Perceived Barriers of Modified Ride-On Car Use of Young Children With Disabilities: A Content Analysis

Self Cite

Purpose: To describe a pilot clinical case series of a modified ride-on car (MROC) intervention on mobility and alertness for young children with profound intellectual and multiple disabilities (PIMD). Methods: Four young children with PIMD participated in 4 baseline observations and 5 intervention sessions (A-B design). Data collection occurred via video. Assessment of mobility and alertness duration used structured visual analysis. Results: Three of the 4 children increased their independent mobility during the intervention sessions. One of the 4 children increased their active alertness during the intervention sessions. Conclusions: This pilot study demonstrates the initial feasibility of an MROC intervention in a clinical setting and outcome measures of mobility and alertness for children with PIMD. This provides support that this population should be considered for power mobility in early childhood. Further, this study used a novel, caregiver-implemented prompting protocol to teach children how to use the MROC.

Section: Future Directionsmentioning

confidence: 99%

Modified Ride-on Car Intervention for Children With Profound Intellectual and Multiple Disabilities: A Case Series

Sloane

Case

Quinn

et al. 2023

Self Cite

“…9 Furthermore, to enhance the intervention effects and promote greater use of ROCs, the researchers recommended that future studies examine how family perceptions of ROCs change over time, as well as changes in their motivation and behavior after ROC training sessions. 8,9 It is worth noting that perceived environmental barriers are closely related to geographical differences, as weather patterns and living habits vary greatly between different regions and cultures. Therefore, early power mobility training should take into account these differences and adapt to various environmental and cultural contexts.…”

Section: What This Evidence Adds Amentioning

confidence: 99%

“…1,5,7 However, only a few studies have examined caregivers' perceptions of their children' s use of ROCs in different environments. 8,9 Logan et al 8 synthesized previous studies and identified 2 commonly reported perceived barriers to the use of ROCs: device-related and environmental factors. For example, factors such as a large turning radius, rapid acceleration, loud noise, adverse weather conditions, and limited driving space may lead to the reduced use of and adherence to ROCs.…”

Section: Introductionmentioning

confidence: 99%

Caregivers' Perceptions of Ride-On Cars and Behavioral Changes for Young Children With Motor Delays

Huang,

Tsai,

Lin

et al. 2023

Purpose: To investigate caregivers' perceptions of using a ride-on car (ROC) and observe behavioral changes in their children following ROC training and conventional therapy. Methods: The study included 37 toddlers with motor delays and their caregivers, divided into an ROC training group (27 participants) and a conventional therapy group (10 participants). A binary, multiple-choice, and open-ended questionnaire was administered before and after a 3-month intervention period. Results: Over 70% of caregivers had no experience using mobility devices before the intervention. Before the intervention, children's ability and age were key barriers to using mobility devices. After the intervention, caregivers in the ROC group were more inclined than those in the control group to allocate a larger budget for these devices. Conclusions: The findings highlight the importance of pediatric physical and occupational therapists working collaboratively with caregivers during such interventions and raising awareness about government subsidies and resources available for mobility devices.

“…Modified ride-on toys have been used as a relatively low-cost mode of early powered mobility for young children with lower limb mobility challenges including CP, spina bifida, and Down syndrome. [51][52][53] No study to date has explored the use of joystick-operated ride-on-toys focused on UE impairments in children with HCP. The present study was conducted as part of an existing 3-week summer camp for children with CP.…”

Section: Introductionmentioning

confidence: 99%

“…The study specifically assessed the feasibility of implementation, acceptance of, satisfaction with, and perceived efficacy of a novel intervention using joystick-operated, powered ride-on-toys to promote UE function in children with HCP. Modified ride-on toys have been used as a relatively low-cost mode of early powered mobility for young children with lower limb mobility challenges including CP, spina bifida, and Down syndrome 51–53. No study to date has explored the use of joystick-operated ride-on-toys focused on UE impairments in children with HCP.…”

Section: Introductionmentioning

confidence: 99%

Feasibility of Using Joystick-Operated Ride-on-Toys to Promote Upper Extremity Function in Children With Cerebral Palsy: A Pilot Study

Amonkar

Kumavor

Morgan

et al. 2022

Purpose: To evaluate the feasibility of implementation, acceptance, and perceived efficacy of a joystick-operated ride-on-toy intervention to promote upper extremity (UE) function in 3-to 14-year-old children with hemiplegic cerebral palsy. Methods: Exit questionnaires were collected from children, caregivers, and clinicians/camp staff following a 3-week ride-on-toy training program incorporated within a summer camp for children with hemiplegic cerebral palsy. Training encouraged children to use their affected UE to maneuver the ride-on-toy. Questionnaires included Likert scale and open-ended questions to assess enjoyment, acceptance, feasibility, and perceived efficacy of the training. Results: All stakeholder groups indicated that the training was enjoyable. Clinicians/staff and caregivers indicated that the training increased children's motivation to use their affected UE and reported perceived improvements in UE movement control and function following training. Conclusions: Our promising preliminary findings call for future research to systematically assess the efficacy of ride-on-toys to promote UE control and function in children with hemiplegic cerebral palsy.