Harnessing Mobility: A Medically Complex Child's Home Program Utilizing an In-Home Body Weight Support System.

IF 1.3 4区医学 Q3 PEDIATRICS

Pediatric Physical Therapy Pub Date : 2024-07-01 Epub Date: 2024-05-27 DOI:10.1097/PEP.0000000000001112

Andrina Sabet, James Cole Galloway

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引用次数: 0

Abstract

Purpose: To describe a home program for a child with medical complexity using an over-ground body weight support (BWS) system.

Summary of key points: Children with medical complexity often use home programs due to challenges with regular therapy attendance. In this case, effective home program components including child centered design, family leadership, and best practice principles were prioritized around the PUMA (portable mobility aid for children). This BWS system was to be used for 1 hour per day to support mobility and active play.

Statement of conclusions: The CMC and family demonstrated high adherence, using over-ground BWS 87% of the 135 days it was accessible with an average daily usage of 59 min spread across 1-3 bouts per day. The average daily fun index during usage was 7/10.

Recommendations for clinical practice: This home program demonstrated over-ground BWS technology as a feasible, fun platform for functional mobility and socialization in a child with significant medical and physical limitations.

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掌握活动能力：利用居家体重支持系统的复杂病症儿童居家计划。

目的：介绍一种使用地面体重支撑系统（BWS）的家庭康复计划：由于无法定期接受治疗，患有复杂病症的儿童通常会使用家庭计划。在这个案例中，有效的家庭项目组成部分包括以儿童为中心的设计、家庭领导力以及围绕PUMA（儿童便携式助行器）的最佳实践原则。该 BWS 系统每天使用 1 小时，以支持移动和积极玩耍：儿童医疗中心及其家人表现出了高度的依从性，在135天的使用时间中，87%的时间都在使用地面上的BWS系统，平均每天使用59分钟，每天使用1-3次。在使用过程中，平均每天的乐趣指数为 7/10：该家庭项目证明了地面盲人助行器技术是一种可行、有趣的平台，可以帮助有严重医疗和身体缺陷的儿童实现功能性移动和社交。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Physical Therapy PEDIATRICS-REHABILITATION

CiteScore

1.50

自引率

18.80%

发文量

147

审稿时长

>12 weeks

期刊介绍： Pediatric Physical Therapy is an indexed international journal, that publishes peer reviewed research related to the practice of physical therapy for children with movement disorders. The editorial board is comprised of an international panel of researchers and clinical scholars that oversees a rigorous peer review process. The journal serves as the official journal for the pediatric physical therapy professional organizations in the Netherlands, Switzerland, New Zealand, Canada, and the United States. The journal includes articles that support evidenced based practice of physical therapy for children with neuromuscular, musculoskeletal, cardiorespiratory and developmental conditions that lead to disorders of movement, and research reports that contribute to the foundational sciences of pediatric physical therapy, ranging from biomechanics and pediatric exercise science to neurodevelopmental science. To these ends the journal publishes original research articles, systematic reviews directed to specific clinical questions that further the science of physical therapy, clinical guidelines and case reports that describe unusual conditions or cutting edge interventions with sound rationale. The journal adheres to the ethical standards of theInternational Committee of Medical Journal Editors.