Effects of Power Wheelchairs on the Development and Function of Young Children With Severe Motor Impairments

被引:106
作者
Jones, Maria A. [1 ]
McEwen, Irene R. [1 ]
Neas, Barbara R. [2 ]
机构
[1] Univ Oklahoma, Hlth Sci Ctr, Dept Rehabil Sci, Coll Allied Hlth, Oklahoma City, OK 73117 USA
[2] Univ Oklahoma, Hlth Sci Ctr, Coll Publ Hlth, Dept Biostat & Epidemiol, Oklahoma City, OK 73117 USA
关键词
activities of daily living; child; child/preschool; child development; cognition; communication; disabled child; disability evaluation; female; humans; learning; male; motor skills; physical therapy/methods; practice; social development; spatial behavior; treatment outcome; wheelchairs; DISABILITY INVENTORY; PEDIATRIC EVALUATION; CEREBRAL-PALSY; MOBILITY; INFANT; RESPONSIVENESS; LOCOMOTION; BEHAVIORS; PRESCHOOL; SEARCH;
D O I
10.1097/PEP.0b013e31824c5fdc
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Purpose: The purpose of this pilot randomized controlled study was to identify any effects of power wheelchairs on the development and function of young children with severe motor impairments. Methods: Participants were 28 children with various diagnoses, aged 14 to 30 months when they entered the study. The Battelle Developmental Inventory (BDI), Pediatric Evaluation of Disability Inventory, and Early Coping Inventory were administered at entry and after 12 months. Results: The on-protocol analysis comparing median change scores showed the experimental groups' BDI receptive communication scores, and their Pediatric Evaluation of Disability Inventory mobility functional skills, mobility caregiver assistance, and self-care caregiver scores improved significantly more than the control group's scores. An intention-to-treat analysis upheld the findings and revealed an additional difference between the groups' BDI total score. Conclusion: The results support use of power wheelchairs with children as young as age 14 months to enhance development and function, although additional research is needed. (Pediatr Phys Ther 2012;24:131-140)
引用
收藏
页码:131 / 140
页数:10
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