Grand Valley State University, Grand Rapids, MI, USA.
Oklahoma City University, Oklahoma City, OK, USA.
Dev Med Child Neurol. 2018 Oct;60(10):1018-1025. doi: 10.1111/dmcn.13960. Epub 2018 Jun 28.
To explore the views and practices of paediatric occupational therapists and physical therapists in Canada and the USA regarding the implementation of power mobility for children with mobility limitations.
This descriptive study utilized a web-based survey that included questions pertaining to therapists' decisions to trial and use power mobility, agreement or disagreement with statements developed from published practice considerations regarding power mobility, and the frequency of performing tasks related to power mobility prescription and training.
Most respondents reported that child characteristics (e.g. cognition, safety awareness) were important factors in decision-making about power mobility, whereas other child characteristics (e.g. communication abilities, age) were not as important. Family resources and home accessibility were also not considered important. The average age at which respondents considered power mobility for children was 2 years 3 months. The majority of respondents agreed with statements developed from published practice considerations and most frequently performed various power mobility tasks twice a year or less.
Although most respondents appeared to have positive views regarding power mobility, few appeared to actively perform power mobility tasks in their practice. Resources to support therapists in the early introduction of power mobility may be beneficial.
Occupational and physical therapists positively view early introduction of power mobility for children with mobility limitations. Few therapists actively provide early power mobility experiences. Power mobility training and monitoring power mobility devices are important therapist roles.
探讨加拿大和美国的儿科作业治疗师和物理治疗师在为行动受限的儿童实施电动移动辅具方面的观点和实践。
本描述性研究采用了基于网络的调查,其中包括有关治疗师试用和使用电动移动辅具的决策、对从发表的电动移动辅具实践注意事项中得出的陈述的同意或不同意,以及与电动移动辅具处方和培训相关任务的执行频率等问题。
大多数受访者报告说,儿童的特征(如认知、安全意识)是决策电动移动辅具的重要因素,而其他儿童特征(如沟通能力、年龄)则不那么重要。家庭资源和家庭无障碍程度也不被认为是重要因素。受访者认为儿童适合使用电动移动辅具的平均年龄为 2 岁 3 个月。大多数受访者同意从发表的实践注意事项中得出的陈述,并且大多数人每年执行各种电动移动辅具任务两次或更少。
尽管大多数受访者对电动移动辅具持有积极的观点,但很少有受访者在实践中积极提供电动移动辅具体验。为治疗师提供支持以尽早引入电动移动辅具的资源可能会有所帮助。
作业治疗师和物理治疗师对有行动受限的儿童尽早引入电动移动辅具持积极看法。很少有治疗师积极提供早期的电动移动辅具体验。电动移动辅具培训和监测电动移动辅具设备是治疗师的重要角色。