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Assistive Positioning as a Control Parameter of Social-Communicative Interactions Between Students with Profound Multiple Disabilities and Classroom Staff

Irene R McEwen
Published 1 September 1992
Irene R McEwen
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Abstract

This study examined the effects of assistive positioning on social-communicative interactions between 10 students, 6 to 12 years of age, with profound multiple disabilities, and their classroom staff. Interactions were videotaped in the students' classrooms when each student was positioned using a wheelchair, a sidelyer, and a mat on the floor. Data were analyzed by repeated-measures analysis of variance. During unstructured interactions, adults initiated communication at higher rates when students were positioned in their wheelchairs. During structured interactions, when students were given standardized opportunities for interaction, students functioning at lower levels of communication development were more communicative when they were supine on a mat than when in their wheelchairs or a sidelyer. In dynamic systems terms, position served as a control parameter of both adult and student communicative behaviors, which should be considered when recommending use of assistive positioning equipment for students with severe disabilities.

Key Words:
  • Cerebral palsy
  • Communication
  • Positioning
  • School physical therapy
  • Received September 25, 1991.
  • Accepted May 11, 1992.
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Vol 96 Issue 12 Table of Contents
Physical Therapy: 96 (12)

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Assistive Positioning as a Control Parameter of Social-Communicative Interactions Between Students with Profound Multiple Disabilities and Classroom Staff
Irene R McEwen
Physical Therapy Sep 1992, 72 (9) 634-644;

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Assistive Positioning as a Control Parameter of Social-Communicative Interactions Between Students with Profound Multiple Disabilities and Classroom Staff
Irene R McEwen
Physical Therapy Sep 1992, 72 (9) 634-644;
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  • Reliability and Validity of Force Platform Measures of Balance Impairment in Individuals With Parkinson Disease
  • Predictors of Reduced Frequency of Physical Activity 3 Months After Injury: Findings From the Prospective Outcomes of Injury Study
  • Effects of Locomotor Exercise Intensity on Gait Performance in Individuals With Incomplete Spinal Cord Injury
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