Effects of Powered Mobility Device Interventions on Social Skills for Children with Disabilities: A Systematic Review

Cheung, W. Catherine; Meadan, Hedda; Yang, Hsiu Wen

doi:10.1007/s10882-020-09729-x

Cited by 7 publications

(5 citation statements)

References 41 publications

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“…Powered ROTs with modified controls (e.g., handoperated switches instead of leg pedals) have been used previously as early mobility solutions for young children with lower limb impairments, including children with CP and Down syndrome [19,20]. Their use among non-ambulatory children has led to improvements in mobility, social skills, and overall participation [20][21][22][23][24]. However, the use of ROTs to promote UE function has not been explored.…”

Section: Introductionmentioning

confidence: 99%

Outcomes Associated with a Single Joystick-Operated Ride-on-Toy Navigation Training Incorporated into a Constraint-Induced Movement Therapy Program: A Pilot Feasibility Study

Srinivasan

Amonkar

Kumavor

et al. 2023

Behavioral Sciences

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Our research aims to evaluate the utility of joystick-operated ride-on-toys (ROTs) as therapeutic adjuncts to improve upper extremity (UE) function in children with hemiplegic cerebral palsy (HCP). This study assessed changes in affected UE use and function following a three-week ROT navigation training incorporated into an existing constraint-induced movement therapy (CIMT) camp in 11 children (3–14 years old) with HCP. We report changes in scores on the standardized Shriners Hospital Upper Extremity Evaluation (SHUEE) from pretest-to-posttest and changes from early-to-late sessions in percent time spent by the affected arm in: (a) “moderate-to-vigorous activity”, “light activity” and “no activity” bouts based on accelerometer data and (b) “independent”, “assisted”, and “no activity” bouts based on video data. We also explored relationships between standardized measures and training-specific measures of affected UE activity. We found small-to-medium improvements in the SHUEE scores. Between 90 and 100% of children also showed medium-to-large improvements in affected UE activity from early-to-late sessions using accelerometers and small improvements via video-based assessments. Exploratory analyses suggested trends for relationships between pretest-posttest and training-specific objective and subjective measures of arm use and function. Our pilot data suggest that single joystick-operated ROTs may serve as motivating, child-friendly tools that can augment conventional therapies such as CIMT to boost treatment dosing, promote affected UE movement practice during real-world navigation tasks, and ultimately improve functional outcomes in children with HCP.

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Section: Introductionmentioning

confidence: 99%

Outcomes Associated with a Single Joystick-Operated Ride-on-Toy Navigation Training Incorporated into a Constraint-Induced Movement Therapy Program: A Pilot Feasibility Study

Srinivasan

Amonkar

Kumavor

et al. 2023

Behavioral Sciences

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“…After one year, statistically significant differences in overall development between the intervention and control groups were found, along with no negative impact on motor development from power wheelchair use ( Jones, et al, 2012 ). Another recent systematic review also suggested a potentially positive impact from power mobility interventions on young children’s social skills ( Cheung, Meadan, & Yang, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

Parents’ and Therapists’ Satisfaction with Four Early Childhood Power Mobility Devices

Field¹,

Livingstone²

2022

Can J Occup Ther

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Background. Little is known about satisfaction with power mobility devices used by young children. Purpose. Parents’ and therapists’ satisfaction with four early childhood power mobility devices were examined. Method. A two-phased study, comprising Trial Phase cross-sectional design and Loan Phase one-group pretest-posttest design. Parents and therapists of children 9 months to 6 years with mobility limitations completed the Quebec User Evaluation of Satisfaction of Assistive Technology 2.0 Device Subscale (QUEST8) plus an additional device Aesthetics rating. Findings. Seventy-four parents and 42 therapists from 18 child development and rehabilitation centres participated. Parent and therapist median QUEST8 and Aesthetics scores varied across devices when trialled and over the six-month loan. Favourable median ratings had no statistically significant differences between parents and therapists. Parent ratings decreased statistically over loan period although therapists’ ratings did not. Device dimensions, safety, and aesthetics were highly rated. Implications. Similarities and differences exist among parent and therapist ratings.

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“…Limited mobility may be associated with participation restrictions and is concerning as learning, playing and taking part in family life is critical to young children’s wellbeing (Field et al., 2015). Mobility experience allows children to explore, to access play and to build friendships (Cheung et al., 2020), while activity or efficient, independent mobility facilitates social participation (Huang, 2018). In contrast, a lack of mobility limits young children’s potential to be active and may contribute to passive and dependent behaviour, restricting activity and participation in everyday life (Cheung et al., 2020; Huang, 2018).…”

Section: Introductionmentioning

confidence: 99%

“…Mobility experience allows children to explore, to access play and to build friendships (Cheung et al., 2020), while activity or efficient, independent mobility facilitates social participation (Huang, 2018). In contrast, a lack of mobility limits young children’s potential to be active and may contribute to passive and dependent behaviour, restricting activity and participation in everyday life (Cheung et al., 2020; Huang, 2018). Power mobility interventions (using switch-adapted ride-on toys, specialty devices and/or paediatric powered wheelchairs) may help increase participation in meaningful childhood occupations for young children with mobility limitations (Casey et al., 2013; Chiarello et al., 2012).…”

Section: Introductionmentioning

confidence: 99%

“…Another recent systematic review of the power mobility impact on young children’s social skills confirmed a potential positive impact despite the strength of conclusions being limited by the studies’ design, conduct or measurement limitations. Included studies evaluated activity and participation outcomes such as social participation and peer or adult interaction as well as the broader concept of social functioning (Cheung et al., 2020).…”

Section: Introductionmentioning

confidence: 99%

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Exploring young children’s activity and participation change following 6 months’ power mobility experience

Livingstone

Field

2020

British Journal of Occupational Therapy

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Introduction This pre-post study explored the effect of children’s 6 months’ experience in one of four early power mobility devices. Method Satisfaction with parent-selected goal achievement was measured using the wheelchair outcome measure for young people and compared with the assessment of learning powered mobility use, as well as device expectation fulfilment ratings. Results Forty-six children with mobility limitations, aged 13–68 months (mean 40.40; SD 15.60) participated. The most common condition was cerebral palsy ( n = 33; 71.74%). The Wilcoxon signed rank test measured the positive change in goal achievement ( z = 4.90; P<0.001; r = 0.51). Fair to good statistically significant Spearman’s correlations were observed between power mobility skill and goal achievement, as well as parent and therapist device expectation scores ( rs = 0.48, 0.46 and 0.66, respectively; P<0.001). Parent and therapist ratings did not differ significantly. No statistically significant associations were found between goal achievement and child (age, diagnosis, abilities) or environmental factors (device, access method, loan length). Conclusion Children at all phases of power mobility skill, using various devices and access methods, can demonstrate activity and participation change following power mobility experience. This study adds validity evidence supporting the use of the wheelchair outcome measure for young people with young children by parent-proxy rating.

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Effects of Powered Mobility Device Interventions on Social Skills for Children with Disabilities: A Systematic Review

Cited by 7 publications

References 41 publications

Outcomes Associated with a Single Joystick-Operated Ride-on-Toy Navigation Training Incorporated into a Constraint-Induced Movement Therapy Program: A Pilot Feasibility Study

Outcomes Associated with a Single Joystick-Operated Ride-on-Toy Navigation Training Incorporated into a Constraint-Induced Movement Therapy Program: A Pilot Feasibility Study

Parents’ and Therapists’ Satisfaction with Four Early Childhood Power Mobility Devices

Exploring young children’s activity and participation change following 6 months’ power mobility experience

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