Powered Mobility Manual - Cerebral Palsy Alliance

SKILL DEVELOPMENT AND SUPERVISION | 8Categories explainedThe following are examples to consider for each area of possible skill development. This is by no means anexhaustive list and is not a list for testing ability, as each will not relate to every client.ControllerTurning on and off appropriately; ability to stop; ability to maintain consistent pressure or to grade input; useof other features such as power tilt; ability to change speed; use horn.Directional controlGoing right, left, forward; use of reverse; ability to avoid obstacles; ability to use ramps; navigate doorways;turn from hallway; move within fixed objects and also moving people.EnvironmentsInside, outside, uneven ground, familiar environments, unfamiliar environments, changing speedappropriately to conditions, orientating self in environment, what to do if lost, knowing how to get from A to B,using lifts.TimeHow long able to use chair; consider fatigue over the course of a day; time taken to move from A to B; timetaken to move into position; time taken in chair to perform a functional task.TransportAble to move in and out of vehicle (if appropriate); understanding tie-down points, safety belt position; able todirect bus/taxi driver.MaintenanceHas a maintenance schedule, is able to direct others in charging/maintenance procedure, what do to in theevent of a break down.SafetyAwareness in unfamiliar environments; traffic safety; crossing roads; car park and driveway safety;awareness of edges, kerbs and stairs.8.3 Measuring and Recording PerformanceThe Powered Mobility Performance Record is based on the Goal Attainment Scale (GAS) (Kiresuk &Sherman,1968). The Goal Attainment Scale provides an outcome measure for the intervention provided.View a factsheet on GAS in Appendix 12.11.The Powered Mobility Performance Record was developed to guide an individual’s progress toward masteryof powered mobility goals and to record the improvement made over time.The therapist will examine performance and write a PM skill development program as outlined in section 8.2.Once this is done, goals can be agreed upon and written into the Powered Mobility Performance Record.The information in the PM Skill Development program should form the basis for the goals. The goals need tobe clearly graded so that the difference between each level can easily be differentiated by support people.This will assist support people to be specific in their observations per session. In this way progress andoutcomes on agreed goals can be measured.The therapist should set intervals to review performance and modify or renew goals as they are achieved.View the Powered Mobility Performance Record form in Appendix 12.12View an example of a completed Powered Mobility Performance Record form in Appendix 12.1354