title: Practice considerations for the introduction and use of power mobility for children.
abstract: OBJECTIVE
  The aim of the study was to support clinicians in recommending and justifying power mobility for children of different ages and abilities, and with different needs. The study comprised three distinct parts: a literature review; a Delphi consensus; and clinical practice considerations.
  
  
  METHODS
  A scoping review of eight electronic databases and manual searches carried out in February 2011 identified 15 themes or transferable messages among 27 articles meeting initial inclusion criteria and these formed the basis of a draft paper. Informal consensus at two international conference presentations refined and modified the paper to include 10 messages supported by 24 articles. The literature review was updated in May 2012 and a modified Delphi process sought to formalize the consensus process with an international panel of 16 expert clinicians and researchers using a priori criteria of 80% agreement.
  
  
  RESULTS
  Evidence from studies was classified using the American Academy of Cerebral Palsy and Developmental Medicine guidelines, with evidence from most studies being classified as either level IV or level V, apart from one study each with evidence classified as level II and level III. Expert consensus on the content and wording of nine transferable messages may raise evidence overall to level III.
  
  
  CONCLUSIONS
  This paper suggests that power mobility may reasonably be considered as an effective and appropriate intervention for children lacking efficient, independent mobility from around 12 months of age including children who may never become competent drivers and children lacking independent mobility only in early childhood.
authors.affiliation: Sunny Hill Health Centre for Children, Vancouver, BC, Canada.
authors.forename: Roslyn
authors.initials: R
authors.lastname: Livingstone
authors.forename: Ginny
authors.initials: G
authors.lastname: Paleg
mesh_terms: D000293:Adolescent; D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D003697:Delphi Technique; D019988:Children with Disabilities; D055317:Evidence-Based Practice; D006801:Humans; D007223:Infant; D051346:Mobility Limitation; D012656:Self-Help Devices / Q000706:statistics & numerical data*