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Objective(s)
To evaluate the literature for evidence of the impact of caregiver training for mobility
tasks on caregiver burden and motor performance of children.
Data Sources
The scoping review was completed with searching of the following databases: PubMed,
CINAHL, ProQuest Health and Medical Complete, Scopus. Various combinations of the
following search terms were used: caregiver, mobility, pediatric, training, physical
therapy.
Study Selection
Inclusion criteria included documented training for a mobility task and publication
in a peer-reviewed journal, studies without outcomes showing the effectiveness of
the training were excluded. The authors screened articles, with final decisions made
for those to be included with discussions and agreement. The authors reviewed a total
of 1806 articles. Following the screening, fourteen full-text articles were reviewed
with five articles chosen for inclusion: three randomized controlled trials, one quasi-experimental
study and one cohort study.
Data Extraction
The studies varied with the diagnoses included and ages of the children. One study
included caregivers of premature infants, most studies had age ranges between one
and 16 years of age with diagnoses of obesity and cerebral palsy. Four of the studies
had positive outcomes related to training, one study showed no difference in the outcome
measures following training. The training in all studies had limited detail regarding
parameters and methods.
Data Synthesis
Results of the studies showed improvement with activities such as walking and self-care.
The varied details of studies made further analysis challenging.
Conclusions
There is initial evidence that caregiver training with functional mobility tasks improves
motor performance of children, but results and methods were inconsistent among included
studies. While the evidence supports improvement with activities such as walking and
self-care, generalization is limited given the varied nature of the completed studies.
Further work is warranted to determine the most effective training methods.
Author(s) Disclosures
The authors have no conflicts of interest to declare.
Key Words
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© 2022 Published by Elsevier Inc.