Physical & Occupational Therapy In Pediatrics · 2019 · 17 citations · 24 references
MedicineRehabilitation MedicineSpecial EducationNeurorehabilitationPhysical TherapyRehabilitationCerebral PalsyMobility AssessmentMobility SupportMobility TrainingPediatric Mobility RehabilitationWheelchair UseCerebral Palsy InterventionFeasibility Study DesignLocomotionPower Wheelchair MobilityPower Wheelchair TrainingPower Wheelchair UsePower WheelchairsPowered Mobility
Aim: Powered mobility has positive effects on development of children with limited independent locomotion, but many are deprived of this opportunity due to their limitations. This study aimed to evaluate the feasibility of Power Fun, a therapeutic summer camp, for students with severe cerebral palsy (CP).Methods: Five students with CP, ages 11–15, received personally adapted powered wheelchairs and participated daily in the camp. The camp ran five days a week during three weeks and included two mobility sessions daily. Assessments were conducted three weeks prior to the camp (T1), at baseline (T2), post-intervention (T3) and six weeks follow-up (T4). Measures used were Power Mobility Program (PMP), Assessment of Learning Power mobility use (ALP), Wheelchair Outcome Measure for Young People (WhOM-YP), Goal Attainment Scaling (GAS) and Dimensions of Mastery Questionnaire (DMQ).Results: All participants finished the camp. Outcome measures showed no change between T1-T2 but improved significantly (p<.05) after the intervention (T2-T3), and gains were maintained at T4 (Wilcoxon signed-rank test). Goals improved to slightly above the expected outcome (GAS average 0.11).Conclusions: Power Fun shows good feasibility and significant improvement in mobility skills and goals of children with severe CP. Further studies are warranted.
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Prognosis for Gross Motor Function in Cerebral Palsy
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The role of locomotion in psychological development
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