Huang Hsiang-Han, Chen Yi-Mei, Huang Hsuan-Wen, Shih Ming-Ke, Hsieh Yu-Hsin, Chen Chia-Ling
Department of Occupational Therapy, Graduate Institute of Behavioral Sciences, Chang Gung University, Taoyuan, Taiwan.
Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Linkou, Taiwan.
Front Pediatr. 2018 Jan 15;5:299. doi: 10.3389/fped.2017.00299. eCollection 2017.
Research has shown that the use of power mobility devices is safe and beneficial for motor and cognitive development in children with motor disabilities; nevertheless, strong evidence of the benefits for social skill development is limited. This study aimed to examine the effects of combining ride-on car training with an adult-directed, social interaction program in a hospital-based environment on mobility and social functions in young children with motor disabilities.
This study used a prospective, nonequivalent pretest-posttest control group design. Twenty-nine young children with motor disabilities, aged between 1 and 3 years, were recruited from local hospitals in Taiwan. The treatment group ( = 15) underwent 2-h ride-on car training sessions twice per week for a total of 9 weeks in the hospital environment. The control group ( = 14) underwent a 9-week home education program (mean: 200 min/week) focusing on mobility and social skills training. The Chinese version of the Pediatric Evaluation of Disability Inventory, Parenting Stress Index, and Goal Attainment Scaling were administered to all participants before and after the intervention, and at the end of the 9-week follow-up phase.
Mobility and social functions significantly improved in both groups after the 9-week intervention, but this improvement was not maintained at the follow-up phase. The treatment group showed significantly better improvement in social function, parenting stress levels, and goal achievement than the control group at posttest.
This two-group design study showed the benefits of combining a ride-on car use with a family-centered, structured, social interaction program for positive impacts on mobility, social function, and parenting stress levels. The combination of a modified ride-on car and a social training program has the potential to enhance socialization in young children with motor disabilities.
www.ClinicalTrials.gov, identifier NCT02527499.
研究表明，使用动力移动设备对运动障碍儿童的运动和认知发展是安全且有益的；然而，关于其对社交技能发展有益的有力证据有限。本研究旨在探讨在医院环境中，将乘用汽车训练与成人指导的社交互动项目相结合，对运动障碍幼儿的运动能力和社交功能的影响。
本研究采用前瞻性、非等效的前测-后测对照组设计。从台湾当地医院招募了29名1至3岁的运动障碍幼儿。治疗组（n = 15）在医院环境中每周进行两次2小时的乘用汽车训练，共9周。对照组（n = 14）接受为期9周的家庭教育项目（平均：每周200分钟）），重点是运动能力和社交技能训练。在干预前后以及9周随访阶段结束时，对所有参与者进行中文版的儿童残疾评估量表、育儿压力指数和目标达成量表评估。
9周干预后，两组的运动能力和社交功能均有显著改善，但在随访阶段这种改善未得到维持。在后测时，治疗组在社交功能、育儿压力水平和目标达成方面的改善明显优于对照组。
这项两组设计研究表明，将乘用汽车使用与以家庭为中心、结构化的社交互动项目相结合，对运动能力、社交功能和育儿压力水平有积极影响。改良的乘用汽车与社交训练项目相结合，有可能增强运动障碍幼儿的社交能力。
