Mobility aids and appliances for disabled children.
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Biomedical subjects
Publications and source records attributed to K S Holt.
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Reactions of 25 parents to receiving copies of written reports concerning developmental assessment of their children were assessed. All parents wanted to have a written report.
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The reasons for advocating a developmental approach to physical disability in childhood are stated. Relevant characteristics of the developmental periods--antenatal, neonatal, early infancy, late infancy, preschool and school age--are described. Diagnosis, treatment and prognosis are then discussed in this developmental context.
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In a follow-up study from a children's wheelchair clinic the delivery times for 120 wheelchairs ordered during 1973--7 were analysed. Delivery delays were considerable: only 22 of the 120 chairs were delivered within one month and 69 within three months, while 21 took over six months to arrive. Factors such as the type of chair ordered, the need for modifications, and the centre handling the transaction did not influence delivery time. Administrative delays may be an important contributory factor.
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Problems in the diagnosis, management and educational placement of 10 children with cerebral palsy and deafness are reported. Serious inadequacies revealed by the study include delays in diagnosis, poor co-ordination of decision-making between services and frequent changes of school--all leading to unsatisfactory progress by these children.
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This article is not about specific conditions such as cerebral palsy, or deafness, or mental retardation, it is about every handicapped child; that is every child whose development and life fulfillment are restricted and who requires help to overcome or to reduce the effects of his handicaps. The picture and principles described below apply to all handicapped children whatever the nature of their basic disorder.
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