Consensus building for the development of guidelines for recommending mobility service dogs for people with motor impairments
Consensus building for the development of guidelines for recommending mobility service dogs for people with motor impairments
复制标题
为制定为运动障碍人士推荐行动服务犬的指南建立共识
DOI：
10.3233/tad-160445
复制
发表时间：
2016
影响因子：
0.5
通讯作者：
H. Corriveau
中科院分区：
文献类型：
--
作者：
C. Vincent;L. Poissant;D. Gagnon;H. Corriveau
背景技术背景：根据最近的研究，移动服务犬（MSD）可以改善抓握能力，ADL的自主性，手动轮椅推进，行走，转移，心理社会方面，重新融入正常生活，对重要职业的满意度，并减少手动轮椅使用者肩膀/手腕的疼痛。然而，对于康复专业人员来说，为不同的神经系统疾病推荐MSD仍然是一个挑战。目的：制定指南，以支持康复专业人员推荐默沙东的决策过程。方法：与MSD专家（7名治疗师，4名培训师，3名管理人员，5名用户）的焦点小组回答了四个研究问题。他们必须制定并优先考虑标准，以告知MSD对三种临床病例的建议：A-电动轮椅四肢瘫痪，B-手动轮椅截瘫和C-走动（不完全SCI或神经退行性疾病）。研究结果：在推荐默沙东的决策过程中，确定了六个主要变量：引用的科学证据（临床病例之间的差异），与其他辅助设备相比，MSD的附加值（临床病例之间不同），个人（7），环境（8）和犬（6）特征的优先顺序，以及MSD使用者生活中可能的负面后果（污名化、复原力、照料负担、权威或服从）。结论：这些结果为职业治疗师和物理治疗师推荐MSD治疗各种神经系统疾病的临床实践指南的制定提供了基础。
BACKGROUND: According to recent research, mobility service dogs (MSD) improve grasping ability, autonomy in ADL, manual wheelchair propulsion, walking, transfers, psychosocial aspects, reintegration into normal life, and satisfaction with important occupations, and decrease pain in manual wheelchair users’ shoulders/wrists. However, it remains a challenge for rehabilitation professionals to recommend MSD for different profiles of neurological disorders. OBJECTIVE: Formulate guidelines to support the decision-making process of rehabilitation professionals recommending MSD. METHODS: Focus groups with MSD experts (7 therapists, 4 trainers, 3 managers, 5 users) responded to four research questions. They had to formulate and prioritize criteria to inform the recommendation of MSD for three clinical cases: A-tetraplegia with powered wheelchair, B-paraplegia with manual wheelchair, and C-ambulatory (incomplete SCI or neurodegenerative disease). RESULTS: For the decision-making process of recommending MSD, six main variables were identified: scientific evidence cited (they are different among clinical cases), added value of MSD compared to other assistive devices (dissimilar among clinical cases), prioritization of personal (7), environmental (8) and canine (6) characteristics, and possible negative consequences in MSD user’s life (stigmatization, resilience, care burden, authority or obedience). CONCLUSIONS: The results provide the basis for the development of clinical practice guidelines for occupational therapists and physiotherapists recommending MSD to individuals presenting various profiles of neurological disorders.