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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Power mobility | Experimental | Intervention included provision of power wheelchair and power mobility training program. 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. |
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| Control | No Intervention | Children in the control group will not receive any additional intervention, but will continue to receive the early intervention or other services they were receiving prior to enrollment in this study. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Power mobility | Other | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Merrill-Palmer-Revised | Entry, 6-months, and 12-months | |
| Pediatric Evaluation of Disability Inventory | Entry, 6-months, 12-months |
| Measure | Description | Time Frame |
|---|---|---|
| Child Health Status | Entry | |
| Two-position object permanence test | Entry, 6 months, 12 months | |
| Nonspeech Test |
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Inclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Maria A. Jones, PT, PhD | University of Oklahoma | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Rehabilitation Sciences, Lee Mitchener Tolbert Center for Develompental Disabilities | Oklahoma City | Oklahoma | 73117 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28688787 | Derived | Mockler SR, McEwen IR, Jones MA. Retrospective Analysis of Predictors of Proficient Power Mobility in Young Children With Severe Motor Impairments. Arch Phys Med Rehabil. 2017 Oct;98(10):2034-2041. doi: 10.1016/j.apmr.2017.05.028. Epub 2017 Jul 5. |
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| ID | Term |
|---|---|
| D002547 | Cerebral Palsy |
| D001176 | Arthrogryposis |
| D009134 | Muscular Atrophy, Spinal |
| D009140 | Musculoskeletal Diseases |
| ID | Term |
|---|---|
| D001925 | Brain Damage, Chronic |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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|
| Entry, 6 month, 12 months |
| Home Observation Measure of the Environment | Entry, 6 months, 12 months |
| Parenting Stress Inventory | Entry, 6 months, 12 months |
| Center for Epidemiologic Studies Depression Scale (CES-D) | Entry, 6 months, 12 months |
| Hollingshead Scale | Entry |
| D007592 | Joint Diseases |
| D009135 | Muscular Diseases |
| D009139 | Musculoskeletal Abnormalities |
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D013118 | Spinal Cord Diseases |
| D016472 | Motor Neuron Disease |
| D019636 | Neurodegenerative Diseases |
| D009468 | Neuromuscular Diseases |