Simulator Based Powered Mobility Training of Children With Special Needs

Not Applicable

Completed

• Conditions: Cerebral Palsy
• Interventions: Other: Training with Powered Wheel Chair; Procedure: Powered Mobility Training Simulator

• Registration Number: NCT04531488
• Lead Sponsor: Alyn Pediatric & Adolescent Rehabilitation Hospital

Brief Summary

This study compared conventional powered mobility practice to simulator based practice of children with special needs aged 6-18 years.

Detailed Description

This study compared conventional powered mobility practice to simulator based practice of children with special needs aged 6-18 years.

The study has 3 stages: 1) Simulator validity study 2) Powered mobility outcome measures reliability and validity for children 6-18 years 3) Intervention study to compare simulator based practice and powered mobility practice.

1. Simulator validity study included 30 children aged 6-18 years, proficient powered mobility drivers. All participants had physical disabilities- CP or Neuromuscular conditions.

2. This stage included the first 30 children from the intervention study. Data for the study was based on the first evaluation out of the two evaluations in the study.

3. This stage included 36 children aged 6-18 years in need of powered mobility practice to become a proficient driver. The particpants were divided into two groups- experimental (simulator based practice) and control group (standard powered wheelchair practice).

Study Timeline

• Study Start: 2018-05-01
• Primary Completion: 2020-07-15
• Study Completion: 2020-07-15
• Status Verified: 2020-08
• Study First Submitted: 2020-08-24
• Study First Submitted QC: 2020-08-27
• Last Update Submitted: 2020-08-27
• Study First Posted: 2020-08-28
• Last Update Posted: 2020-08-28

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 36

Inclusion Criteria

• Children with a physical disability that are not proficient powered mobility driver
• Children that can use a joystick

Exclusion Criteria

• Children with visual accuracy limitations that cannot be corrected with glasses or contact lens;
• Children who have a severe intellectual and developmental disability as defined by the Israel Ministry of Welfare's index for intellectual and developmental disabilities and reported by parents; Children that have a unstable medical conditions that prevent them from participating in powered mobility training (e.g., epilepsy)
• Children that can operate a powered wheelchair via switches or a scanning device.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Training with Powered Wheel Chair	Training with Powered Wheel Chair	Participants were provided with a powered wheelchair to practice at home or school
Powered Mobility Training Simulator	Powered Mobility Training Simulator	Powered mobility simulator- the McGill Immersive Wheelchair Simulator (MiWe) was developed for adults. In a previous study the simulator was found valid for use with children. Participants were provided a laptop, joystick and the software program- MiWe- to practice at home or school

Primary Outcome Measures

Name	Time	Method
Powered Mobility Program- Assessing change from Baseline to End of intervention	This outcome measure is done at baseline and after 12 weeks of practice.	This is an evaluation that has up to 34 items that assess the driving skills of powered wheelchair users. Each skill can receive a score of 0-5. The higher the score the better. The total sum of all skills is divided by the number of skills tested and an average score ranging from 0-5 is recorded.
Assessment of Learning Powered Mobility Use- Assessing change from Baseline to End of intervention	This outcome measure is done at baseline and after 12 weeks of practice.	This is an evaluation that has 8 levels of 5 skills. It assess the level of powered mobility driving in areas that the PMP does not- cognitive, emotional, social. Each of the 5 skills receives a score of 1-8. The sum of all skills scores is divided by 5. The score can be between 1-8. A higher score is better.
The Israel Ministry of Health Proficiency Test- Assessing change from Baseline to End of intervention	This outcome measure is done at baseline and after 12 weeks of practice.	This is an evaluation that assess 7 powered mobility skills. The driver needs to succeed 4/5 times each skill in order to pass test. Each of the 7 skills receives a score of 1,3,5. The sum of all skills is divided by 7 and the average score is recorded 1-5. The higher the score the better.

Trial Locations

Locations (1)

Alyn Pediatrics Rehabilitation Hospital; 🇮🇱 Jerusalem, Israel