A critical review of powered mobility assessment and training for children

Abstract

Purpose. Assessment and training of young children using powered mobility tends to be based on expert opinion although research in this area has recently been completed. This review critiques available research and discusses the studies in relation to theory and expert opinion.

Method. A literature review was completed to identify research regarding powered mobility training for children with developmental disabilities. Two recent qualitative studies were identified and their models and assessment tools were compared and discussed with recommendations for clinical practice and research.

Results. The focus of the two studies is on a continuum of learning, the reciprocal relationship of trainer and trainee, and impact of the social and attitudinal environment on powered mobility skill development. The assessment tools and training protocols are backed up by motor learning principles and expert opinion. Further research is required to incorporate the tools into clinical practice and to examine additional psychometric properties.

Conclusions. Rather than focusing on readiness skills or pass/fail tests, clinicians should explore early mobility options for clients at the beginning of the continuum of learning, reflect on how they relate to and impact on their clients' learning, and set up the environment to facilitate independent learning and exploration.

Keywords:

• Powered mobility
• children
• training

Acknowledgements

The author wishes to thank Josephine Durkin and Lisbeth Nilsson for their willingness to share and discuss their PhD research; Debbie Field MHSc OT, Lori Roxborough MSc OT/PT and Doreen Bartlett PT PhD for helpful comments on the first version of this paper and encouragement to submit for publication; and Susan Harris PT PhD for assistance in editing and preparing the final version for publication.