Active mobility, active participation: a systematic review of modified ride-on car use by children with disabilities.

Active mobility, active participation: a systematic review of modified ride-on car use by children with disabilities.
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DOI:
10.1080/17483107.2021.1963330
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发表时间:
2023-08
影响因子:
2.2
通讯作者:
Logan, S. W.
Logan, S. W.
中科院分区:
医学4区
文献类型:
--
作者:
Hospodar, C. M.;Feldner, H. A.;Logan, S. W.

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改装的骑乘式汽车是一种低成本的选择,可为行动不便的儿童提供自主行动能力,以替代或作为其他电动行动装置的先驱。我们对证据进行了评估,以(1)描述和分类MROC研究特征,(2)综合儿童使用MROC的现有知识,(3)在国际功能、残疾和健康分类(ICF)框架内制定结局。文章通过四个电子数据库:Medline,CINAHL,PsycNET和Web of Science进行识别。我们纳入了所有已发表的、涉及MROC使用的同行评审研究。提取相关数据,并使用美国脑性瘫痪和发育医学学会的标准对文章进行评价,以进行组和单一受试者设计。23项研究符合1980年至2021年确定的204个标题的纳入标准。研究设计包括案例研究、病例系列、组设计和定性研究,但只有三项研究被评为证据等级III或更高。患有各种残疾的儿童在多个环境中使用MROCs,包括家庭,医院和社区,尽管使用和依从性差异很大。据报告,对与国际功能、健康和发展框架有关的一系列成果产生了积极影响,重点是活动和参与。MROC研究主要涉及活动和参与,大多数研究表明,由于使用MROC,功能移动性和社会互动增加。需要更强大的研究设计,更大的样本,以制定基于证据的策略,MROC使用。
Modified ride-on cars (MROC) are a low-cost option to provide self-directed mobility to children with mobility limitations, in lieu of or as a precursor to other powered mobility devices. We appraised evidence to (1) describe and categorize MROC study characteristics, (2) synthesize existing knowledge of children’s use of MROCs and (3) frame outcomes within the International Classification of Functioning, Disability and Health (ICF) framework. Articles were identified through four electronic databases: Medline, CINAHL, PsycNET, and Web of Science. We included all published, peer-reviewed studies involving MROC use. Relevant data were extracted, and articles were appraised using the American Academy of Cerebral Palsy and Developmental Medicine criteria for group and single-subject designs. 23 studies met inclusion criteria of 204 titles identified from 1980 to 2021. Study designs included case studies, case series, group designs, and qualitative research, but only three studies were rated evidence level III or higher. Children with a range of disabilities used MROCs across multiple settings, including the home, hospital, and community, though use and adherence varied widely. Positive impacts were reported on a range of outcomes related to the ICF framework, with an emphasis on activity and participation. MROC studies have primarily addressed activity and participation, with most studies suggesting increased functional mobility and social interactions due to MROC use. More robust research designs with larger samples are needed in order to develop evidence-based strategies for MROC use.
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