Mesh : Humans Activities of Daily Living Blindness / rehabilitation physiopathology Mobility Limitation International Classification of Functioning, Disability and Health Disability Evaluation Self-Help Devices Visually Impaired Persons / rehabilitation

来  源:   DOI:10.1097/OPX.0000000000002141

Abstract:
CONCLUSIONS: There is little literature linking mobility aids for people with sight loss to the functions, activities, and participation domains of the International Classification of Functioning, Disability and Health (ICF). Future studies on this relationship should be funded and pursued to better understand ways to maximize the benefit of mobility aids.
OBJECTIVE: The ICF domains of functions, activities, and participation are potentially health-supporting aspects of daily living that may be impeded for people with sight loss. Although mobility aids facilitate safely navigating obstacles to optimize independence, it is not clear if they have any effect on functions, activities, or participation. This review explores the current literature to establish the associations between mobility aids and ICF domains.
METHODS: An established scoping review methodological framework was used to systematically search, select, and synthesize the existing literature.
RESULTS: Of 116 unique retrieved articles, three observational studies were eligible for inclusion with a total of 124 participants. A small experimental study found that blind adults had slower Timed Up and Go times than sighted and better performance with a long cane than without. One observational study found that physical activity was strongly related to level of visual acuity but with no independent impact of mobility aids. A single mixed-methods study explored travel frequency for blind people with assistance dogs and considered constraints to participation.
CONCLUSIONS: Despite the included studies involving some aspect of mobility aid use by people with sight loss, to date, no study has focused exclusively on mobility aid intervention for people with sight loss within the physical function, physical activity, and participation domains of the ICF. There is no reliable evidence on the associations between mobility aids and physical function, physical activity, and participation. This is an important knowledge gap for determining the most suitable aids, as well as their use, to best facilitate health-supporting activities.
摘要:
结论:很少有文献将视力丧失的人的助行器与功能联系起来,活动,和国际功能分类的参与领域,残疾与健康(ICF)。应资助并继续进行有关这种关系的未来研究,以更好地了解最大程度地利用行动辅助工具的方法。
目的:功能的ICF域,活动,和参与是日常生活中潜在的健康支持方面,可能会阻碍视力丧失的人。虽然行动辅助工具有助于安全地导航障碍物以优化独立性,目前尚不清楚它们是否对功能有任何影响,活动,或参与。这篇综述探讨了当前文献,以建立助行器与ICF领域之间的关联。
方法:已建立的范围审查方法学框架用于系统搜索,选择,并综合现有文献。
结果:在检索到的116篇独特文章中,三项观察性研究符合纳入条件,共有124名参与者.一项小型实验研究发现,盲人成年人的计时和计时时间比视力要慢,并且使用长手杖的表现比没有。一项观察性研究发现,身体活动与视敏度水平密切相关,但没有行动指南的独立影响。一项单一的混合方法研究探讨了盲人在援助犬下的旅行频率,并考虑了参与的限制。
结论:尽管纳入的研究涉及视力丧失者使用行动辅助工具的某些方面,到目前为止,没有一项研究专门针对身体机能丧失视力的人的行动援助干预,身体活动,和ICF的参与领域。没有可靠的证据表明助行器和身体功能之间的关联,身体活动,和参与。这是确定最合适的辅助手段的重要知识差距,以及它们的使用,最好地促进健康支持活动。
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