Article

The aim of the study was to support clinicians in recommending and
justifying power mobility for children of different ages and abilities, and with
different needs. The study comprised three distinct parts: a literature review; a
Delphi consensus; and clinical practice considerations.
METHOD: A scoping review
of eight electronic databases and manual searches carried out in February 2011
identified 15 themes or transferable messages among 27 articles meeting initial
inclusion criteria and these formed the basis of a draft paper. Informal
consensus at two international conference presentations refined and modified the
paper to include 10 messages supported by 24 articles. The literature review was
updated in May 2012 and a modified Delphi process sought to formalize the
consensus process with an international panel of 16 expert clinicians and
researchers using a priori criteria of 80% agreement. RESULTS: Evidence from
studies was classified using the American Academy of Cerebral Palsy and
Developmental Medicine guidelines, with evidence from most studies being
classified as either level IV or level V, apart from one study each with evidence
classified as level II and level III. Expert consensus on the content and wording
of nine transferable messages may raise evidence overall to level III.
INTERPRETATION: This paper suggests that power mobility may reasonably be
considered as an effective and appropriate intervention for children lacking
efficient, independent mobility from around 12 months of age including children
who may never become competent drivers and children lacking independent mobility
only in early childhood.
CI - (c) 2013 Mac Keith Press.

Langue : ANGLAIS