Active mobility, active participation: a systematic review of modified ride-on car use by children with disabilities.

Modified ride-on cars (MROC) are a low-cost option to provide self-directed mobility to children with mobility limitations, in lieu of or as a precursor to other powered mobility devices. We appraised evidence to (1) describe and categorize MROC study characteristics, (2) synthesize existing knowled...

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Publicado en:Disability & Rehabilitation: Assistive Technology Vol. 18; no. 6; pp. 974 - 989
Autores principales: Hospodar, C. M., Feldner, H. A., Logan, S. W.
Formato: pictorial research systematic review tables/charts Journal Article
Publicado: Taylor & Francis Ltd Aug2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2023
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      pub: Taylor & Francis Ltd
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        10.1080/17483107.2021.1963330
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        atl: Active mobility, active participation: a systematic review of modified ride-on car use by children with disabilities.
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          Hospodar, C. M.
          Feldner, H. A.
          Logan, S. W.
        affil: Department of Psychology, New York University, New York, NY, USA
      sug:
        subj:
          Physical Mobility Evaluation
          Play and Playthings
          Children with Disabilities
          Socialization
          Human
          Funding Source
          Self-Directed Learning
          Knowledge
          International Classification of Functioning, Disability, and Health
          Medline
          CINAHL Database
          Interpersonal Relations
          Information Resources
          Parental Attitudes
          Peer Review
      ab: Modified ride-on cars (MROC) are a low-cost option to provide self-directed mobility to children with mobility limitations, in lieu of or as a precursor to other powered mobility devices. We appraised evidence to (1) describe and categorize MROC study characteristics, (2) synthesize existing knowledge of children's use of MROCs and (3) frame outcomes within the International Classification of Functioning, Disability and Health (ICF) framework. Articles were identified through four electronic databases: Medline, CINAHL, PsycNET, and Web of Science. We included all published, peer-reviewed studies involving MROC use. Relevant data were extracted, and articles were appraised using the American Academy of Cerebral Palsy and Developmental Medicine criteria for group and single-subject designs. 23 studies met inclusion criteria of 204 titles identified from 1980 to 2021. Study designs included case studies, case series, group designs, and qualitative research, but only three studies were rated evidence level III or higher. Children with a range of disabilities used MROCs across multiple settings, including the home, hospital, and community, though use and adherence varied widely. Positive impacts were reported on a range of outcomes related to the ICF framework, with an emphasis on activity and participation. MROC studies have primarily addressed activity and participation, with most studies suggesting increased functional mobility and social interactions due to MROC use. More robust research designs with larger samples are needed in order to develop evidence-based strategies for MROC use. Physical and occupational therapists may consider using MROCs as a therapeutic tool or accessible play opportunity as part of a multi-modal approach to increase children's mobility, family engagement, and participation in community life. Personal (e.g., child's enjoyment) and environmental factors (e.g., caregiver attitudes and stress) must be considered when developing plans of MROC use.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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