Examining Outcomes Regarding Delivery of Wheelchairs to Children With Disabilities Through the Ugandan Wheelchair...

Area of Science:

• Global Health
• Rehabilitation Science
• Pediatric Physical Therapy

Background:

• Access to appropriate mobility devices like wheelchairs (WC) is crucial for children with disabilities (CWD).
• Limited resources and training opportunities in low-income countries like Uganda pose challenges to effective WC delivery and support.
• Experiential learning can bridge gaps in knowledge and practice for healthcare professionals.

Purpose of the Study:

• To evaluate the impact of wheelchair (WC) provision and training on the functional mobility of Ugandan children with disabilities (CWD).
• To identify strategies for enhancing WC access and utilization among CWD in Uganda.
• To leverage global experiential learning opportunities for physical therapy students and residents.

Main Methods:

• A pre- and posttest cohort study design was employed.
• 35 nonambulatory Ugandan children with disabilities participated in a seating and mobility clinic.
• Functional mobility, caregiver burden, happiness, quality of life, and participation were assessed using validated instruments.

Main Results:

• Statistically significant improvements were observed in functional mobility, caregiver burden, and children's happiness.
• The Pediatric Evaluation of Disability Inventory and Smiley Faces Assessment Scale scores demonstrated positive changes.
• Qualitative data provided insights for optimizing future WC delivery initiatives in Uganda.

Conclusions:

• Global experiential learning programs focused on wheelchair (WC) delivery can enhance mobility and well-being for children with disabilities (CWD).
• Effective WC programs require a combination of device provision, user training, and ongoing support.
• Interdisciplinary collaboration and culturally sensitive approaches are key to successful interventions.