Riding toward the future: inclusion and well-being for children, adolescents, and young adults with major disabilities
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Notice bibliographique
Résumé
The main objective of this study is to evaluate the effects of a weekly wheelchair-accessible passive cycling activity, which is routinely conducted at the school attended by non-ambulatory children, adolescents, and young adults with disabilities aged 5 to 22, over a period of 10 weeks. Not only functional and physical variables will be analyzed, but also participation variables. The specific objectives are as follows: • To analyze changes in trunk motor control and other functional indicators in non-ambulatory children, adolescents, and young adults with disabilities after 10 weeks of participation in a weekly wheelchair-accessible passive cycling activity. • To evaluate the effects of the intervention on participation variables, including the level of engagement in school and recreational activities, through measures such as the Canadian Occupational Performance Measure (COPM), the Goal Attainment Scale (GAS), and specific questionnaires designed to collect the perceptions of teachers, physiotherapists, and legal representatives. • To determine the impact of the activity on physical variables such as physical activity levels, number and duration of seizures, sleep quality, heart rate variability and body composition, as well as pain perception throughout the intervention period. Study Design The study follows a quasi-experimental design. This quasi-experimental study will be conducted over a period of 23 weeks following sample recruitment and will be structured in five phases. Initially, a baseline measurement phase (T1) will be conducted to assess the participants' initial status. This will be followed by a control phase (T1-T2), during which participants will not participate in the adapted bicycle intervention. A second measurement phase (T2) will then be conducted to record variables after the control period. The intervention will begin in the next phase, the intervention phase (T2-T3), in which participants will participate in at least one weekly wheelchair-adapted bicycle activity lasting 30 minutes at a speed of 10-12 km/h, supervised by their school physical therapist, who actively performs the pedaling. Finally, a final measurement phase (T3) will be conducted to evaluate the effects of the intervention. Intervention Plan - T1 (30 minutes): Participant assessment + questionnaires to be completed by parents/guardians, classroom professionals (teachers and TAs), and physical therapists. - T1 (1 week): Sleep quality measurement with a digital clock. - T1-T2 (10 weeks): Control period: Weekly sleep quality questionnaire (parents/guardians); Daily quality of life questionnaire (classroom professionals). - T2 (30 minutes): Pre-intervention participant assessment + questionnaires to be completed by parents/guardians, classroom professionals (teachers and TAs), and physical therapists. - T2 (1 week): Sleep quality measurement with a digital clock. - T2-T3 (10 weeks): Intervention period: Adaptive cycling activity with the participant's physical therapist, two 30-minute sessions per week. Weekly sleep quality questionnaire (parents/guardians); daily quality of life questionnaire (classroom professionals). - T2 (30 minutes): Post-intervention assessment of participants + questionnaires to be completed by parents/guardians, classroom professionals (teachers and TAs), and physical therapists. - T2 (1 week): Sleep quality measurement with a digital watch. Children, adolescents, or young adults between the ages of 5 and 22. Classification as GMFCS levels IV or V. Regular school attendance. Regular participation in school physical therapy sessions. Informed consent signed by the participants' legal guardians. Exclusion Criteria Recent surgeries within the last three months prior to the start of the study. Medical conditions that contraindicate adapted physical activity with a bicycle, according to a medical assessment or the school's physical therapist. Planned prolonged absence during the study period that prevents completion of the control and intervention phases. Refusal or lack of cooperation by the participant during adapted bicycle sessions.
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Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,002 | 0,003 |
| Communication savante | 0,003 | 0,001 |
| Science ouverte | 0,003 | 0,008 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découle