The Positive Effects of Early Powered Mobility on Children's Psychosocial and Play Skills
The Positive Effects of Early Powered Mobility on Children's Psychosocial and Play Skills
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DOI：
10.1080/10400435.2012.685824
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发表时间：
2013-01-01
影响因子：
1.8
通讯作者：
Tefft, Donita
中科院分区：
文献类型：
--
作者：
Guerette, Paula;Furumasu, Jan;Tefft, Donita
机动能力可以对无法独立行动的幼儿产生重要的认知和心理社会影响。23名18个月至6岁的肢体残疾儿童参与了这项研究。在轮椅评估、轮椅接生时和大约6个月后，收集了评估社会技能、行动游戏活动频率、与玩具/物体互动的频率以及游戏/语言发展水平的数据。在接受轮椅后，父母对较小儿童积极社交技能的认知显著增加；稍大一些的儿童在接受轮椅之前表现出社交技能的改善；消极社交技能没有发现变化。父母评级还表明，在接受轮椅后，继续从事任务的难度要大得多。在室内自由游戏中，活动活动的数量显着增加，但在与玩具或物体的互动中没有发现差异。据报道，户外互动自由游戏的质量水平有所改善，但言语互动没有变化。本文讨论了早期动力移动性的潜在积极影响。这些发现可能有助于证明向幼儿提供动力行动的建议是合理的，并证明由第三方付款人报销的动力行动的医疗必要性是合理的。
Powered mobility can have an important cognitive and psychosocial impact on young children who are unable to move independently. Twenty-three children with physical disabilities between the ages of 18 months and 6 years participated in this study. Data evaluating social skills, frequency of mobility play activities, frequency of interaction with toys/objects, and play/verbal developmental levels were collected at wheelchair evaluation, wheelchair delivery, and approximately 6 months later. Significant increases were found in parental perceptions of positive social skills for younger children after receiving a wheelchair; slightly older children showed improvements in social skills before the wheelchair was received; no changes were found in negative social skills. Parental ratings also indicated a significantly greater difficulty remaining engaged in tasks after receiving a wheelchair. A significant increase was noted in the number of mobility activities during indoor free play but no difference was seen in interaction with toys or objects. Improvement in the qualitative level of outdoor interactive free play was reported but there was no change in verbal interactions. This article discusses the potential positive impact of early powered mobility. These findings may be helpful in justifying the recommendation of powered mobility to young children and in justifying medical necessity of powered mobility for reimbursement by third party payers.