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Functional outcomes associated with adaptive seating interventions in children and youth with wheeled mobility needs

Article consultable sur : http://www.archives-pmr.org

OBJECTIVE: To determine the parent-reported functional outcomes associated with
adaptive seating devices for wheeled mobility devices used by young people aged 1
to 17 years. DESIGN: Longitudinal case series. SETTING: Homes of participating
parents. PARTICIPANTS: Parents (N=70, 63 mothers, 6 fathers, 1 grandmother) who
had children with adaptive seating needs. INTERVENTION: Adaptive seating system
for wheeled mobility devices. MAIN OUTCOME MEASURE: Family Impact of Assistive
Technology Scale for Adaptive Seating (FIATS-AS). RESULTS: All parents completed
the FIATS-AS 4 times-2 times before and 2 times after their child received a new
adaptive seating system. Mixed-design analysis of variance did not detect
significant mean differences among the FIATS-AS scores measured at baseline and 2
and 8 months after receiving the seating system (F2,134=.22, P=.81). However, the
FIATS-AS detected a significant interaction between age cohort and interview time
(F4,134=4.5, P<.001, partial eta(2)=.16). Post hoc testing confirmed that 8
months after receiving the seating system was associated with a large improvement
in child and family functioning for children <4 years, maintenance of functioning
for children between 4 and 12 years, and a moderate decline in functioning for
youth between 13 and 17 years. CONCLUSIONS: Adaptive seating interventions for
wheeled mobility devices are associated with functional changes in the lives of
children and their families that interact inversely with age. Future controlled
longitudinal studies could provide further empirical evidence of functional
changes in the lives of children and their families after the introduction and
long-term use of specific adaptive seating interventions.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.
- Enfant - Jeune

Langue : ANGLAIS

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