Cognitive predictors of young children's readiness for powered mobility
Cognitive predictors of young children's readiness for powered mobility
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DOI：
10.1017/s0012162299001371
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发表时间：
1999-10-01
影响因子：
3.8
通讯作者：
Furumasu, J
中科院分区：
文献类型：
--
作者：
Tefft, D;Guerette, P;Furumasu, J
幼儿期的独立活动与各种认知和社会心理技能的发展有关。然而，身体残疾的儿童并不总是能够独立行动，并且可能面临在这些领域发生延误的风险。尽早提供动力移动可以为幼儿提供独立移动的机会。尽管如此，几乎没有信息可以帮助确定幼儿何时具备安全操作电动轮椅所需的认知技能。目前的研究旨在确定这些技能。开发了认知评估电池和轮椅移动训练和评估计划。 26 名年龄在 20 至 36 个月之间的身体残疾儿童接受了认知评估，并参加了轮椅训练和评估项目。使用逐步回归分析来确定哪些认知技能可以预测轮椅的移动性能。研究发现，空间关系和解决问题的认知领域非常重要，占轮椅技能差异的 57%。介绍了这些与轮椅技能相关的量表的发展分界点，并讨论了临床应用。
Independent mobility in early childhood has been associated with the development of various cognitive and psychosocial skills. However, children with physical disabilities are not always able to move independently and may be at risk for delays in these areas. Early provision of powered mobility can offer young children an opportunity for independent mobility. Despite this, there is little information to help determine when a young child has the cognitive skills necessary to operate a powered wheelchair safely. This current research aims to identify these skills. A cognitive assessment battery and a wheelchair mobility training and assessment program were developed. Twenty-six children with physical disabilities between the ages of 20 and 36 months were evaluated on the cognitive assessment and participated in the wheelchair training and assessment program. A stepwise regression analysis was used to determine which of the cognitive skills predicted wheelchair mobility performance. The cognitive domains of spatial relations and problem solving were found to be significant and accounted for 57% of the variance in wheelchair skills. Developmental cut-off points on these scales as they relate to wheelchair skills are presented and clinical applications are discussed.