The Young Movers Project: A Case Series Describing Modified Toy Car Use as an Early Movement Option for Young Children With Mobility Limitations

Abstract

Modified toy cars for have gained popularity as a tool for early exposure to power mobility. Aims: to (1) determine modifications required, (2) describe frequency of home and community use, (3) describe assistance and encouragement provided, child’s motivation and enjoyment of the car, and (4) explore therapist and parent experiences with the cars. Methods: This mixed-methods case series included children aged 13–58 months (n = 5) with cerebral palsy (n = 4) and arthrogryposis and hypotonia (n = 1). Four children received cars and follow-up visits from therapists in their homes. Quantitative data were collected using a family driving record. Qualitative interviews were conducted with parents (n = 5) and therapists (n = 2). The data management strategy described by Knafl (1988) facilitated qualitative data analysis. Results: One child could not be adequately supported; she did not receive a car. Driving frequency ranged from 1.3 to 2.9 days per week, 12–63 min in duration. Qualitative analysis resulted in four themes: (1) A gentle introduction to power mobility, (2) It’s more than just mobility, (3) You just need to try it, and (4) Cars are simple tools. Conclusions: Modified toy cars are feasible for early exposure to power mobility with young children with physical disabilities who do not require extensive seating modifications.

Keywords:

• Early mobility
• modified toy cars
• power mobility

Acknowledgments

The authors would like to acknowledge the families who participated in this study, the Glenrose Rehabilitation Hospital therapists who modified the cars, Lucia Chen, Kara Brecht, Colleen Connors, Farrah Hassam, and Daniella Ongaro. In addition, we would like to acknowledge the biomedical engineer, Janelle Singh, for her electronic adaptation of the cars and the creativity and dedication of the Glenrose Rehabilitation Hospital seating technician, Ralph Perro.

Disclosure statement

No potential conflict of interest was reported by the authors.

Additional information

Funding

This research was funded by Alberta PolicyWise for Children and Families. Dr Pritchard-Wiart was supported by the Canadian Child Health Clinician Scientist Training Program (CCHCSP), the Women and Children’s Health Research Institute (WCHRI) through the generous support of the Stollery Children’s Hospital Foundation, and Alberta Policy Wise for Children and Families. Dr Sandra Thompson-Hodgetts was supported by Alberta Policy Wise for Children and Families.