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A microswitch-based program for promoting initial ambulation responses: An evaluation with two girls with multiple

Fabrizio Stasolla1, Alessandro O Caffò2, Viviana Perilli3

  • 1Department of Neurosciences, University of Bari, Bari (Italy).

Journal of Applied Behavior Analysis
|January 28, 2017
PubMed
Summary

This study shows a microswitch program effectively increased walking (ambulation responses) in children with multiple disabilities. The intervention, using preferred stimuli, also improved happiness and was validated by physiotherapists.

Keywords:
ambulation responsescontingencyindices of happinessmicroswitchesmultiple disabilitiesquality of lifesocial validation

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Area of Science:

  • Pediatric Physical Therapy
  • Assistive Technology
  • Behavioral Intervention

Background:

  • Children with multiple disabilities often face challenges in ambulation.
  • Effective interventions are needed to promote motor responses and well-being.

Purpose of the Study:

  • To evaluate a microswitch-based program for enhancing ambulation in two children with multiple disabilities.
  • To assess the contingency between forward steps and preferred stimuli.
  • To measure intervention effects on happiness and social validity.

Main Methods:

  • A microswitch program delivered preferred stimuli contingent on forward steps.
  • Baseline, contingent reinforcement, and noncontingent reinforcement phases were used.
  • Physiotherapists rated the intervention's social validity.

Main Results:

  • Both participants significantly increased forward steps during contingent reinforcement.
  • Indices of happiness improved with the intervention.
  • Physiotherapists found the procedure socially valid.

Conclusions:

  • Microswitch-based contingent reinforcement is an effective strategy for promoting ambulation in children with multiple disabilities.
  • The intervention positively impacts happiness and is perceived as practical by clinicians.