Article

OBJECTIVES: To determine if child characteristics, maternal education,
intervention parameters, type of wheelchair control mechanism,
or a combination
of these variables were associated with proficient power mobility skills in
children with severe motor impairments aged 14 to 30 months; and to determine if
performance on the Wheelchair Skills Checklist (WSC) was associated with
performance on the Powered Mobility Program (PMP).
DESIGN: Secondary data
analyses on data collected from 2 previously completed randomized controlled
trials (RCTs). SETTING: Intervention and outcomes measurements took place in
natural environments. PARTICIPANTS: Participants included children who were
assigned to the intervention groups in 2 RCTs (N=31). INTERVENTION: Children
practiced maneuvering individually customized power wheelchairs for 12 months in
natural environments. MAIN OUTCOME MEASURES: Proficiency was assessed using the
WSC and the PMP. The Battelle Developmental Inventory and Merrill-Palmer-Revised
were used to assess baseline cognition and motor skills. Baseline mobility was
assessed using the Pediatric Evaluation of Disability Inventory. RESULTS:
Cognition, fine motor skills, and wheelchair control mechanism were associated
with proficiency. Cognition, type of wheelchair control, and diagnosis all
predicted proficiency while controlling for other covariates using multiple
regression analysis. Agreement between the WSC and PMP was 94.7%. CONCLUSIONS:
Cognition, type of wheelchair control, and diagnosis might predict power mobility
proficiency in young children with severe motor impairments. These factors
however should not be used to determine whether a child has the opportunity to
participate in a training program. Agreement between the WSC and PMP could help
researchers and clinicians compare results across studies that use only one of
these outcome measures.
CI - Copyright (c) 2017 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS