Wheelchairs for children under 12 with physical impairments

Casey, Jackie; McKeown, Laura; McDonald, Rachael; Martin, Suzanne

doi:10.1002/14651858.cd010154.pub2

Cited by 4 publications

(6 citation statements)

References 39 publications

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“…Therefore, further research evaluating the performance of younger children using multi-site trials to increase participant numbers is recommended. In addition, exploration of how powered mobility can be used to enable young children to fully participate in daily activities should be considered (Casey et al., 2012) to contribute to the limited evidence base on the effectiveness of powered mobility as an intervention.…”

Section: Discussionmentioning

confidence: 99%

Electrically powered indoor/outdoor chair performance for children aged 7 to 9 years

McCourt

Casey

2016

British Journal of Occupational Therapy

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Introduction: Northern Ireland wheelchair guidelines state that wheelchair users who wish to drive their National Health Service provided powered wheelchairs outdoors must complete an electrically powered indoor/outdoor chair test. Within the same guidelines, children in Northern Ireland under the age of 10 years are not permitted to complete this assessment. Research was completed to evaluate how children under 10 years would perform in electrically powered indoor/outdoor chair training and testing under adult supervision. Method: A case-study design was utilised with three children aged 7-9 years to evaluate if: (a) these children can complete electrically powered indoor/outdoor chair training/testing safely with adult supervision; (b) the length of time using an electric powered indoor chair correlates with performance on electrically powered indoor chair training/testing; (c) the current Northern Ireland guidelines on age restriction should be re-evaluated so that each child is assessed on an individual basis rather than age. Findings: Paediatric powered wheelchair users aged seven to nine years can become competent electrically powered indoor/ outdoor chair users with adequate training and adult supervision. Length of time (years) driving an electrically powered indoor chair may not correlate with improved electrically powered indoor/outdoor chair performance. Conclusion: Regional Northern Ireland criteria relating to electrically powered indoor/outdoor chair provision for children should be revised in order to consider an individual needs assessment, rather than imposing an age restriction.

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Section: Discussionmentioning

confidence: 99%

Electrically powered indoor/outdoor chair performance for children aged 7 to 9 years

McCourt

Casey

2016

British Journal of Occupational Therapy

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“…Children with physical impairments may suffer from limitations in walking, ranging from impaired to no walking. Often they require mobility aids or wheelchairs to compensate for these difficulties [1]. Physical impairments can to varying degrees, adversely affect the physical, cognitive and sensory development of a child, with adverse impacts on health and wellbeing [1].…”

Section: Introductionmentioning

confidence: 99%

“…Often they require mobility aids or wheelchairs to compensate for these difficulties [1]. Physical impairments can to varying degrees, adversely affect the physical, cognitive and sensory development of a child, with adverse impacts on health and wellbeing [1]. These impacts can be influenced by a number of factors, such as; body structure and function, daily activities of personal care, participation in home, school, work and family issues and other personal factors [1], [2].…”

Section: Introductionmentioning

confidence: 99%

“…Physical impairments can to varying degrees, adversely affect the physical, cognitive and sensory development of a child, with adverse impacts on health and wellbeing [1]. These impacts can be influenced by a number of factors, such as; body structure and function, daily activities of personal care, participation in home, school, work and family issues and other personal factors [1], [2]. Reductions in muscular strength, difficulties in coordination, and alterations in the gross and fine motor movements are the most common limitations caused by physical motor disabilities [3].…”

Section: Introductionmentioning

confidence: 99%

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The Use of Gamification Techniques in a Clinical Setting for the Collection of Longitudinal Kinematic Data

Ennis

Cleland

Nugent

et al. 2016

Ubiquitous Computing and Ambient Intelligence

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Children with physical impairments, ranging from impaired mobility to very limited mobility, often require mobility aids to compensate for these difficulties. These impairments can adversely affect the child to varying degrees and have an impact on their health and wellbeing. It is estimated that 30%-40% of medical interventions have no reported evidence base and another 20% of interventions delivered are ineffective. Clinicians are under increasing pressure to provide evidence of the effectiveness of prescribed treatments and products. Therefor there is a need to provide clinicians with empirical data that evidences practice and provides a quantified assessment of treatment efficacy through data gathering in both real-time and longitudinally, combined with data analytics to further develop treatment strategies. This paper presents a system to assist and enable clinicians to analyze and asses the effectiveness and usage of prescribed treatments for physically impaired children. The system achieves this through the use of a gamified data collection app and a web portal to analyze and present summarized measures of gait.

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“…Providers were once concerned that wheelchairs limited the development of independent walking skills and recommended wheelchairs be a last option for children with motor impairments (Wiart et al, 2004). “Independent mobility, in whatever form, is now often viewed as the foundation for engagement in all daily activities” and current trends are to provide wheelchairs as early as possible to children with motor impairments (Casey et al, 2017, para. 3).…”

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confidence: 99%

A Study of Improving Independent Walking Outcomes in Children Who Are Blind or Have Low Vision Aged 5 Years and Younger

Ambrose-Zaken

2022

Journal of Visual Impairment & Blindness

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Walking alone (without assistance) is considered by the World Health Organization as the terminal independent walking milestone, typically achieved by 18 months. Children born with severe visual impairment and blindness (visual impairments) do not achieve independent walking milestones on time. This study examined independent walking in 35 children with visual impairments (VIs) aged 14–69 months. Before treatment, they had limited to no anticipatory control. Wearing the pediatric belt cane (PBC) provided them with consistent, tactile anticipatory control. Thirty-five participants with VIs’ independent walking milestones were analyzed using pre- and post-video recordings provided weekly 1 month before and the 3 months after obtaining the PBC. The PBC consisted of a rectangular frame that connects to a custom-made belt with magnets. The PBC provided no weight support. While none of the participants had motor impairments, 80% of them were receiving physical therapy services prior to obtaining a PBC. Fifty-four percent were receiving orientation and mobility services, and half were equipped with hand-held mobility tools (long canes, adaptive mobility devices, push toys, and reverse walkers). A paired samples t-test indicated a significant difference between the before and with PBC scores ( N = 35, t = −13.0, df = 34, p = .000). Participants demonstrated significantly improved independent walking after wearing their PBC regularly over 3 months. Before PBC, the participants demonstrated delayed independent walking milestones. Most participants walked only with assistance. Those who walked independently experienced unavoidable bodily collisions and used a slow pace with poor gait patterns. After being provided PBCs, these same participants’ independent walking milestones improved, all but three were walking independently and five were observed independently running. Wearing their PBCs allowed them to perform motor skills, like running, often described as needing to be specifically taught to learners with VIs due to their inability to learn incidentally through visual observation.

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Wheelchairs for children under 12 with physical impairments

Cited by 4 publications

References 39 publications

Electrically powered indoor/outdoor chair performance for children aged 7 to 9 years

Electrically powered indoor/outdoor chair performance for children aged 7 to 9 years

The Use of Gamification Techniques in a Clinical Setting for the Collection of Longitudinal Kinematic Data

A Study of Improving Independent Walking Outcomes in Children Who Are Blind or Have Low Vision Aged 5 Years and Younger

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