Research Article  |   July 2016
Health-Promoting Physical Activity of Children Who Use Assistive Mobility Devices: A Scoping Review
Author Affiliations
  • Tracy L. Jirikowic, PhD, OTR/L, FAOTA, is Associate Professor, Division of Occupational Therapy, Department of Rehabilitation Medicine, University of Washington, Seattle; tracyj@uw.edu
  • Cheryl I. Kerfeld, PhD, PT, is Acting Assistant Professor, Division of Physical Therapy, Department of Rehabilitation Medicine, University of Washington, Seattle
Article Information
Assistive Technology / Health and Wellness / Obesity / Pediatric Evaluation and Intervention / Rehabilitation, Participation, and Disability / Special Issue: Research Articles
Research Article   |   July 2016
Health-Promoting Physical Activity of Children Who Use Assistive Mobility Devices: A Scoping Review
American Journal of Occupational Therapy, July 2016, Vol. 70, 7005180050p1-7005180050p11. doi:10.5014/ajot.2016.021543
American Journal of Occupational Therapy, July 2016, Vol. 70, 7005180050p1-7005180050p11. doi:10.5014/ajot.2016.021543
Abstract

Children with physical disabilities who use assistive mobility devices (AMDs) are at risk for obesity and other secondary health conditions. Habitual physical activity is one lifestyle factor that may prevent obesity and contribute to overall health, and an active lifestyle in childhood improves prospects for lifelong healthy behaviors. Child, family, and environmental facilitators and barriers influence health-promoting physical activity (HPPA) for children without disabilities, but comparable models and levels of understanding for children who use AMDs are lacking. In this scoping review, we identified a similar set of child, family, and environmental facilitators and barriers relevant to HPPA participation among children who use AMDs. Noted gaps in the literature included limited reporting of AMD use, inconsistent HPPA definitions, and inadequate measurement tools for children who are nonambulatory. The identified child, family, and environmental factors provide a framework for occupational therapy practitioners and interprofessional teams to develop HPPA opportunities and interventions for an underserved population.