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Short-Term Powered Mobility Intervention Is Associated With Improvements in Development and Participation for Young
Heather A Feldner1,2, Samuel W Logan3, Sango Otieno4
1University of Washington, Department of Rehabilitation Medicine, Seattle, WA 98195, United States.
Physical Therapy
|October 25, 2024
Summary
Powered mobility devices improved development and participation in young children with cerebral palsy. Caregivers found these interventions acceptable and feasible for early intervention strategies.
Area of Science:
- Pediatric rehabilitation
- Assistive technology
- Child development
Background:
- Cerebral palsy (CP) affects motor skills in young children.
- Early intervention is crucial for children with CP.
- Powered mobility can potentially enhance function and participation.
Purpose of the Study:
- To evaluate the impact of two short-term powered mobility interventions on developmental domains and participation in young children with CP.
- To assess caregiver perceptions of the acceptability, appropriateness, and feasibility of these interventions.
Main Methods:
- Randomized, crossover clinical trial involving 24 children (12-36 months) with CP.
- Comparison of two devices: Explorer Mini and an adapted ride-on toy car, each used for 8 weeks.
- Outcome measures included Bayley Scales of Infant and Toddler Development (Bayley-4) and Child Engagement in Daily Life (CEDL) questionnaire.
Main Results:
- Significant improvements observed across all Bayley-4 developmental domains and the CEDL self-care subscale.
- Caregivers rated both devices as acceptable and feasible, with a slight preference for the Explorer Mini.
- No significant differences in outcomes based on device order were noted.
Conclusions:
- Short-term powered mobility interventions can positively influence development and participation in young children with CP.
- These devices are viewed favorably by caregivers as part of early intervention.
- Findings support informed decision-making for clinicians and families regarding powered mobility for children with motor disabilities.

