imadisneyfanatic said:
The worst thing for a child with arthritis (according to her Pediatric Rheumatologist) is for long term chair use because the remaining good joints/muscles will atrophy and she will not be able to walk at all.
That is true, but for long trips where she would not be able to do the distance, having her own power wheelchair or
scooter might be the best way she could go.
Instead of generic seating, she could have a seating and drive system that encourage good positioning and don't put strain on her joints. A lot of people report that they get sore backs or necks after using the rental scooters because of the postion they need to be in to drive. For some people, that might just be a nuisance, but for your DD it might be more (poor position leads to pain; pain encourages bad positioning; bad postioning leads to strain on joints that might not be strained with good positioning).
For example, a rental ECV's seat may be too far away from the steering mechanism, causing her to have to lean forward and put more strain on her back, neck, arms and wrists. If she had her own, things like the seat height, the seat itself, the height of armrests and footrests, distance to controller could be set up to put in the best position for her.
We were concerned when DD got her power wheelchair that she would lose the strength needed to drive her manual wheelchair and lose range of motion in her hands/arms. One girl my DD knows spends all her time in her power wheelchair, doesn't do any range of motion and has gradually lost the ability to do anything with her "driving hand" except drive the wheelchair. She is now paying for that. Both that girl and my DD have Cerebral Palsy, with spasticity. Same idea as the rheumatologist told you of "if you don't use it, you will lose it."
The way we got around that was to not use the power wheelchair in the house. The change in her ability to be independent was enormous. It is so freeing for her to be able to move quickly, easily and without pain when we go on trips to the mall, etc. (She does get pain/cramps in her hands and wrists if she has to drive her manual wheelchair very far - plus she's pretty slow).
For some people I know, their way of dealing with that concern is to only use the power wheelchair/scooter for long distances - like if spending the day at a mall, rather than just going to a single store. Something like that might be a good trade-off for your DD. Walking around in pain is not much fun (and has other by-products -like changes in posture to accomidate the pain).
I think some of the worst commercials (it makes me mad to see them) are the Scooter Store and Hoverround commercials aimed at elderly people. I know of so many people who were able to walk around their houses, but needed a scooter for long distances. They were sold those hoverrounds and scooters and soon were using them for everything - even in the house. That made them lose the abilities they did have - some people I know intended to use them just for trips, but the salesperson was so convincing about their need to use them inside the house that pretty soon they were living in them. We've had several people as patients in the hospital where I work who were there basically because they got so de-conditioned from using the scooters all the time that they could barely get around any more.
So, a scooter or power wheelchair all the time is not good, but for long distances, it's a very good thing. You might want to talk to the PT as well as the Rheumatologist, especially if the PT sees her frequently at school.