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

Bethany M Sloane1, Felicity Case, Emily Quinn

  • 1Oregon Health and Science University (Drs Sloane, Case, and Quinn and Ms Sanford-Keller), Portland, Oregon; Oregon State University (Dr Logan), Corvallis, Oregon.

Insights

This pilot study shows a modified ride-on car (MROC) intervention can improve mobility and alertness in young children with profound intellectual and multiple disabilities (PIMD). Caregiver prompting enhanced learning for these children.

Area of Science:

  • Pediatrics
  • Rehabilitation Medicine
  • Developmental Disabilities

Background:

  • Children with profound intellectual and multiple disabilities (PIMD) often face significant challenges in mobility and engagement.
  • Early intervention is crucial for maximizing developmental potential in this population.
  • Power mobility offers a potential avenue for enhancing independence and participation.

Purpose of the Study:

  • To evaluate the feasibility and preliminary outcomes of a modified ride-on car (MROC) intervention.
  • To assess the impact of MROC intervention on mobility and alertness in young children with PIMD.
  • To explore a novel caregiver-implemented prompting protocol for teaching MROC use.

Main Methods:

  • A pilot clinical case series design (A-B) was employed.
  • Four young children diagnosed with PIMD participated.
  • Intervention involved modified ride-on car sessions with structured visual analysis of video-recorded data for mobility and alertness.

Main Results:

  • Three out of four children demonstrated an increase in independent mobility during MROC intervention sessions.
  • One child showed an increase in active alertness during the intervention period.
  • The caregiver-implemented prompting protocol was utilized to facilitate MROC use.

Conclusions:

  • The modified ride-on car intervention is feasible in a clinical setting for children with PIMD.
  • MROC intervention shows promise for improving mobility and alertness in this population.
  • Findings support consideration of power mobility for young children with PIMD and highlight a novel teaching approach.
Abstract

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