Department of Rehabilitation Medicine, University of Washington, Seattle, Washington, USA.
College of Public Health and Human Sciences, Oregon State University, Corvallis, Oregon, USA.
Phys Ther. 2022 Jul 4;102(7). doi: 10.1093/ptj/pzac062.
The aims of this study are 2-fold: (1) to evaluate a powered mobility intervention to promote developmental, activity, and participation outcomes of young children aged 12 to 36 months who have cerebral palsy; and (2) to compare the use patterns (frequency, duration, environment) of 2 different powered mobility options.
This study is a multisite, mixed-methods, doubly counterbalanced, randomized, crossover clinical trial, where intervention A is the Permobil Explorer Mini and intervention B is a modified ride-on toy car. The study will take place in rural and urban home and community settings surrounding 3 sites (Washington, Oregon, and Michigan). There will be 24 child-caregiver dyads in the study (8 dyads per site). Primary outcome measures include the Bayley Scale of Infant and Toddler Development, the Youth and Children's Participation and Environment Measure, the Assessment for Learning Power mobility use, automated device use tracking logs, caregiver semistructured interviews, and the Acceptability, Feasibility, and Intervention Appropriateness Measures. Secondary measures include the Child Engagement in Daily Life and caregiver diaries.
The use of powered mobility devices for young children with cerebral palsy has gained traction, with evidence that the use of powered mobility at young ages complements (rather than detracts from) other interventions focused on more traditional mobility skills such as crawling and walking. However, research is limited, and often comprised of low-level evidence. Given the clearance of the first powered mobility device for infants, the Permobil Explorer Mini, and the recent popularity of modified ride-on toy cars as an alternative for powered mobility for young children with disabilities, this study will contribute to rigorous examination of the developmental outcomes, use patterns, and caregiver perceptions of these novel devices.
本研究有两个目的：（1）评估电动助力移动干预措施，以促进 12 至 36 月龄患有脑瘫的幼儿的发育、活动和参与结果；（2）比较两种不同电动助力移动选项的使用模式（频率、持续时间、环境）。
这是一项多地点、混合方法、双重交叉、随机、交叉临床试验，干预 A 是 Permobil Explorer Mini，干预 B 是改装的骑乘玩具汽车。研究将在围绕 3 个地点（华盛顿州、俄勒冈州和密歇根州）的农村和城市家庭和社区环境中进行。研究中将有 24 对儿童照顾者（每个地点 8 对）。主要结局指标包括贝利婴幼儿发育量表、儿童和青少年参与和环境测量量表、评估学习电动助力移动使用情况、自动设备使用跟踪日志、照顾者半结构化访谈、可接受性、可行性和干预适宜性测量表。次要指标包括儿童日常生活参与度和照顾者日记。
电动助力移动设备在患有脑瘫的幼儿中的使用得到了关注，有证据表明，在幼儿时期使用电动助力移动设备补充了（而不是削弱了）其他专注于更传统的移动技能（如爬行和行走）的干预措施。然而，研究有限，而且通常证据水平较低。鉴于第一台电动助力移动设备 Permobil Explorer Mini 的批准，以及改装的骑乘玩具汽车作为残疾幼儿电动助力移动替代方案的最近流行，这项研究将有助于严格检查这些新型设备的发育结果、使用模式和照顾者的看法。
