When evaluating an adolescent student with Duchenne muscular dystrophy for a power wheelchair, what is the most important area to assess?

When evaluating an adolescent student with Duchenne muscular dystrophy for a power wheelchair, assessing cognitive skills is crucial due to the nature of the condition and its implications for mobility and independence. Cognitive abilities influence the student's understanding of how to operate the wheelchair safely and effectively, as well as their ability to navigate various environments.

For individuals with Duchenne muscular dystrophy, physical capabilities are often impaired, but cognitive functioning may vary widely. If a student has solid cognitive skills, they could effectively learn to maneuver a power wheelchair and engage in complex decision-making while using it. The evaluation of cognitive skills ensures that the student can comprehend instructions for operating the wheelchair, troubleshoot issues, and interact appropriately in different settings.

In contrast, motor skills are also important, especially in determining whether the student can operate the controls of the wheelchair, but cognitive assessment provides insights into the student's ability to utilize those motor skills in a functional and meaningful way. Social and emotional aspects are relevant, but they do not directly impact the practical skills required for safe and efficient wheelchair use. Therefore, focusing on cognitive skills provides a comprehensive understanding of how the student can successfully achieve mobility through the power wheelchair.