What does “independence” mean in rehabilitation service?

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Traditionally, rehabilitation professionals and members of the disability rights movement have favored the maximization of independence as an important and desirable goal of rehabilitation. Many rehabilitation specialists believe the term "independence" has a very particular meaning: the ability to do things with minimal assistance from other people or machines. This creates a hierarchy of desirable treatment outcomes. The best is when the patient can approximate the activities of an unimpaired, robust individual without human or mechanical assistance. The next best is when the person can perform such tasks using the latest assistive devices. The least desirable outcome is that the individual still requires human assistance to perform the activities at the end of the rehabilitative process.
The meaning of the term "independence" is more complex and less obvious when defined and used by members of the disability rights movement. Their usage emphasizes social independence and has a meaning closer to self-determination. For people in the disability rights movement, the most important determinant of autonomy is not whether one relies on others or devices for assistance but the degree to which the individual determines decisions about assistance and other aspects of life with a disability.