Use of manual and powered wheelchair in children with cerebral palsy: a cross-sectional study.
Use of manual and powered wheelchair in children with cerebral palsy: a cross-sectional study.
复制标题
DOI：
10.1186/1471-2431-10-59
复制
发表时间：
2010-08-16
期刊：
影响因子：
2.4
通讯作者：
Hägglund G
中科院分区：
文献类型：
--
作者：
Rodby-Bousquet E;Hägglund G
流动性对儿童的认知和心理社会发展很重要。几乎三分之一的脑瘫儿童不能行走。轮椅可以提供独立的移动性，使他们能够探索他们的环境。独立的行动能力对于活动和参与至关重要，并可减少对照顾者的依赖。本研究的目的是描述使用手动和电动轮椅在室内和室外的独立轮椅移动性或需要援助的总人口的CP儿童的程度。进行了一项横断面研究，包括2008年期间居住在瑞典南部的所有3-18岁CP儿童。数据摘自CP儿童登记和医疗保健计划（CPUP）。登记册上共有562名儿童（326名男孩，236名女孩）。对儿童在室内和室外使用手动和电动轮椅的信息以及自我推进或需要帮助的表现进行了分析，这些信息与年龄，CP亚型和粗大运动功能有关。562名儿童中有165名（29%）使用轮椅进行室内活动; 61名儿童使用轮椅进行独立活动（32名仅使用手动，12名仅使用电动，17名两者都使用），104名儿童由成人推动。对于户外活动，228名儿童（41%）使用轮椅; 66名儿童使用轮椅进行独立活动（18名仅使用手动，36名仅使用电动，12名两者兼而有之），162名儿童被推着。轮椅的使用随着年龄的增长而增加，在痉挛性双侧和运动障碍亚型中最常见。大多数电动轮椅都是由GMFCS四级的儿童操作的。在3-18岁的脑瘫儿童中，29%在室内使用轮椅，41%在室外使用轮椅。大多数使用手动轮椅的人需要成年人的帮助（86%），而电动轮椅在大多数情况下提供独立的行动能力（86%）。为了实现高水平的独立行动能力，对于行走能力受损的儿童，应考虑在早期使用手动和电动轮椅。
Mobility is important for the cognitive and psychosocial development of children. Almost one third of children with cerebral palsy (CP) are non-ambulant. Wheelchairs can provide independent mobility, allowing them to explore their environment. Independent mobility is vital for activity and participation and reduces the dependence on caregivers. The purpose of this study was to describe the use of manual and powered wheelchair indoors and outdoors in relation to the degree of independent wheelchair mobility or need for assistance in a total population of children with CP. A cross-sectional study was performed including all children aged 3-18 years with CP living in southern Sweden during 2008. Data was extracted from a register and health care programme for children with CP (CPUP). There were a total of 562 children (326 boys, 236 girls) in the register. Information on the child's use of manual and powered wheelchair indoors and outdoors and the performance in self-propelling or need for assistance were analysed related to age, CP subtype and gross motor function. Wheelchairs for mobility indoors were used by 165 (29%) of the 562 children; 61 used wheelchair for independent mobility (32 using manual only, 12 powered only, 17 both) and 104 were pushed by an adult. For outdoor mobility wheelchairs were used by 228 children (41%); 66 used a wheelchair for independent mobility (18 using manual only, 36 powered only, 12 both) and 162 were pushed. The use of wheelchair increased with age and was most frequent in the spastic bilateral and dyskinetic subtypes. Most powered wheelchairs were operated by children at GMFCS level IV. In this total population of children with CP, aged 3-18 years, 29% used a wheelchair indoors and 41% outdoors. A majority using manual wheelchairs needed adult assistance (86%) while powered wheelchairs provided independent mobility in most cases (86%). To achieve a high level of independent mobility, both manual and powered wheelchairs should be considered at an early age for children with impaired walking ability.
登录
查看更多内容
DOI：
10.1111/j.1469-8749.1986.tb03881.x
发表时间：
1986-06-01
影响因子：
3.8
作者：
BUTLER, C
通讯作者：
BUTLER, C
DOI：
10.1016/j.apmr.2008.11.015
发表时间：
2009-05-01
影响因子：
4.3
作者：
Holsbeeke, Laura;Ketelaar, Marjolijn;Gorter, Jan Willem
通讯作者：
Gorter, Jan Willem
影响因子：
2.2
作者：
Wiart, L;Darrah, J
通讯作者：
Darrah, J
影响因子：
3.8
作者：
Tefft, D;Guerette, P;Furumasu, J
通讯作者：
Furumasu, J
影响因子：
1.9
作者：
Arner, Marianne;Eliasson, A. -C.;Hagglund, G.
通讯作者：
Hagglund, G.