Pediatric powered mobility training: powered wheelchair versus simulator-based practice.

IF 4.7 Q2 MATERIALS SCIENCE, BIOMATERIALS ACS Applied Bio Materials Pub Date : 2023-09-03 Epub Date: 2022-06-23 DOI:10.1080/10400435.2022.2084183

Naomi Gefen, Philippe S Archambault, Amihai Rigbi, Patrice L Weiss

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引用次数: 2

Abstract

Method: Participants included 30 children and adolescents (23 males, 13 females) with cerebral palsy and other neuromuscular diseases, aged 6-18. Data were collected and compared at baseline and after 12 weeks of home-based practice via a powered wheelchair or a simulator. Powered mobility ability was determined by the Powered Mobility Program (PMP), the Israel Ministry of Health's Powered Mobility Proficiency Test (PM-PT) and the Assessment of Learning Powered Mobility (ALP).

Results: All participants practiced for the required amount of time and both groups reported a similar user experience. Both groups achieved significant improvement following the practice period as assessed by the PMP and PM-PT assessments, with no significant differences between them. A significant improvement was found in the ALP assessment outcomes for the powered wheelchair group only.

Conclusions: This is the first study, to our knowledge, that compares two different wheelchair training methods. Simulator-based practice is an effective training option for powered mobility for children with physical disabilities aged 6-18 years old, demonstrating that it is possible to provide driving skill practice opportunities safe, controlled environments.

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儿科动力移动训练：动力轮椅与基于模拟器的练习。

方法：参与者包括30名6-18岁患有脑瘫和其他神经肌肉疾病的儿童和青少年（23名男性，13名女性）。在基线和12 通过电动轮椅或模拟器进行数周的家庭练习。动力行动能力由动力行动计划（PMP）、以色列卫生部的动力行动能力测试（PM-PT）和学习动力行动评估（ALP）确定。结果：所有参与者都练习了所需的时间，两组都报告了相似的用户体验。根据PMP和PM-PT评估，两组在练习期后都取得了显著改善，但没有显著差异。仅电动轮椅组的ALP评估结果有显著改善。结论：据我们所知，这是第一项比较两种不同轮椅训练方法的研究。基于模拟器的练习是6-18岁身体残疾儿童动力移动的有效训练选择岁，证明可以提供安全、可控的驾驶技能练习机会。

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来源期刊

ACS Applied Bio Materials Chemistry-Chemistry (all)

CiteScore

9.40

自引率

2.10%

发文量

464

期刊介绍： ACS Applied Bio Materials is an interdisciplinary journal publishing original research covering all aspects of biomaterials and biointerfaces including and beyond the traditional biosensing, biomedical and therapeutic applications. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrates knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important bio applications. The journal is specifically interested in work that addresses the relationship between structure and function and assesses the stability and degradation of materials under relevant environmental and biological conditions.