Arthrogryposis, Cerebral Palsy, Other Central Nervous System or Musculoskeletal Disorders, Spinal Muscular Atrophy
Conditions
Keywords
power wheelchairs, power mobility, young children
Brief summary
The purpose this study is to determine the effects of power mobility on the development and function of young children of young children whose severe physical disabilities limit their exploratory behaviors and may unnecessarily restrict their cognitive, communication, and social-emotional development.
Interventions
Project staff will use structured power mobility training program to teach the children to use the power mobility devices. Project staff will schedule 1-hour sessions with each family 3 times per week for the first month of the project and will decrease in the following manner as the child becomes proficient and develops basic wheelchair maneuvering skills: two one-hour session per week for 4 weeks; one one-hour session per week for 4 weeks; two one-hour sessions per month for 4 weeks; one one-hour session per month for the remainder of the study.
Sponsors
Study design
Eligibility
Inclusion criteria
* Must be between 14- and 30-months of age * Must have clinical diagnosis of a motor impairment that prevents functional independent mobility * Must have adequate vision and hearing to use power mobility device safely * Must have cognitive abilities equivalent to a 12-month level or alertness and interest in the environment that suggests a trial of power mobility is warranted
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Merrill-Palmer-Revised | Entry, 6-months, and 12-months |
| Pediatric Evaluation of Disability Inventory | Entry, 6-months, 12-months |
Secondary
| Measure | Time frame |
|---|---|
| Nonspeech Test | Entry, 6 month, 12 months |
| Home Observation Measure of the Environment | Entry, 6 months, 12 months |
| Child Health Status | Entry |
| Center for Epidemiologic Studies Depression Scale (CES-D) | Entry, 6 months, 12 months |
| Hollingshead Scale | Entry |
| Parenting Stress Inventory | Entry, 6 months, 12 months |
| Two-position object permanence test | Entry, 6 months, 12 months |
Countries
United States