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Related Concept Videos

Learning Disabilities01:25

Learning Disabilities

151
Learning disabilities are cognitive disorders caused by neurological impairments that affect cognitive functions like language and reading, without indicating overall intellectual or developmental challenges. These disabilities differ from global intellectual or developmental disabilities as they are limited to distinct cognitive functions. Common learning disabilities include dysgraphia, dyslexia, and dyscalculia, each of which impacts unique aspects of learning.
Dyslexia
Dyslexia is a...
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Lessons learned from a pediatric powered mobility lending program.

Naomi Gefen1,2, Patrice L Weiss2,3, Amihai Rigbi4

  • 1ALYN Hospital, Jerusalem, Israel.

Disability and Rehabilitation. Assistive Technology
|October 28, 2023
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Summary
This summary is machine-generated.

A powered wheelchair lending program significantly improved quality of life for children with cerebral palsy (CP) and other neuromuscular diseases (NMD). Key predictors of powered mobility proficiency include communication and manual wheelchair skills.

Keywords:
Powered wheelchaircerebral palsymultivariate logistic regressionneuromuscular diseaseproficiency

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Area of Science:

  • Pediatric Rehabilitation
  • Assistive Technology
  • Mobility Research

Background:

  • Powered mobility devices (PMDs) are crucial for enhancing independence in children with mobility impairments.
  • Lending programs offer a valuable pathway for children to trial and adapt to PMDs before long-term commitment.
  • Understanding factors influencing PMD proficiency is essential for optimizing rehabilitation outcomes.

Purpose of the Study:

  • To assess the characteristics and impact of a powered wheelchair lending program for children.
  • To compare outcomes between children with cerebral palsy (CP) and other neuromuscular diseases (NMD).
  • To validate a predictive model for powered mobility proficiency.

Main Methods:

  • Retrospective analysis of 172 children in a powered mobility lending program (2009-2022).
  • Data collection via questionnaires on demographics and functional levels.
  • Evaluation of driving proficiency and interviews with participants and parents.

Main Results:

  • Children with NMD (73% proficiency) showed higher powered mobility proficiency than those with CP (57%).
  • Significant predictors of proficiency included communication, manual wheelchair operation, access mode, and go-stop ability, predicting outcomes in ~80% of cases.
  • The program notably improved participants' and families' quality of life.

Conclusions:

  • Powered wheelchair lending programs effectively enhance children's mobility skills and quality of life.
  • Specific skills like communication and manual wheelchair operation predict powered mobility success.
  • Even children initially unable to perform certain tasks can achieve proficiency and benefit from PMDs.