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Updated: Sep 6, 2025

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Pediatric powered mobility training: powered wheelchair versus simulator-based practice.

Naomi Gefen1, Philippe S Archambault2,3, Amihai Rigbi4

  • 1Deputy Director General, ALYN Hospital, Jerusalem, Israel.

Assistive Technology : the Official Journal of RESNA
|June 23, 2022
PubMed
Summary
This summary is machine-generated.

Simulator-based powered mobility training is effective for children with physical disabilities, showing similar improvements to traditional powered wheelchairs in most assessments. This method offers a safe and controlled environment for skill development.

Keywords:
Assessment of Learning Powered MobilityPowered Mobility Programpediatric powered mobilitysimulator

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Area of Science:

  • Pediatrics
  • Rehabilitation Medicine
  • Assistive Technology

Background:

  • Children with cerebral palsy and neuromuscular diseases often require powered mobility assistance.
  • Traditional powered wheelchair training can be resource-intensive.
  • Exploring alternative training methods is crucial for improving accessibility and outcomes.

Purpose of the Study:

  • To compare the effectiveness of simulator-based training versus traditional powered wheelchair training for children with physical disabilities.
  • To evaluate improvements in powered mobility skills using standardized assessments.

Main Methods:

  • 30 children and adolescents (aged 6-18) with physical disabilities participated.
  • Participants were randomized to 12 weeks of home-based practice using either a powered wheelchair or a simulator.
  • Powered mobility ability was assessed using the Powered Mobility Program (PMP), Powered Mobility Proficiency Test (PM-PT), and Assessment of Learning Powered Mobility (ALP).

Main Results:

  • Both groups showed significant improvements in PMP and PM-PT assessments, with no significant differences between them.
  • The powered wheelchair group demonstrated a significant improvement in ALP assessment outcomes, while the simulator group did not.
  • User experience was reported as similar between the two training groups.

Conclusions:

  • Simulator-based practice is a viable and effective training option for powered mobility in children with physical disabilities.
  • This method provides a safe, controlled environment for practicing essential driving skills.
  • Simulator training offers a promising alternative or supplement to traditional powered wheelchair training.