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Research Question1

Citation Bottos, M., Bolcati, C., Sciuto, L., Ruggieri, C., & Feliciangeli, A. (2001). Powered wheelchairs and independence in young children with tetraplegia. Developmental Medicine and Child Neurology, 43, 769-777.
Question What is the effect of early power mobility on motor skills, IQ, psychological reactions and independence? Does IQ or motor level predict which children can use a power chair?
Description 25 children with tetraplegic cerebral palsy aged between 3 and 8 years old were assessed at the beginning and end of a 6 month baseline period using reliable measures of IQ, motor level, psychological reactions and independence. They were then provided with use of a powered wheelchair and reassessed after 6-8 months of use.
Results •  Significant increase in independence, measured using the Canadian Occupational    Performance Measure
•  21/27 children achieved functional driving including 7/13 with IQ below 55
•  IQ and motor level did not correlate with functional driving ability
•  Time spent in the chair practicing did correlate with functional driving ability
Messages • Power mobility can increase independence for children with CP
• Children with moderate to severe intellectual impairment can learn to use a power wheelchair
• Time and environmental support are very important when learning to use a power chair
Last Updated: Jan 13, 2011