Power Mobility Training Methods for Children: A Systematic Review

Lisa K Kenyon1, Lisa Hostnik, Rachel McElroy

  • 1Department of Physical Therapy (Drs Kenyon, Hostnik, McElroy, and Peterson) and Padnos School of Engineering and Computing (Dr Farris), Grand Valley State University, Grand Rapids, Michigan.

Insights

This review found limited evidence for power mobility training in children. Therapists should exercise caution and measure outcomes carefully when implementing these interventions.

Area of Science:

  • Pediatric Rehabilitation
  • Assistive Technology Research
  • Evidence-Based Practice in Therapy

Background:

  • Power mobility training is crucial for children with disabilities to enhance independence.
  • Existing research on training methods requires critical appraisal to guide clinical practice.
  • Understanding the evidence base is essential for optimizing therapeutic interventions.

Purpose of the Study:

  • To systematically review and critically evaluate power mobility training methods in pediatric research.
  • To appraise the quality and risk of bias in studies involving children (≤21 years) using power mobility devices.
  • To synthesize current evidence to inform best practices in pediatric power mobility training.

Main Methods:

  • Systematic review of quantitative studies from 16 electronic databases.
  • Inclusion of peer-reviewed primary source articles.
  • Application of the Evidence Alert Traffic Light Grading System (EATLS) for evidence appraisal.

Main Results:

  • Twenty-seven studies were included in the review.
  • Levels of evidence ranged from II to V.
  • Scientific rigor scores varied from 2 to 7, indicating a need for caution.

Conclusions:

  • An overall Yellow EATLS level of evidence suggests caution in power mobility training.
  • Therapists should carefully measure outcomes related to developmental goals, functional skills, and device use.
  • Further high-quality research is needed to strengthen the evidence base for pediatric power mobility interventions.
Abstract

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