Standing power wheelchairs and their use by children and youth with mobility limitations: an interrupted time series

Field, Debra A; Borisoff, Jaimie; Chan, Franco; Livingstone, Roslyn; Miller, William C.

doi:10.1080/17483107.2022.2096933

Cited by 2 publications

(11 citation statements)

References 49 publications

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“…Improved participation was reported after individualized power mobility training with a training device; 36,40,41,44 however, these results showed many issues with regard to risk of bias and quality assessments. Moreover, significant improvements were demonstrated in two studies where power wheelchairs were provided for children without any other intervention 45,50 . Advancements in manual wheelchair skills together with better physical activity also indicated a carry‐over effect towards activity and participation that improved 1.9% ( p = 0.007) 48 .…”

Section: Resultsmentioning

confidence: 98%

“…However, power wheelchairs with switch systems ( n = 3) 50–52 and custom‐made steering systems 43 were also used. One study used power wheel‐chairs with powered standing function controlled by joystick 45 . A power wheelchair training device, that is, a motorized platform with switches was adopted in four single‐case design studies by Kenyon et al, 36,40,41,44 and in a case study by Kakimoto et al 35 Computer simulation training, where participants sat in front of one or multiple computer screens using a joystick as the input device, was used in four studies 39,46,47,49 .…”

Section: Resultsmentioning

confidence: 99%

“…Moreover, significant improvements were demonstrated in two studies where power wheelchairs were provided for children without any other intervention. 45,50 Advancements in manual wheelchair skills together with better physical activity also indicated a carry-over effect towards activity and participation that improved 1.9% (p = 0.007). 48 Study results were sound on risk of bias assessments and demonstrated high scores on quality appraisal.…”

Section: Effectiveness Of Wheeled Mobility Skills Interventions On Ac...mentioning

confidence: 95%

“…One study used power wheelchairs with powered standing function controlled by joystick. 45 A power wheelchair training device, that is, a motorized platform with switches was adopted in four single-case design studies by Kenyon et al, 36,40,41,44 and in a case study by Kakimoto et al 35 Computer simulation training, where participants sat in front of one or multiple computer screens using a joystick as the input device, was used in four studies. 39,46,47,49 A fully immersive virtual reality-based training with a head-mounted display and joystick steering was performed in an RCT.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Twenty studies fulfilled the inclusion criteria and were therefore included in this systematic review. Three single-case studies, [35][36][37] eight case series, [38][39][40][41][42][43][44][45] four studies with two-group pre-test/ post-test design, [46][47][48][49] three studies with one-group pre-test/ post-test design, [50][51][52] and two randomized controlled trials (RCTs) were identified. 53,54 Appendix S3 reports all the remaining excluded articles with the reasons for exclusion.…”

Section: Studies Included In the Reviewmentioning

confidence: 99%

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Effectiveness of wheeled mobility skill interventions in children and young people with cerebral palsy: A systematic review

Naaris

Bekteshi

Aufheimer

et al. 2023

Develop Med Child Neuro

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AimTo systematically review the effectiveness of wheeled mobility interventions in children and young people with cerebral palsy (CP).MethodA systematic literature search was performed in MEDLINE, Embase, Cochrane Central Register of Controlled Trials, EBSCO, PEDro, and Web of Science using database‐specific concepts such as ‘child’ and ‘wheelchair’. Studies focusing on wheeled mobility skill interventions with participants aged 6 to 21 years with CP were included.ResultsTwenty studies with 203 participants were included. The impact of wheeled mobility skill interventions was assessed on mobility skills (n = 18), activity and participation (n = 10), and quality of life (n = 3). No studies reported effects on stress, fatigue, and motivational aspects. Interventions included power wheelchair skill training (n = 12), computer‐based training (n = 5), smart wheelchair training (n = 2), and manual wheelchair training (n = 1), showing positive wheeled mobility intervention effects. Study quality based on the Methodological Index for Non‐Randomized Studies scale was 9 out of 16 and 14 out of 24 for non‐comparative and comparative studies respectively. Risk of bias was serious‐to‐critical on the Risk of Bias in Non‐Randomized Studies of Interventions.InterpretationWheeled mobility interventions showed promising beneficial effects on wheeled mobility, activity and participation, and quality of life for children and young people with CP. Future studies with structured and standardized training programmes and assessment tools are warranted to further accelerate the wheeled mobility skill acquisition process in this population.

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Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%

Section: Effectiveness Of Wheeled Mobility Skills Interventions On Ac...mentioning

confidence: 95%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Studies Included In the Reviewmentioning

confidence: 99%

See 3 more Smart Citations

Effectiveness of wheeled mobility skill interventions in children and young people with cerebral palsy: A systematic review

Naaris

Bekteshi

Aufheimer

et al. 2023

Develop Med Child Neuro

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Enabled to Stand: A Single-subject Research Design Study Exploring Pediatric Power Wheelchair Standing Device Use

Kenyon,

Aldrich,

Behl

et al. 2024

Pediatric Physical Therapy

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Purpose: To investigate the influence of powered wheelchair standing device (PWSD) use on changes in activity/participation in children with neurodevelopmental conditions. Methods: A mixed methods A-B-A single-subject research design was replicated with participants. The target behavior was parental perceptions of changes in children’s performance of activity/participation goals measured via the Canadian Occupational Performance Measure (COPM). Secondary outcome measures included the COPM with children, an interview, and a 3-measure implementation survey. COPM data related to the target behavior were analyzed using the split-middle celeration line method. Results: Four child-parent dyads participated in the study. All participants achieved statistically and clinically significant increases in COPM performance ratings for the 5 parent-identified activity/participation goals. Conclusions: For the participant dyads in this study, use of the PWSD appeared to positively influence parental perceptions of improvements in their child’s performance of activity/participation goals.

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Standing power wheelchairs and their use by children and youth with mobility limitations: an interrupted time series

Cited by 2 publications

References 49 publications

Effectiveness of wheeled mobility skill interventions in children and young people with cerebral palsy: A systematic review

Effectiveness of wheeled mobility skill interventions in children and young people with cerebral palsy: A systematic review

Enabled to Stand: A Single-subject Research Design Study Exploring Pediatric Power Wheelchair Standing Device Use

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