Aids Market: Revenue Forecasts (Scandinavia), 2008-2015

CAGR (2008-2015): 3.1%3.4151.520153.2146.420143.2141.820133.1137.420123.0133.320112.9129.520102.9125.82009---122.32008

Revenue Growth Rate


166M414-54



Mobility Aids Market: Revenue Forecasts (Scandinavia), 2008-2015

0.0

20.0

40.0

60.0

80.0

100.0

120.0

140.0

160.0

2008 2009 2010 2011 2012 2013 2014 2015

Rev

enue

s ($

Mill

ion)

2.62.72.82.93.0

3.13.23.33.43.5

Gro

wth

Rat

e (%

)


167M414-54



Manual Wheelchairs Market: Revenue Forecasts (Scandinavia), 2008-2015

CAGR (2008-2015): 3.1%3.569.320153.267.020143.164.920133.163.020123.061.120113.059.320103.057.62009---55.92008

Revenue Growth Rate


168M414-54


Manual Wheelchairs Market: Revenue Forecasts (Scandinavia), 2008-2015

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

2008 2009 2010 2011 2012 2013 2014 2015

Rev

enue

s ($

Mill

ion)

2.72.8

2.93.03.1

3.23.33.4

3.53.6

Gro

wth

Rat

e (%

)



169M414-54


Powered Wheelchairs Market: Revenue Forecasts (Scandinavia), 2008-2015

CAGR (2008-2015): 3.0%3.211.820153.111.520143.111.120133.010.820123.010.520112.910.220102.89.92009---9.62008

Revenue Growth Rate



170M414-54


Powered Wheelchairs Market: Revenue Forecasts (Scandinavia), 2008-2015

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

2008 2009 2010 2011 2012 2013 2014 2015

Rev

enue

s ($

Mill

ion)

2.6

2.7

2.8

2.9

3.0

3.1

3.2

3.3

Gor

wth

Rat

e (%

)



171M414-54


Mobility Scooters Market: Revenue Forecasts (Scandinavia), 2008-2015

CAGR (2008-2015): 1.0%1.217.620151.117.420141.017.220130.917.120120.916.920110.916.820100.816.62009---16.52008

Revenue Growth Rate



172M414-54


Mobility Scooters Market: Revenue Forecasts (Scandinavia), 2008-2015

15.816.016.216.416.616.8

17.017.217.417.617.8

2008 2009 2010 2011 2012 2013 2014 2015

Rev

enue

s ($

Mill

ion)

0.0

0.2

0.4

0.6

0.8

1.0

1.2

1.4

Gro

wth

Rat

e (%

)



173M414-54


Walking Aids Market: Revenue Forecasts (Scandinavia), 2008-2015

CAGR (2008-2015): 3.9%4.252.720154.150.620144.148.620133.946.720123.744.920113.643.320103.641.82009---40.32008

Revenue Growth Rate



174M414-54


Walking Aids Market: Revenue Forecasts (Scandinavia), 2008-2015

0.0

10.0

20.0

30.0

40.0

50.0

60.0

2008 2009 2010 2011 2012 2013 2014 2015

Rev

enue

s ($

Mill

ion)

3.33.43.53.63.73.83.94.04.14.24.3

Gro

wth

Rat

e (%

)



175M414-54

Mobility Aids Market in Benelux

BelgiumThe life expectancy in Belgium is 79 years. Belgium is one of the oldest countries in the world in terms of population ageing. This directly links to increasing risks of disability and healthcare expenditure as well.In 2006, 2482.6 per 100 000 population were claiming social/disability benefits over the years in Belgium.

The NetherlandsThere were an estimated 1.7 million people with severe or very severe functional disabilities in the Netherlands, of whom approximately 500,000 had very several disabilities in 2007.

Luxembourg

In Luxembourg, disability benefits are predominantly used as a pathway to early retirement; more than 80 per cent of all recipients are older than 50.

176M414-54



Mobility Aids Market: Market Engineering Measurements (Benelux), 2008







177M414-54

Revenue Forecasts

Mobility Aids Market: Revenue Forecasts (Benelux), 2008-2015

CAGR (2008-2015): 3.0%3.5107.720153.3104.020143.2100.720133.097.620122.894.820112.792.220102.789.72009---87.42008

Revenue Growth Rate



178M414-54


Mobility Aids Market: Revenue Forecasts (Benelux), 2008-2015

0.0

20.0

40.0

60.0

80.0

100.0

120.0

2008 2009 2010 2011 2012 2013 2014 2015

Rev

enue

s ($

Mill

ion)

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

Gro

wth

Rat

e (%

)



179M414-54


Manual Wheelchairs Market: Revenue Forecasts (Benelux), 2008-2015

CAGR (2008-2015): 3.5%4.057.220153.955.020143.752.920133.551.020123.249.320113.247.820103.246.32009---44.82008

Revenue Growth Rate



180M414-54


Manual Wheelchairs Market: Revenue Forecasts (Benelux), 2008-2015

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

2008 2009 2010 2011 2012 2013 2014 2015

Rev

enue

s ($

Mill

ion)

0.00.51.01.52.0

2.53.03.54.04.5

Gro

wth

Rat

e (%

)



181M414-54


Powered Wheelchairs Market: Revenue Forecasts (Benelux), 2008-2015

CAGR (2008-2015): 2.8%3.424.220153.123.420142.922.720132.822.020122.721.420112.520.920102.520.42009---19.92008

Revenue Growth Rate



182M414-54


Powered Wheelchairs Market: Revenue Forecasts (Benelux), 2008-2015

0.0

5.0

10.0

15.0

20.0

25.0

30.0

2008 2009 2010 2011 2012 2013 2014 2015

Rev

enue

s ($

Mill

ion)

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

Gro

wth

Rat

e (%

)



183M414-54


Mobility Scooters Market: Revenue Forecasts (Benelux), 2008-2015

CAGR (2008-2015): 0.7%1.214.020150.913.920140.813.720130.613.620120.513.520110.513.520100.513.42009---13.32008

Revenue Growth Rate



184M414-54


Mobility Scooters Market: Revenue Forecasts (Benelux), 2008-2015

12.8

13.0

13.2

13.4

13.6

13.8

14.0

14.2

2008 2009 2010 2011 2012 2013 2014 2015

Rev

enue

s ($

Mill

ion)

0.0

0.2

0.4

0.6

0.8

1.0

1.2

1.4

Gro

wth

Rat

e (%

)



185M414-54


Walking Aids Market: Revenue Forecasts (Benelux), 2008-2015

CAGR (2008-2015): 4.1%4.212.320154.111.820144.111.420134.110.920124.010.520114.010.120104.09.72009---9.32008

Revenue Growth Rate



186M414-54


Walking Aids Market: Revenue Forecasts (Benelux), 2008-2015

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

2008 2009 2010 2011 2012 2013 2014 2015

Rev

enue

s ($

Mill

ion)

3.9

4.0

4.0

4.1

4.1

4.2

4.2

4.3

Gro

wth

Rat

e (%

)



187M414-54

Strategic Recommendations

188M414-54

Strategic Recommendations

Competitive Prices can Help in Volume Sales and thus Increase Revenues during Economic Downturn During difficult times, volume sales is the key to grow. With increasing competition from Tier 3

manufacturers of unique products, most manufacturers have resorted to decreased profit

margin by decreasing the price of the product to compete in the price wars and to increase

sales volume.

Product Bundling can help in Driving SalesThe market has many manufacturers, who are present in multiple segments. As these devices

are a part of the daily life of the patients, accessories like cushions, seating and so on are important. Manufacturers can bundle these accessories with products, thus helping in increasing sales volume.

189M414-54

Strategic Recommendations (Contd…)

Customer Service can Help in Building Brand Value Homecare equipment market is growing steadily and is expected to replace most hospital care segments in

the future. Hence, it is of high value for manufacturers to change their product features into more simpler

and user friendly format as well as modify the marketing strategies to target the homecare population and

decision makers in the sector. Customer service would benefit the manufacturers in ensuring a good

rapport with clients and thereby help in developing a strong brand loyal patient base. Brand loyalty would

definitely pave way for increased revenues in the long run.

190

Appendix

Key Industry Participants

191M414-54

Key Industry Participants

ATO-FORM http://www.ato-form.com/

Amigo Mobility International http://www.myamigo.com

Cardinal Health http://www.cardinal.com

Days Healthcare http://www.daysmedical.com/

E t a c A B http://www.etac.com

G i r a l d i n http://www.giraldin.it/

Handicare AS http://www.handicare.com/

Herdegen SA http://www.herdegenfrance.com/

Invacare http://www.invacare.eu.com

Kueschall http://www.kueschall.ch/

Levo Ag http://www.levo.ch/

LIFANTE VEHICLES, SA http://www.lifante.net/

Ligtvoet Products BV http://www.ligtvoetproducts.nl/

MEYRA http://www.meyra.com

Newton Products http://www.newtonproducts.co.uk/

Nuova Blandino SpA http://www.nuovablandino.com/

O.P.O. srl http://oposrl.com/

192M414-54

PERMOBIL http://www.permobil.com

PRIDE MOBILITY http://www.pridemobility.com

RCN Medizin- und Rehatechnik GmbH http://www.rcn-medizin.de

RJ Mobility Ltd http://www.rjmobility.com

Remploy Healthcare http://www.remployhealthcare.com

Rehabilitationsmittel GmbH http://www.rebotec.de

SKS Rehab AG http://www.sks-rehab.ch

Sunrise Medical http://www.sunrisemedical.com

SURACE SpA http://www.surace.it

Swereco Rehab AB http://www.swereco.se

THUASNE Deutschland GmbH http://www.thuasne.com

Top Chair http://pagesperso-orange.fr/topchair/index_en.htm

Ulrich Alber GmbH http://www.alber.de

Uniroller GmbH http://www.uniroll.de

Vermeiren NV http://www.vermeiren.com

Vross Wheelchairs Ltd http://www.davincimobility.co.uk

Wellco Mobility BV http://gb.huka.nl

Welzorg Nederland B.V http://www.welzorg.nl

Werner Schulte-Derne GmbH http://www.schulte-derne.de

Wulfhorst GmbH http://www.wulfhorst.de

Key Industry Participants (Contd…)

193

Decision Support Database

194M414-54

Total Population (Western Europe), 2002-2012

Western EuropeAustria 8.2 8.2 8.2 8.2 8.2 8.2 8.2 8.2 8.2 8.2 8.2 0.06Belgium 10.3 10.3 10.4 10.4 10.4 10.4 10.4 10.4 10.4 10.4 10.4 0.10Denmark 5.4 5.4 5.4 5.4 5.5 5.5 5.5 5.5 5.5 5.5 5.5 0.27Finland 5.2 5.2 5.2 5.2 5.2 5.2 5.2 5.3 5.3 5.3 5.3 0.10France 59.9 60.2 60.4 60.7 60.9 61.1 61.3 61.5 61.6 61.8 62.0 0.29Germany 82.4 82.4 82.4 82.4 82.4 82.4 82.4 82.3 82.3 82.2 82.2 (0.05)Greece 10.6 10.6 10.7 10.7 10.7 10.7 10.7 10.7 10.8 10.8 10.8 0.12Iceland 0.3 0.3 0.3 0.3 0.3 0.3 0.3 0.3 0.3 0.3 0.3 0.55Ireland 3.9 3.9 4.0 4.0 4.1 4.1 4.2 4.2 4.3 4.3 4.3 1.12Italy 57.9 58.0 58.1 58.1 58.1 58.2 58.2 58.1 58.1 58.0 58.0 (0.05)Luxembourg 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 1.37Netherlands 16.1 16.2 16.3 16.4 16.5 16.6 16.7 16.7 16.8 16.9 16.9 0.42Norway 4.5 4.6 4.6 4.6 4.6 4.6 4.6 4.7 4.7 4.7 4.7 0.36Portugal 10.4 10.5 10.5 10.6 10.6 10.6 10.7 10.7 10.7 10.8 10.8 0.27Spain 40.2 40.2 40.3 40.3 40.4 40.5 40.5 40.5 40.6 40.6 40.6 0.07Sweden 9.0 9.0 9.0 9.0 9.0 9.0 9.1 9.1 9.1 9.1 9.1 0.15Switzerland 7.4 7.4 7.5 7.5 7.5 7.6 7.6 7.6 7.6 7.6 7.7 0.31United Kingdom 59.9 60.1 60.3 60.4 60.6 60.8 60.9 61.1 61.3 61.5 61.6 0.28TOTAL 391.9 392.9 393.8 394.7 395.5 396.2 396.8 397.4 398.0 398.4 398.8 0.14

Decision Support DatabaseTable Total Population (Mn)

Region / Country 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 CAGR % (2005 - 2012)


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Population 65 Plus (Western Europe), 2002-2012

Decision Support DatabaseTable Population 65 Plus (Mn)


Western EuropeAustria 1.3 1.3 1.3 1.4 1.4 1.4 1.5 1.5 1.5 1.5 1.5 1.38Belgium 1.8 1.8 1.8 1.8 1.8 1.8 1.8 1.8 1.9 1.9 1.9 0.99Denmark 0.8 0.8 0.8 0.8 0.8 0.8 0.9 0.9 0.9 1.0 1.0 2.81Finland 0.8 0.8 0.8 0.8 0.9 0.9 0.9 0.9 0.9 0.9 1.0 2.23France 9.7 9.8 9.9 10.0 10.0 10.0 10.1 10.2 10.3 10.5 10.8 1.26Germany 14.2 14.6 15.1 15.6 16.0 16.3 16.5 16.7 16.8 16.7 16.8 0.80Greece 1.9 2.0 2.0 2.0 2.0 2.0 2.1 2.1 2.1 2.1 2.1 0.88Iceland 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.00Ireland 0.4 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.6 2.65Italy 10.7 10.9 11.1 11.3 11.5 11.6 11.7 11.7 11.8 11.9 12.1 0.95Luxembourg 0.1 0.1 0.1 0.1 0.1 0.1 0.1 0.1 0.1 0.1 0.1 2.25Netherlands 2.2 2.2 2.3 2.3 2.4 2.4 2.4 2.5 2.5 2.6 2.7 2.53Norway 0.7 0.7 0.7 0.7 0.7 0.7 0.7 0.7 0.7 0.8 0.8 2.09Portugal 1.7 1.8 1.8 1.8 1.8 1.8 1.9 1.9 1.9 1.9 2.0 1.24Spain 7.0 7.1 7.1 7.1 7.2 7.2 7.3 7.4 7.5 7.5 7.6 1.00Sweden 1.5 1.6 1.6 1.6 1.6 1.6 1.7 1.7 1.8 1.8 1.8 2.37Switzerland 1.1 1.1 1.1 1.2 1.2 1.2 1.2 1.2 1.3 1.3 1.3 2.03United Kingdom 9.4 9.4 9.5 9.5 9.6 9.6 9.7 9.9 10.0 10.2 10.5 1.58TOTAL 65.4 66.4 67.4 68.4 69.3 70.0 70.8 71.7 72.4 73.3 74.6 1.24


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Total Healthcare Expenditure (Western Europe), 2002-2012

Decision Support DatabaseTable Total Healthcare Expenditure (Bn USD)


Western EuropeAustria 15.3 19.2 22.1 23.1 24.0 24.8 25.7 26.5 27.2 27.9 28.5 3.04Belgium 22.6 29.3 34.0 35.8 37.4 38.9 40.3 41.6 42.9 44.1 45.3 3.40Denmark 15.2 19.2 22.2 23.4 24.4 25.4 26.4 27.4 28.3 29.3 30.3 3.78Finland 9.5 11.8 13.6 14.4 15.1 16.0 16.9 17.7 18.5 19.3 20.1 4.90France 139.0 176.8 205.6 217.9 228.6 239.0 249.3 259.1 268.4 277.8 286.6 3.99Germany 211.1 258.9 294.6 305.9 314.9 323.7 332.6 341.2 349.3 358.1 366.6 2.62Greece 13.0 17.2 19.6 22.3 23.9 25.4 27.0 28.6 30.2 31.8 33.4 5.99Iceland 0.8 1.1 1.3 1.6 1.8 2.0 2.1 2.3 2.4 2.6 2.7 7.80Ireland 9.7 12.8 15.4 16.3 17.9 19.3 20.8 22.3 23.8 25.3 26.8 7.43Italy 99.6 122.3 139.7 143.4 149.1 154.0 159.0 163.8 168.1 172.0 175.4 2.92Luxembourg 1.5 1.9 2.3 2.5 2.7 2.8 2.9 3.0 3.2 3.3 3.4 4.14Netherlands 39.0 50.4 58.1 60.6 63.8 66.2 68.7 71.1 73.3 75.5 77.6 3.59Norway 18.3 22.7 26.1 30.4 32.5 34.7 36.9 39.3 41.4 43.4 45.5 5.94Portugal 11.3 14.3 16.5 17.3 18.2 19.1 20.0 20.9 21.9 22.8 23.8 4.60Spain 49.7 65.0 77.1 88.4 94.4 100.2 106.1 112.1 117.6 123.2 128.1 5.45Sweden 22.2 28.4 33.5 34.1 35.6 37.1 39.2 41.4 43.9 46.6 49.7 5.53Switzerland 29.7 37.0 41.5 43.1 45.7 48.4 51.1 53.8 56.5 59.3 62.2 5.39United Kingdom 121.0 141.5 170.0 180.7 191.9 203.3 214.8 227.0 238.7 250.4 262.6 5.49TOTAL 828.6 1,029.6 1,193.2 1,261.1 1,321.7 1,380.3 1,439.8 1,499.0 1,555.5 1,612.8 1,668.5 4.08


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Per Capita Healthcare Expenditure (Western Europe), 2002-2012

Decision Support DatabaseTable Per Capita Healthcare Expenditure (USD)Region / Country 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012Western EuropeAustria 1,879 2,353 2,701 2,828 2,929 3,028 3,127 3,222 3,309 3,392 3,471Belgium 2,187 2,837 3,282 3,458 3,601 3,740 3,875 4,000 4,116 4,231 4,336Denmark 2,838 3,560 4,098 4,302 4,473 4,642 4,818 4,980 5,134 5,304 5,466Finland 1,827 2,277 2,610 2,749 2,895 3,052 3,216 3,368 3,511 3,665 3,814France 2,320 2,938 3,403 3,593 3,755 3,913 4,068 4,216 4,355 4,496 4,627Germany 2,563 3,142 3,575 3,711 3,821 3,929 4,038 4,144 4,246 4,354 4,461Greece 1,229 1,614 1,840 2,085 2,232 2,373 2,519 2,661 2,805 2,954 3,104Iceland 2,897 3,759 4,448 5,400 6,000 6,600 7,100 7,355 7,871 8,387 8,839Ireland 2,508 3,265 3,882 4,042 4,397 4,703 4,998 5,305 5,593 5,886 6,184Italy 1,720 2,108 2,406 2,468 2,565 2,648 2,734 2,819 2,893 2,964 3,025Luxembourg 3,378 4,065 4,913 5,383 5,702 5,833 5,959 6,204 6,300 6,520 6,588Netherlands 2,417 3,105 3,563 3,695 3,866 3,998 4,127 4,251 4,368 4,482 4,588Norway 4,029 4,982 5,705 6,614 7,043 7,486 7,961 8,427 8,846 9,260 9,654Portugal 1,087 1,361 1,565 1,640 1,716 1,792 1,874 1,954 2,036 2,122 2,204Spain 1,238 1,615 1,915 2,191 2,336 2,478 2,621 2,765 2,901 3,036 3,158Sweden 2,475 3,163 3,731 3,786 3,941 4,106 4,328 4,573 4,838 5,124 5,457Switzerland 4,039 4,995 5,576 5,752 6,077 6,404 6,737 7,076 7,415 7,766 8,120United Kingdom 2,019 2,354 2,820 2,989 3,166 3,345 3,525 3,714 3,895 4,075 4,262TOTAL 2,114 2,620 3,030 3,195 3,342 3,484 3,628 3,772 3,909 4,048 4,183


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Number of Hospitals (Western Europe), 2002-2012

Decision Support DatabaseTable Number of Hospitals


Western EuropeAustria 280 272 267 262 258 254 250 246 242 239 236 (1.48)Belgium 219 218 214 210 206 202 198 195 192 189 186 (1.72)Denmark 68 67 64 61 58 56 54 52 50 48 46 (3.95)Finland 391 382 370 367 364 361 358 356 354 352 350 (0.68)France 3,146 2,934 2,860 2,788 2,718 2,648 2,580 2,513 2,447 2,382 2,317 (2.61)Germany 2,221 2,197 2,166 2,148 2,131 2,115 2,100 2,085 2,071 2,058 2,045 (0.70)Greece 332 328 324 320 316 313 310 307 304 302 300 (0.92)Iceland 20 20 20 20 20 20 20 19 19 19 19 (0.73)Ireland 100 99 97 97 97 96 96 95 95 95 95 (0.30)Italy 1,286 1,281 1,263 1,245 1,226 1,207 1,187 1,167 1,147 1,126 1,105 (1.69)Luxembourg 18 18 18 18 18 17 17 17 17 16 16 (1.67)Netherlands 201 198 194 190 186 182 179 176 173 170 167 (1.83)Norway 440 433 426 419 413 407 401 395 390 385 380 (1.39)Portugal 213 204 200 196 192 189 186 183 181 179 177 (1.45)Spain 759 768 774 770 766 762 758 754 751 748 745 (0.47)Sweden 80 81 78 75 72 70 68 66 65 64 63 (2.46)Switzerland 365 354 348 342 336 330 325 320 315 310 305 (1.62)United Kingdom 1,148 1,142 1,119 1,096 1,073 1,050 1,028 1,006 984 963 942 (2.14)TOTAL 11,287 10,996 10,802 10,624 10,450 10,279 10,115 9,952 9,797 9,645 9,494 (1.59)


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About Frost & Sullivan

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Who is Frost & Sullivan

The Growth Consulting Company

• Founded in 1961, Frost & Sullivan has over 45 years of assisting clients with their decision-making and growth issues.

• Over 1,700 Growth Consultants and Industry Analysts across 32 global locations

• Over 10,000 clients worldwide - emerging companies, the global 1000 and the investment community

• Developers of the Growth Excellence Matrix – industry leading growth positioning tool for corporate executives

• Developers of T.E.A.M. Methodology, proprietary process to ensure that clients receive a 360o

perspective of technology, markets and growth opportunities

• Three core services: Growth Partnership Services, Growth Consulting and Career Best Practices

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What Makes Us Unique

Exclusively Focused on Growth

Global thought leader exclusively focused on addressing client growth strategies and plans –Team actively engaged in researching and developing of growth models that enable clients to achieve aggressive growth objectives.

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Cover the broad spectrum of industries and technologies to provide clients with the ability to look outside the box and discover new and innovative ideas.

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360o Perspective

Proprietary T.E.A.M.TM Methodology integrates all 6 critical research methodologies to significantly enhance the accuracy of decision making and lower the risk of implementing growth strategies.

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Trusted Partner

Working closely with client Growth Teams –helping them generate new growth initiatives and leverage all of Frost & Sullivan assets to accelerate their growth.

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T.E.A.M. Methodology

Frost & Sullivan’s proprietary T.E.A.M. methodology, ensures that clients have complete “360 Degree Perspective” from which to drive decision-making. Technical, Econometric, Application, and Market information ensures that clients have a comprehensive view of industries, markets and technology.

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Global Perspective

• 1,700 staff across every major market worldwide

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