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1.
Assist Technol ; 35(1): 14-22, 2023 01 02.
Artigo em Inglês | MEDLINE | ID: mdl-29232181

RESUMO

This paper serves as an update to the previous RESNA Position on the Application of Power Wheelchairs for Pediatric Users with more current and additional scientific literature. This document contains typical clinical applications and best evidence from the literature supporting the application of power mobility (PM) for young children and to assist practitioners in decision-making and justification. It is RESNA' s position that age, limited vision or cognition, behavioral issues, and the ability to walk or propel a manual wheelchair short distances should not, in and of themselves, be used as discriminatory factors against providing PM for children. RESNA recommends early utilization of PM for children with mobility limitations as medically necessary, to promote integration and psycho-social development, reduce passive dependency, and to enhance participation, function, and independence.


Assuntos
Cadeiras de Rodas , Humanos , Criança , Pré-Escolar , Limitação da Mobilidade , Caminhada , Cognição
2.
Occup Ther Health Care ; 37(4): 461-475, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-35337246

RESUMO

Interprofessional competence is needed to improve health care outcomes. The aim of this paper is to describe the development of theoretically grounded interprofessional education (IPE) experiences to advance interprofessional competencies for occupational and physical therapy doctoral students. In addition, a pretest/postest survey was designed to determine the participants' perceptions of knowledge attainment, roles, and attitudes. Two cohorts of students (N = 115) completed surveys pre and post IPE experiences. Statistically significant changes were found on perception of roles and knowledge attainment. Additional studies are needed to determine if IPE leads to behavioral changes in practice and improves patient outcomes.


Assuntos
Relações Interprofissionais , Terapia Ocupacional , Humanos , Criança , Educação Interprofissional , Terapia Ocupacional/educação , Estudantes
3.
Am J Occup Ther ; 75(5)2021 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-34780642

RESUMO

IMPORTANCE: Motor vehicle accidents are the leading cause of unintentional deaths of children ages 1 and older, particularly children with health care needs. OBJECTIVE: To explore family caregivers' experiences and current practices while transporting children diagnosed with autism spectrum disorder (ASD). DESIGN: A concurrent nested mixed-methods approach was used to gain insight into caregiver experiences. SETTING: Participants completed an online Qualtrics survey. PARTICIPANTS: A convenience sample of 54 caregivers of children with ASD from 17 U.S. states. RESULTS: Themes that emerged include sensory behaviors of children, education related to child passenger safety, and participation in the community. Statistically significant findings suggest a correlation between caregivers (n = 39) being less likely to participate in activities away from home if the child had attempted to elope (p = .013), displayed aggressive behaviors (p = .005), or demonstrated self-injurious behaviors (p = .001). CONCLUSIONS AND RELEVANCE: The findings suggest a correlation between caregivers limiting the distance traveled during vehicular transportation and behavioral safety concerns. If caregivers must limit travel, they may refrain from accessing the community and engaging in leisure pursuits. What This Article Adds: The findings suggest that therapists who treat children with ASD should be familiar with child passenger safety restraints, particularly for elopement.


Assuntos
Transtorno do Espectro Autista , Cuidadores , Criança , Feminino , Humanos , Lactente , Pais , Percepção , Gravidez , Inquéritos e Questionários
4.
Phys Occup Ther Pediatr ; 41(2): 192-208, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33019827

RESUMO

AIMS: The purpose of this study is to describe the driving experience and emotional responses of young children who experience mobility limitations during initial use of the Explorer Mini, a new pediatric powered mobility device. METHODS: The current study utilized a descriptive, cross-sectional, and mixed- method approach. Thirty-three young children between 6 and 36 months of age who experience mobility limitations participated in this study and were provided up to two, 15-minute driving sessions with the Explorer Mini. Researchers completed an observation form that included field notes (qualitative data) and answers to yes/no questions to generate percentages of observed behaviors (quantitative data) regarding young children's driving experience and emotional responses while using the Explorer Mini. RESULTS: Thematic analysis from field notes (i.e., qualitative data) revealed two inter-related themes: 1) I can move, 2) I think I like it- don't I? Ninety four percent (i.e., quantitative data) of young children were able to move the Explorer Mini to explore their environment. CONCLUSIONS: Young children demonstrated self-initiated mobility with a powered mobility device using the midline joystick. The results support the notion that infants 6-36 months can effectively use the Explorer Mini. The device received Food and Drug Administration 510k clearance in February 2020.


Assuntos
Crianças com Deficiência/psicologia , Crianças com Deficiência/reabilitação , Limitação da Mobilidade , Tecnologia Assistiva , Pré-Escolar , Estudos Transversais , Fontes de Energia Elétrica , Feminino , Humanos , Lactente , Masculino
5.
Disabil Rehabil Assist Technol ; 11(6): 468-77, 2016 08.
Artigo em Inglês | MEDLINE | ID: mdl-25815679

RESUMO

AIM: This study aims to address the gap in research and contribute to the body of knowledge on the perspectives assistive technology device users have toward their devices. METHOD: Mixed methods were used to better understand the impact of mobility assistive technology devices (MATDs) on participation for individuals with disabilities. The Functional Mobility Assessment was administered in conjunction with two qualitative questions developed by the research team allowing participants to expound on the impact of their MATD experience. Participants were recruited online via the National Spinal Cord Injury Association website and in-person at Abilities Expo in Atlanta, Georgia, and the International Seating Symposium in Nashville, Tennessee. RESULTS: Results are consistent with findings from prior research regarding accessibility for individuals with disabilities. Corresponding findings were found in both the quantitative and qualitative data and are categorized into several major themes: environment (indoor and outdoor), surface heights, transportation, dependence, independence, quality of life and participation. CONCLUSION: Quantitative data from this study indicate that users of MATD are satisfied with the way in which their devices enable maneuvering indoors, while qualitative data suggest otherwise. Implications for healthcare practitioners are described and future recommendations are provided. Implications for Rehabilitation Healthcare professionals should advocate for proper mobility assistive technology devices (MATDs) for their patients in order to enable increased independence, safety and efficiency. Healthcare professionals must be cognizant of the impact of the environment and/or environmental barriers when prescribing MATD. Additional areas of interest for future research may include investigating the impact of MATD in association with date of onset of disability, according to diagnoses, or specific to length of time since acquiring the device.


Assuntos
Pessoas com Deficiência/reabilitação , Tecnologia Assistiva , Bengala , Meio Ambiente , Georgia , Humanos , Vida Independente , Entrevistas como Assunto , Qualidade de Vida , Participação Social , Meios de Transporte , Andadores , Cadeiras de Rodas
6.
Assist Technol ; 21(4): 218-25; quiz 228, 2009.
Artigo em Inglês | MEDLINE | ID: mdl-20066888

RESUMO

This document, approved by the Rehabilitation Engineering & Assistive Technology Society of North America (RESNA) Board of Directors in March 2007, shares typical clinical applications and provides evidence from the literature supporting the use of power wheelchairs for children.


Assuntos
Crianças com Deficiência/reabilitação , Cadeiras de Rodas , Fatores Etários , Paralisia Cerebral/reabilitação , Criança , Desenvolvimento Infantil , Proteção da Criança , Pré-Escolar , Contraindicações , Feminino , Humanos , Masculino , Atrofia Muscular Espinal/reabilitação , Doenças Neuromusculares/reabilitação , Pediatria , Traumatismos da Medula Espinal/reabilitação , Cadeiras de Rodas/classificação
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