Experiences from two counties in Norway
Experience so far has shown that Innowalk can improve or maintain endurance, stomach functioning and posture control. In addition, several users improved joint movement and for one user, Botox treatment was no longer indicated after the trial period ended.
Innowalk is a new aid for children with physical limitations who can benefit from inceased movement. On request by goverment department responsible for special aids for people with disabilities in Norway, the rehabilitation services in the two counties in Norwaytogether with EO Funktion, carried out a trial project with Innowalk.
The objective of the project was to defensibly show that it is possible to give assisted movement to children who have little or no ability to move on their own. At the same time, there was also a desire to record changes in the child related to increased movement and activity. The trial project is designed in collaboration with rehabilitation services in the two counties.
The trial period was set at 4 weeks. The 5 children were chosen by rehabilitation services. During the trial, the children had to use Innowalk a minimum of 5 times per week, for a minimum of 30 minutes per day. The date, heart rate and length of time in movement was recorded. In addition, comments were written about each session.
It was desirable to record the heart rate, measured by a heart rate monitor, in order to evaluate the effect on endurance, seen in realation to Innowalk`s speed and the child`s own level of activity.
Stomach functioning, sleep pattern and presence of pain were systematically recorded before and during the trial period with a view to assess possible changes related to an increase in activity level. Specific functions, in accordance with individual goals, were videoed before and after the trial period in order to document possible changes.
The thigh and calf circumferences were measured before and after the trial peroid, along with recording of the joint movement and spasticity.
Both carer and theapist gave an overall evaluation of the child after the trial period. This overall evaluation included a description of how movement in Innowalk, in combination with the treatments already in place for the child, effected the child´s functioning and participation in relation to what was desirable to achieve with Innowalk during the trial period.
All measurements, tests and analyses were undertaken by a rehabilitation physiotherapist (local hospital) and physiotherapist from the local government agency.
Facsimilie: Barnestafetten nr. 56 – 2009
INNOWALK AS AN AID FOR STIMULATION AND ACTIVATION
A summary of project experiences
NAV´s specialist unit for disability aids and facilities and the Norwegian Labour and Welfare Service, in collaboration with the disability aid centres (HMS) in Østfold, Vestfold and Telemark, the rehabilitation services (HABU) in Telemark and Vestfold, and the supplier EO Funktion, have summarised experiences recorded in the project period 2009 and 2010.
Innowalk is a motorised, multi-functional product offering sitting and standing functionality. It allows children with severe multiple disabilities to experience walking movements.
As Innowalk was a new aid, and the child was being moved without having any independent control over the device, the aim of the project was to:
- Register the effect on the child (www.nav.no/Hjelpemidler search: survey form for Innowalk)
- Assess the need to monitor the child and the aid
The specialist unit received feedback from 12 disability aid centres. EO Funktion conducted a user survey at the end of 2009 (Quest Back), achieving an 86% response rate. A total of 145 Innowalks were loaned out on trial, of which eight were returned. Every county was involved. A total of 83 children have NF-Walker too, while 62 only have Innowalk.
For information purposes the rehabilitation service in Vestfold, in collaboration with the dis ability aid centre in Vestfold and EO Funktion, is carrying out a project focusing on long-term effects (comletion date June 2012).
The summary has focused on:
- Requirements of and for the child when using Innowalk
- Recorded effect
Facsimilie: Letter from NAV disability aid centres [Hjelpemiddelsentraler, HMS]
The rehabilitation service in Østfold,
Vestfold and Telemark.