Effects of Powered Mobility on Self‐initiated Behaviors of Very Young Children With Locomotor Disability

Butler, Charlene

doi:10.1111/j.1469-8749.1986.tb03881.x

Cited by 185 publications

(89 citation statements)

References 6 publications

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“…It is suggested that by the age of 3 years, a sufficiently clear functional prognosis can be made and children could be subdivided into three treatment groups: (1) Those who by the age of 3 years have yet to achieve locomotion patterns which require adequate trunk control, will need the early supply of adequate assistive devices to enable them to develop assisted motor independence, generally a powered wheelchair (Butler 1986(Butler , 1997Bottos et al 1997Bottos et al , 1999b). This early independence is likely to help the neuropsychological maturation of the child who otherwise is limited by ineffective mobility and is often totally dependent on adults to move them about.…”

Section: Treatmentmentioning

confidence: 99%

Functional status of adults with cerebral palsy and implications for treatment of children

Bottos

Feliciangeli

Sciuto

et al. 2001

Develop Med Child Neuro

107

124

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This study examined the evolution of individuals with cerebral palsy (CP) from childhood to adulthood. Seventy-two adults with a diagnosis of CP born between 1934 and 1980 were studied. Individuals were recruited and data comprehensively collected using case notes and through direct assessments of the majority of participants from three rehabilitation units in Bologna, Padua, and Rovigo in Italy. The main findings can be summarized as follows: contact with health and rehabilitation services was radically reduced once individuals reached adulthood; more individuals who were integrated into mainstream schools achieved and maintained literacy than those who had attended special schools; in a high number of participants, motor performance deteriorated once into adulthood. Independent walking or other forms of supported locomotion were lost in many on reaching adulthood. Of those who continued to walk, walking deteriorated in terms of distance. It was concluded that even though CP has been considered as predominantly a childhood pathological condition, the evolution of the effects of CP do not stop at 16 or 18 years of age. For this reason, the traditional child-(or infant-) oriented approach concentrating mainly or exclusively on the achievement of independent walking, may not be an ideal approach to children with CP. Instead a more independence-oriented therapeutic approach would be appropriate.Cerebral palsy (CP) has been viewed for many years predominantly as a paediatric condition and for this reason the therapeutic approach to it has not focussed much on the transition into adulthood. Many individuals with CP, however, show a survival rate not far from average or near average as indicated by Cohen and Kohn (1979) and Evans and colleagues (1990). Both these studies stressed that there was a survival rate of over 60% in affected children who had survived the first year of life, even among those with the most severe disabilities. In the more mildly involved individuals with CP survival was found to exceed 90%.Furthermore, the number of adults with CP is growing due to advances in specific medical care and to the increased life expectancy of adults in general. Despite this, services for adults with physical disabilities are often inadequate, even in developed countries. In contrast to the care provided for children with disabilities, organized health care for these patients has been described as very poor, with a notable reduction of provision once a patient reaches adulthood (Ingram 1964;Lang 1982;Hirst 1983 Hirst , 1984Bax et al. 1988;Thomas et al. 1989). Apart from the disparity between the amount of care provided to these patients as youngsters and then as adults, another major issue is the different types of approaches used by professionals who work with children and adults with disability. For instance, Bryce (1983) suggested that the apparent low priority given to adults with CP is, at least partly, because physiotherapists consider that their efforts are better concentrated on the young child. The child-(o...

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Section: Treatmentmentioning

confidence: 99%

Functional status of adults with cerebral palsy and implications for treatment of children

Bottos

Feliciangeli

Sciuto

et al. 2001

Develop Med Child Neuro

107

124

View full text Add to dashboard Cite

show abstract

“…Independent mobility is a key component in maintaining the physical and psychosocial health of an individual [1][2][3]. Psychologically, a decrease in mobility can lead to feelings of emotional loss, anxiety, depression, reduced self esteem, social isolation, stress, and fear of abandonment.…”

Section: Problem Statementmentioning

confidence: 99%

Driving Backwards Using a Semi-Autonomous Smart Wheelchair System (DSS): A Clinical Evaluation

Sharma

Simpson

LoPresti

et al. 2012

Applied Bionics and Biomechanics

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Abstract. Some wheelchair users have difficulty looking backward when backing up in confined spaces due to limited neck range of motion or low vision, which can lead to collisions which may result in personal injury or property damage. The Drive Safe System (DSS) was evaluated in a controlled laboratory setting with blindfolded able-bodied individuals on various backward driving tasks. Performance with the DSS was compared with a standard white cane used for navigation assistance by people with visual impairment. Results indicate that the DSS significantly reduced the number of collisions compared to using a cane (p = 0.0001) alone. There was no difference in task completion time when participants were using the cane or the DSS (p = 0.915). Users rated the DSS favourably as they experience less total workload (p = 0.026), less physical demand (p = 0.006), felt less frustrated (p = 0.002) and put less effort (p = 0.007) to achieve better performance when using the DSS, compared to using a cane. These findings suggest that the DSS can be a viable powered mobility solution for wheelchair users with visual impairments.

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“…Nonambulatory, visually impaired people often lack the cognitive, visual, and motor skills required to safely maneuver a power wheelchair and are therefore often denied powered mobility as a result of concerns regarding the safety of the user and the environment [10,12]. Researchers from engineering and the clinical side have attempted to make powered mobility available to such populations without compromising the safety of the user and the environment [3,10,[13][14].…”

Section: Problem Statementmentioning

confidence: 99%

“…It can also adversely affect a person's psychosocial and emotional health and limit his or her educational and vocational opportunities. Physical impairment when combined with visual impairment furthers the loss of independent mobility [1][2][3]. In aging populations, physical impairment is often accompanied by visual impairment due to causes such as macular degeneration, cataracts, glaucoma, and diabetic retinopathy [1].…”

Section: Problem Statementmentioning

confidence: 99%

Clinical evaluation of semiautonomous smart wheelchair architecture (Drive-Safe System) with visually impaired individuals

Sharma

Simpson²,

LoPresti³

et al. 2012

JRRD

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Abstract-Nonambulatory, visually impaired individuals mostly rely on caregivers for their day-to-day mobility needs. The Drive-Safe System (DSS) is a modular, semiautonomous smart wheelchair system aimed at providing independent mobility to people with visual and mobility impairments. In this project, clinical evaluation of the DSS was performed in a controlled laboratory setting with individuals who have visual impairment but no mobility impairment. Their performance using DSS was compared with their performance using a standard cane for navigation assistance. Participants rated their subjective appraisal of the DSS by using the National Aeronautics and Space Administration-Task Load Index inventory. DSS significantly reduced the number and severity of collisions compared with using a cane alone and without increasing the time required to complete the task. Users rated DSS favorably; they experienced less physical demand when using the DSS, but did not feel any difference in perceived effort, mental demand, and level of frustration when using the DSS alone or along with a cane in comparison with using a cane alone. These findings suggest that the DSS can be a safe, reliable, and easy-to-learn and operate independent mobility solution for visually impaired wheelchair users.

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Effects of Powered Mobility on Self‐initiated Behaviors of Very Young Children With Locomotor Disability

Cited by 185 publications

References 6 publications

Functional status of adults with cerebral palsy and implications for treatment of children

Functional status of adults with cerebral palsy and implications for treatment of children

Driving Backwards Using a Semi-Autonomous Smart Wheelchair System (DSS): A Clinical Evaluation

Clinical evaluation of semiautonomous smart wheelchair architecture (Drive-Safe System) with visually impaired individuals

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