Power mobility and socialization in preschool: follow-up case study of a child with cerebral palsy.

PURPOSE Our previous study found it feasible for a preschooler with cerebral palsy (CP) to use a power mobility device in his classroom but noted a lack of typical socialization. The purpose of this follow-up study was to determine the feasibility of providing mobility and socialization training for this child. METHODS Will, a 3-year-old with CP, 1 comparison peer, 2 preschool teachers, and 2 therapists were filmed daily during a training and posttraining phase. Adult-directed training was provided in the classroom by therapists and teachers during the training phase. Mobility and socialization measures were coded from video. OUTCOMES During training, Will demonstrated greater socialization but less mobility than the comparison peer. Posttraining, Will socialized less but was more mobile, though less mobile than the comparison peer. DISCUSSION Short-term, adult-directed power mobility and socialization training appear feasible for the preschool classroom. Important issues regarding socialization and power mobility are discussed.

[1]  C. Howes,et al.  Social Pretend Play in Toddlers: Parallels with Social Play and with Solitary Pretend. , 1989 .

[2]  B I Bertenthal,et al.  New directions in the study of early experience. , 1987, Child development.

[3]  S. Rogers,et al.  Interventions That Facilitate Socialization in Children with Autism , 2000, Journal of autism and developmental disorders.

[4]  Scott A Miller,et al.  Cognitive development, 3rd ed. , 1993 .

[5]  R. Shores,et al.  Overview of Research on Social Interaction: A Historical and Personal Perspective , 1987 .

[6]  S. Agrawal,et al.  Power Mobility Training for a 7-Month-Old Infant with Spina Bifida , 2009, Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association.

[7]  Sunil Kumar Agrawal,et al.  Babies driving robots: self-generated mobility in very young infants , 2008, Intell. Serv. Robotics.

[8]  J. Mize Social Skills Intervention and Peer Relationship Difficulties in Early Childhood: Comments on Bierman and Erath, Manz and McWayne, and Odom , 2005 .

[9]  R Meyers,et al.  Community-based resilient peer treatment of withdrawn maltreated preschool children. , 1996, Journal of consulting and clinical psychology.

[10]  T. Ahonen,et al.  Developmental motor disorders: A neuropsychological perspective , 2004 .

[11]  S. Lesar,et al.  Use of Assistive Technology With Young Children With Disabilities , 1998 .

[12]  C. Howes,et al.  Sequences in the Development of Competent Play With Peers: Social and Social Pretend Play , 1992 .

[13]  J. Deitz,et al.  Powered mobility and preschoolers with complex developmental delays. , 2002, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[14]  Carole Miles-Tapping,et al.  Lifestyle Implications of Power Mobility , 1995 .

[15]  M. J. Morrier,et al.  An Incidental Teaching Approach to Early Intervention for Toddlers with Autism , 1999 .

[16]  David I. Anderson,et al.  Locomotor experience affects self and emotion. , 2008, Developmental psychology.

[17]  Julianna Arva,et al.  RESNA Position on the Application of Power Wheelchairs for Pediatric Users , 2009, Assistive technology : the official journal of RESNA.

[18]  Xi Chen,et al.  Power Mobility and Socialization in Preschool: A Case Study of a Child With Cerebral Palsy , 2010, Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association.

[19]  C Chiulli,et al.  Powered mobility vehicles as aids in independent locomotion for young children. Suggestion from the field. , 1988, Physical therapy.

[20]  Jan Furumasu,et al.  Pediatric Powered Wheelchairs: Results of a National Survey of Providers , 2005, Assistive technology : the official journal of RESNA.

[21]  M Bottos,et al.  Powered wheelchairs and independence in young children with tetraplegia. , 2001, Developmental medicine and child neurology.

[22]  E. Thelen The Central Role of Action in Typical and Atypical Development , 2004 .

[23]  Dawne Larkin,et al.  Implications of Movement Difficulties for Social International, Phyiscal Activity, Play, and Sports , 2004 .

[24]  L. Nadeau,et al.  Social adjustment of children with cerebral palsy in mainstream classes: peer perception , 2006, Developmental medicine and child neurology.

[25]  J. W. Sparling,et al.  Parent/Caregiver Perspectives on the Use of Power Wheelchairs , 1996 .

[26]  D. Hay,et al.  Peer relations in childhood. , 2004, Journal of child psychology and psychiatry, and allied disciplines.

[27]  M E Buning,et al.  Occupational performance and the transition to powered mobility: a pilot study. , 2001, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[28]  S. Odom Preschool Inclusion , 2000 .

[29]  J. Douglas,et al.  A preschool severely disabled boy and his powered wheelchair: a case study. , 1987, Child: care, health and development.

[30]  N. Bauminger,et al.  Peer Interaction and Loneliness in High-Functioning Children with Autism , 2003, Journal of autism and developmental disorders.

[31]  J. Iqbal,et al.  Cerebral Palsy: An overview , 2006 .

[32]  S. Hanna,et al.  Effect of environmental setting on mobility methods of children with cerebral palsy. , 2003, Developmental medicine and child neurology.

[33]  P. Raina,et al.  Prognosis for gross motor function in cerebral palsy: creation of motor development curves. , 2002, JAMA.

[34]  R. Feldman,et al.  Promoting reciprocal interactions via peer incidental teaching. , 1992, Journal of applied behavior analysis.

[35]  I. McEwen,et al.  Use of power mobility for a young child with spinal muscular atrophy. , 2003, Physical therapy.

[36]  C. Butler,et al.  Motorized wheelchair driving by disabled children. , 1984, Archives of physical medicine and rehabilitation.

[37]  David I. Anderson,et al.  Travel Broadens the Mind. , 2000, Infancy : the official journal of the International Society on Infant Studies.

[38]  C. Butler EFFECTS OF POWERED MOBILITY ON SELF‐INITIATED BEHAVIORS OF VERY YOUNG CHILDREN WITH LOCOMOTOR DISABILITY , 1986, Developmental medicine and child neurology.

[39]  J. Fantuzzo,et al.  Effects of adult and peer social initiations on the social behavior of withdrawn, maltreated preschool children. , 1988, Journal of consulting and clinical psychology.

[40]  Lisbeth Nilsson,et al.  Driving to learn: a new concept for training children with profound cognitive disabilities in a powered wheelchair. , 2003, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[41]  C. Butler,et al.  POWERED MOBILITY FOR VERY YOUNG DISABLED CHILDREN , 1983, Developmental medicine and child neurology.

[42]  D. Witherington,et al.  The flip side of perception-action coupling: locomotor experience and the ontogeny of visual-postural coupling. , 2001, Human movement science.

[43]  C. Howes Peer interaction of young children , 1989 .