The students adopted both a functional and a psychosocial perspective of their devices, and providers should neglect neither. Children and youth need both verbal information and practical experience using devices to be able to make informed decisions.
Mobile phone 0046 70 395 90 01 2 ABSTRACT Aim: This study compared daily activity energy expenditure (AEE) in children with cerebral palsy with a control group and investigated whether the children achieved healthy levels of physical activity.
Methods:We enrolled eight children with bilateral cerebral palsy, from eight to 10 years of age, and a group of controls matched for age and gender. For three days physical activity was simultaneously measured by accelerometers and self-reports using a diary. The daily AEE results were compared between groups and methods. The number of children that achieved healthy physical activity levels in each group was explored.Results: Children with cerebral palsy had significantly lower daily AEE, as measured by accelerometers, than the controls and they did not achieve the healthy moderate to heavy physical activity level defined in the Nordic Nutrition Recommendations. Self-reports using the diaries resulted in an overestimation of physical activity compared with the ankle accelerometer measurements in both groups.
Conclusion:Our investigation of physical activity in children with cerebral palsy and controls using accelerometers and a diary, found low levels of daily AEE and physical activity and these results were most prominent in the group with cerebral palsy. The diaries overestimated physical activity in both groups.Keywords: Accelerometer, Activity energy expenditure, Cerebral palsy, Children, Physical activity level
Key notes• This study compared daily activity energy expenditure in children with cerebral palsy with a control group and investigated whether the children achieved healthy levels of physical activity.
3• Accelerometer measurements show lower daily activity energy expenditure and physical activity levels in eight children with cerebral palsy than eight matched controls.• Self-reports using a diary overestimated physical activity in both groups when they were compared with accelerometer readings.
The service delivery process (SDP) of assistive technology devices (ATDs) is attracting interest, as the provision of ATDs is critical for the independence and participation in society of individuals with disabilities. The purpose of the current study was to investigate what impact the SDP has on satisfaction with ATDs in individuals with disabilities in relation to everyday activities. A systematic literature review was conducted, which resulted in 53 articles included. The results showed that there are factors in almost all the different steps of the SDP that affect the satisfaction with of the devices, which can lead to underutilization and abandonment of ATDs. Only a few studies have been conducted with a design robust enough to generalize the results; therefore, more research is needed. Therefore, the conclusion is the SDP as a whole contributes to the satisfaction with and usability of ATDs in individuals with disability in relation to achieving the desired goals of participation in everyday activities, for the articles included must be deemed as moderate. A client-centred approach in the process is advocated, and was found to be an important factor for an effective SDP and satisfied users.
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