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早期电动移动能力:对与儿童使用早期电动移动设备相关因素及家长设备偏好的探索。

Beginning power mobility: An exploration of factors associated with child use of early power mobility devices and parent device preference.

作者信息

Livingstone Roslyn W, Bone Jeffrey, Field Debra A

机构信息

Therapy Department, Sunny Hill Health Centre for Children, Vancouver, BC, Canada.

Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver, BC, Canada.

出版信息

J Rehabil Assist Technol Eng. 2020 Jun 17;7:2055668320926046. doi: 10.1177/2055668320926046. eCollection 2020 Jan-Dec.

DOI:10.1177/2055668320926046
PMID:32595979
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7301654/
Abstract

OBJECTIVES

Describe and compare young children's use of four early power mobility devices and examine associations between child and environmental factors that may influence power mobility use and parent device preference.

DESIGN

Cross-sectional observational study.

METHODS

Power Mobility Days introduced four devices: Wizzybug, Bugzi, Tiger Cub, and a switch-adapted ride-on toy car in a single 60-90 min, play-based session.

RESULTS

A convenience sample of 74 children, aged 9-68 months (mean: 32.45, SD: 14.08) with mobility limitations, and their parents participated. Children had a range of motor, postural and communication profiles, with cerebral palsy being the most common condition ( = 55; 73.33%). Assessment of Learning Powered mobility use phase achieved ranged from 1 to 6; mean: 2.34; median: 2. For children who tried all four devices ( = 51), Friedman test (χ: 8.27, =0.04) suggests Assessment of Learning Powered mobility use phase differs across devices. Of 73 parents who identified a device preference, 43 (59%) chose Wizzybug. Regression analyses suggest that access method and communication function may influence children's power mobility use, while age, access and postural support requirements may influence parent device choice.

DISCUSSION

Parent impressions of an early power mobility device may be influenced by many factors, yet be less influenced by child performance.

摘要

目的

描述并比较幼儿对四种早期动力移动设备的使用情况,并研究可能影响动力移动设备使用及家长对设备偏好的儿童因素和环境因素之间的关联。

设计

横断面观察性研究。

方法

动力移动日活动在一次60 - 90分钟、以玩耍为基础的活动环节中引入了四种设备:Wizzybug、Bugzi、Tiger Cub以及一辆适配开关的乘骑玩具车。

结果

74名年龄在9 - 68个月(平均:32.45,标准差:14.08)且有行动障碍的儿童及其家长参与了此次便利抽样研究。儿童具有一系列运动、姿势和沟通方面的特征,其中脑瘫是最常见的病症(n = 55;73.33%)。对学习动力移动设备使用阶段的评估得分范围为1至6;平均:2.34;中位数:2。对于尝试了所有四种设备的儿童(n = 51),弗里德曼检验(χ²:8.27,p = 0.04)表明,不同设备的学习动力移动设备使用阶段评估存在差异。在73名表明有设备偏好的家长中,43名(59%)选择了Wizzybug。回归分析表明,接入方式和沟通功能可能会影响儿童对动力移动设备的使用,而年龄、接入方式和姿势支撑需求可能会影响家长对设备的选择。

讨论

家长对早期动力移动设备的印象可能受多种因素影响,但受儿童表现的影响较小。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34c2/7301654/bd03de520fb0/10.1177_2055668320926046-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34c2/7301654/bd03de520fb0/10.1177_2055668320926046-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34c2/7301654/bd03de520fb0/10.1177_2055668320926046-fig1.jpg

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