Powered Mobility Device Use and Developmental Change of Young Children with Cerebral Palsy.
Powered Mobility Device Use and Developmental Change of Young Children with Cerebral Palsy.
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DOI：
10.3390/bs13050399
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发表时间：
2023-05-10
影响因子：
2.6
通讯作者：
Feldner, Heather A.
中科院分区：
文献类型：
--
作者：
Logan, Samuel W.;Sloane, Bethany M.;Kenyon, Lisa K.;Feldner, Heather A.
流动性是一项基本人权，并得到联合国和准时流动框架的支持。本研究的目的是了解动力活动干预对脑性瘫痪（CP）儿童发育变化的影响。本研究是一项随机、交叉临床试验，涉及24名儿童（12-36个月），根据出生史和当前发育状况诊断为CP或未来诊断为CP的可能性很高。孩子们随机接受了Explorer Mini和一辆改装的骑乘汽车，每辆车持续8周。在基线、研究中期和研究结束时使用贝利婴幼儿发育量表-第4版。使用原始变化评分进行分析。根据驾驶员报告的驾驶日志，将每台器械的总使用分钟数分类为低或高使用，以进行分析。Explorer Mini：高使用组在接受性交流、表达性交流和粗大运动分量表上的积极变化得分显著高于低使用组（p < 0.05）。改装后的乘用车：低使用率组和高使用率组之间没有显著差异。无论何种器械，低使用率与无显著发育变化相关，高使用率与积极发育变化相关。移动访问是至关重要的，以最大限度地提高儿童与CP的发展，可以通过使用动力移动设备来增强。研究结果可能对制定基于证据的动力机动性使用剂量指南产生影响。
Mobility is a fundamental human right and is supported by the United Nations and the ON Time Mobility framework. The purpose of this study was to understand the effect of a powered mobility intervention on developmental changes of children with cerebral palsy (CP). This study was a randomized, crossover clinical trial involving 24 children (12–36 months) diagnosed with CP or with high probability of future CP diagnosis based on birth history and current developmental status. Children received the Explorer Mini and a modified ride-on car in randomized order, each for 8 weeks. The Bayley Scales of Infant and Toddler Development—4th Edition was administered at baseline, mid-study, and end-of-study. Raw change scores were used for analysis. Total minutes of use per device was categorized as low or high use for analysis based on caregiver-reported driving diaries. Explorer Mini: The high use group exhibited significantly greater positive change scores compared to the low use group on receptive communication, expressive communication, and gross motor subscales (p < 0.05). Modified ride-on car: No significant differences between low and high use groups. Regardless of device, low use was associated with no significant developmental change and high use was associated with positive developmental changes. Mobility access is critical to maximize the development of children with CP and may be augmented by using powered mobility devices. Results may have implications for the development of evidence-based guidelines on dosage for powered mobility use.
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DOI：
10.1097/pep.0000000000000690
发表时间：
2020-04
期刊：
Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association
影响因子：
--
作者：
Logan SW;Feldner HA;Bogart KR;Catena MA;Hospodar CM;Raja Vora J;Smart WD;Massey WV
通讯作者：
Massey WV
DOI：
10.1080/17483107.2021.1963330
发表时间：
2023-08
影响因子：
2.2
作者：
Hospodar, C. M.;Feldner, H. A.;Logan, S. W.
通讯作者：
Logan, S. W.
影响因子：
3.2
作者：
Feldner, Heather A.;Logan, Samuel W.;Kenyon, Lisa K.
通讯作者：
Kenyon, Lisa K.
影响因子：
1.8
作者：
Guerette, Paula;Furumasu, Jan;Tefft, Donita
通讯作者：
Tefft, Donita
影响因子：
1.6
作者：
Logan, Samuel W.;Lobo, Michele A.;Galloway, James Cole
通讯作者：
Galloway, James Cole