A critical review of powered mobility assessment and training for children.
OBJECTIVE
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.


METHODS
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.
Livingstone
R
R
Sunny Hill Health Centre for Children, Therapy Department, Vancouver, British Columbia, Canada. rlivingstone@cw.bc.ca
D000293:Adolescent; D000367:Age Factors; D002648:Child; D002658:Developmental Disabilities / Q000534:rehabilitation*; D005260:Female; D006302:Health Services Research; D006801:Humans; D007858:Learning; D008297:Male; D017145:Models, Educational; D009048:Motor Skills; D011594:Psychometrics; D036301:Qualitative Research; D035502:Trust; D014910:Wheelchairs